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Hi,
I had an incident in my trust where the staff mixed two machines up. This involved multiple staff of all grades from staff nurse to Consultant. All viewed the instrument and the result thinking it was Hb when actually it was glucose. If they are going to make the mistake they'll make it whether you have separate machines or not. What is important is good quality training, which I think is more achievable with one device.
We have blood gas machines which provide lots of different parameters and no one would advocate having separate meters for each of those parameters.
David Ryder, Point of Care Testing Coordinator
University Hospitals of Morecambe Bay NHS Foundation Trust
Furness General Hospital
Dalton Lane
Barrow-in-Furness, Cumbria, LA14 4LF
External: 01229 491171 | Extension: 51171 | Mobile: 07580 818900
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Cambridge Anthony (PLYMOUTH HOSPITALS NHS TRUST)
Sent: 05 May 2016 16:26
To: [log in to unmask]
Subject: Re: Ketones
Hi Nicky
I've heard of many incidents where staff have mixed up the results at multiple Trusts, even when colour coding is in place. Maybe one of the issues is reviewing results on the meter, but the screen does show 'ketones' or 'glucose' when displayed. I do ask myself how staff make these errors but regardless of how or why, they have still occurred. Something for everyone to be aware of and hammer home the message during training.
Regards
Tony Cambridge
Lead Biomedical Scientist
Tel Ext- 01752 430050
Tel Int- 30050
E- [log in to unmask]
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of HOLLOWOOD NICKY (RCD) PATHOLOGY
Sent: 05 May 2016 16:17
To: [log in to unmask]
Subject: Re: Ketones
We have the abbott meter and have ketones activated on about 2/3 of our meters. We are a small hospital so our type one diabetic patients are located throughout the hospital. We much prefer having on one meter as it reduces training time, documentation, management, less equiepment, connectivity operator lockout etc is all on one device etc. The strips are labelled and coloured differently so getting tests mixed up is not a problem for us. We can spilt packs and share between low usage wards as the strips are individually wrapped. We can keept our DKA management protocol in one place-with the meter. Costs are offset by reduced bed days/time though we had to do some audits and troubleshooting when we first introduced ketone testing as a lot of type 2 patients were tested........These meters work well for us in this trust.
Nicky Hollowood
POCT Manager
Pathology Department
Lancaster Park Road
Harrogate
HG2 7SX
01423 555858
________________________________________
From: ACB Point-of-Care Testing [[log in to unmask]] on behalf of David James [[log in to unmask]]
Sent: Thursday, May 05, 2016 2:20 PM
To: [log in to unmask]
Subject: Re: Ketones
We use Nova - single meter for both
No issues - have only activated ketones in locations where DM patients managed - has kept costs under control
dj
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Cambridge Anthony (PLYMOUTH HOSPITALS NHS TRUST)
Sent: 05 May 2016 13:57
To: [log in to unmask]
Subject: Re: Ketones
Hi Theresa
Currently with Roche for glucose and Abbott for ketones. Always been a bit reluctant to have a combined meter due to the reports of staff interpreting ketones as glucose and vice versa. Will be going to tender next year for glucose and will likely incorporate ketones at that point so I'll never say never!
Took a look at the Roche meter but didn't evaluate it as we were not ready for a tender and other ongoing procurement prevented it. I have a similar opinion to other responses posted.
Regards
Tony Cambridge
Lead Biomedical Scientist
Tel Ext- 01752 430050
Tel Int- 30050
E- [log in to unmask]
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Theresa Hornsby
Sent: 05 May 2016 07:30
To: [log in to unmask]
Subject: Ketones
Can I ask if anybody is using the ketone meter that Roche provide? If so, what do you think of it? If you don't use it but have looked at it I would appreciate any feedback.
Also if you have Roche glucose meters and don't use that device, what ketone meters do you use?
We currently use a combined meter but are about to go to Tender and aren't sure whether to stick to a dual meter or not. The reasoning behind your choice would be appreciated.
Many thanks.
Theresa
POCT Coordinator
Norfolk & Norwich University Hospital
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