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ACB-POCT  June 2018

ACB-POCT June 2018

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Subject:

Re: Temperature Monitoring

From:

"McAuliffe Alison (RC9) Luton & Dunstable Hospital FT" <[log in to unmask]>

Reply-To:

ACB Point-of-Care Testing <[log in to unmask]>

Date:

Mon, 4 Jun 2018 13:51:16 +0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (286 lines)

Hi Sarah,

We were thinking of purchasing an infa-red thermometer for recording the temperature in areas where we have glucose meters. We have Comark temperature monitors in the 12 areas where we have blood gas analysers and one spare.
We have around 120 glucose meters, although some areas do have more than one meter and we used to take our spare meter out to each area, leave it to equlibrate for 15 minutes, then record the temperature, as you can imagine the temperature audit, which we do once in the summer and once in the winter, takes many days!
Having followed this thread we were thinking of purchasing an infa-red thermometer, but am now thinking perhaps we need to invest in a few more Comark monitors! I'd be interested to know your thoughts.
Maybe a bit of a cheeky question, but was monitoring the temperature over 24 hours something you have always done, or was it on the back of a UKAS recommendation?

Kind regards


Alison



Alison McAuliffe



Point of Care Testing Manager

Blood Sciences Department
Luton & Dunstable University Hospital
Lewsey Road
LUTON
Bedfordshire
LU4 0DZ

Tel:  01582 497991
Fax:  01582 497992

e-mail: [log in to unmask]



________________________________________
From: ACB Point-of-Care Testing [[log in to unmask]] on behalf of Glover Sarah [RCD] [[log in to unmask]]
Sent: 02 May 2018 16:44
To: [log in to unmask]
Subject: Re: Temperature Monitoring

We vary the length of time for data capture depending on the device. For devices within the hospital, where there is a fairly controlled environment, we put loggers out for 24 hours and then switch them to a different location. By using 4 or 5 loggers we can cover all locations in a reasonable amount of time.

For devices which go out into the community / outreach clinics we tend to leave a logger there for around week.

The loggers aren't cheap and neither is the calibrations, as you mention.

Previously we shared loggers with Transfusion, but when we increased our frequency of temperature logging, availability of the loggers became an issue, so we purchased some specifically for POCT.

Best wishes
Sarah

Dr Sarah Glover PhD FRCPath
Consultant Clinical Biochemist & POCT Clinical Lead
Blood Sciences, Biochemistry
Harrogate and District NHS Foundation Trust
H Tel: 01423 55 3056
 e-mail: [log in to unmask]





-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of CAMBRIDGE, Anthony (PLYMOUTH HOSPITALS NHS TRUST - RK9)
Sent: 02 May 2018 16:34
To: [log in to unmask]
Subject: [SPAM] Re: [SPAM] Temperature Monitoring

That's really good info Sarah. How many loggers do you deploy i.e. do you need to rotate them regularly. I recall our last set of loggers cost us over £1k for around 12 plus the software to capture the data.

BW

Tony Cambridge MSc., BSc., PRINCE2®
Lead Biomedical Scientist
Blood Sciences and POCT
Tel Ext- 01752 430050
Tel Int- 30050
E- [log in to unmask]


Keep Communicating

Put patients first   •   Take Ownership   •   Respect Others   •   Be Positive


-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Glover Sarah [RCD]
Sent: 02 May 2018 16:27
To: [log in to unmask]
Subject: Re: [SPAM] Temperature Monitoring

Hi,

Whilst performing temperature audits with an infra-red thermometer may enable rapid spot checks to be carried out of the environment where POCT is performed / reagents are stored, where portable devices are involved, this type of spot check has a high chance of missing temperature breaches.

We place our continuous  temperature loggers in the glucose meter cases, in order to best detect the temperatures the meter is exposed to over a prolonged period. Using this technique we have identified unusual temperature patterns e.g. when a meter case was left next to a radiator overnight. Similarly we can pop these loggers in the bags of meters which go out into the community and may be exposed to extreme temperatures if left in cars etc overnight / at weekends.

