The jury is out at present at Lewisham. The trust is very keen to implement a system but put the project on hold at the last minute because of the revenue cost.
I estimated the revenue cost in terms of POCT "reagents" was estimated as approximately £100K above current expenditure. The tests will be done by Emergency Department Assistants (EDAs) already in post dealing with phlebotomy, cannulation and ECGs following nurse triage and protocol driven test requests with results available before seeing the Drs.
This is for FBC on a Pentra60, U&E plus glucose on Istat (£40K), Troponin I on Dade Behring Stratus (£30K), CRPs and D Dimers, INRs linked via a PGP interface to the lab Telepath computer with output to the hospital database.
LFTs, amylase, and other tests will be sent by air-tube to the lab but samples will be booked in and barcoded by the EDAs.
We are exploring alternative strategies at present.
Dr Paul H Eldridge
Clinical Biochemist
University Hospital Lewisham
London SE13 6LH
UK
Phone: (44) 020 8333 3255
Fax: (44) 020 8690 8891
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