At the usual zero notice, I have been asked to outline Dept Clin Biochem
requirements for a 20 bed Cardiac Surgery Unit, which includes 6 ICU beds
and 4 step down beds. Proposed throughput is 12 cases/week, but that
excludes emergency work.2 Surgeons are not yet appointed, but intended work
is by-pass surgery and valve replacement. They would hope that point of care
testing would do electrolytes, lactate, ionised Calcium and Magnesium. The
anaesthetist formulating the proposal to the Dept of Health says they will
see patients at a clinic a week in advance, and do the "routine" bloods at
that time.
Our laboratory is already understaffed and we do not have a Point of Care
Co-ordinating Committee, but apart from these obvious facts, has anyone
experience in what they looked for and the subsequent unforeseen demands?
Papworth hospital has been suggested as a good contact, can anyone give me a
name there with whom I should speak?
____________________________________________________________
Dr. Helen Grimes, Dept. of Clinical Biochemistry, UCH, Galway, Ireland
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