Kind Regards
Sarah

Dr Sarah Glover PhD FRCPath
Consultant Clinical Biochemist & POCT Clinical Lead Blood Sciences, Biochemistry Harrogate and District NHS Foundation Trust H Tel: 01423 55 3056
 e-mail: [log in to unmask]





-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Duddy Mary (RWG) West Hertfordshire TR
Sent: 02 May 2018 16:16
To: [log in to unmask]
Subject: [SPAM] Re: [SPAM] Temperature Monitoring

Thank you so much. This sounds wonderful.
KR,
Mary

-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of CAMBRIDGE, Anthony (PLYMOUTH HOSPITALS NHS TRUST - RK9)
Sent: 02 May 2018 16:08
To: [log in to unmask]
Subject: Re: [SPAM] Temperature Monitoring

Hi Mary

Good to hear from you. Sorry for the delay - been a bit busy.

1)Do you have to allow it to equilibrate in an area? No, the gun is ready to use on switching on 2)How frequently do you check areas which you find to be compliant? Currently once annually but we recognise that needs to be more frequent even if the risk is low. I would like to do this quarterly, but resources have to be targeted so it's based on the higher risk areas that see large swings in temperatures.
3)Do you have the details of the supplier and could you give me a rough estimate of cost? CASON CA380 infra red Thermometer -32 to 380C, cost was less than £100 4)Are there any other costs apart from the calibration cost? None, you may need to get it recalibrated, or depending on cost of that calibration just buy another one!

Regards

Tony Cambridge MSc., BSc., PRINCE2®
Lead Biomedical Scientist
Blood Sciences and POCT
Tel Ext- 01752 430050
Tel Int- 30050
E- [log in to unmask]


Keep Communicating

Put patients first   •   Take Ownership   •   Respect Others   •   Be Positive


-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Duddy Mary (RWG) West Hertfordshire TR
Sent: 01 May 2018 17:49
To: [log in to unmask]
Subject: Re: [SPAM] Temperature Monitoring

Dear Tony,
Please can you tell me a bit more about this infra-red thermometer gun that you use?
1)Do you have to allow it to equilibrate in an area?
2)How frequently do you check areas which you find to be compliant?
3)Do you have the details of the supplier and could you give me a rough estimate of cost?
4)Are there any other costs apart from the calibration cost?

Thank you in advance,
Mary
Mary Duddy
Point of Care Testing Manager,
Chemical Pathology
West Hertfordshire Hospitals NHS Trust.
Watford General Hospital, Vicarage Road, Watford. Hertfordshire. WD18 0HB EXT  Watford 7998

[log in to unmask]
    01923217998







-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of CAMBRIDGE, Anthony (PLYMOUTH HOSPITALS NHS TRUST - RK9)
Sent: 20 April 2018 14:48
To: [log in to unmask]
Subject: Re: [SPAM] Temperature Monitoring

Hi

We use an infra-red thermometer gun as part of our audit programme. Point it at any flat surface for a reading. This is done in 3 areas of the site, usually the patient area, where stock is stored and the sluice. The values are checked against the extremes of the manufacturer's consumable operating temperature ranges. The gun is calibrated to UKAS standard. What you need to think about with this approach (obviously not continuous monitoring) is how often to audit and which sites are usually at risk of breaching the operational temperature range.

Some consumables are 25C and others 32C at the high end. Some areas will be prone to higher temperatures or wide temperature fluctuations throughout the seasons of the year. Ideally a risk assessment would establish the areas that would have more intensive monitoring. You need to justify what schedule has been adopted and also what actions would be taken if the monitoring picked an unacceptable deviation.

Regards

Tony Cambridge MSc., BSc., PRINCE2®
Lead Biomedical Scientist
Blood Sciences and POCT
Tel Ext- 01752 430050
Tel Int- 30050
E- [log in to unmask]


Keep Communicating

Put patients first   •   Take Ownership   •   Respect Others   •   Be Positive

-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of JOCELYN EMMA (RCD) PATHOLOGY
Sent: 20 April 2018 14:38
To: [log in to unmask]
Subject: Re: [SPAM] Temperature Monitoring

Good question, I am interested to see if there is a good one out there.

-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Patricia Lockett
Sent: 20 April 2018 14:36
To: [log in to unmask]
Subject: [SPAM] Temperature Monitoring

Hi,

Could anyone recommend a min and max temperature monitoring strip we could use for Point of Care devices on the ward.

Cheers

Trish

Patricia Lockett MSc (Clin Chem)
Senior Biomedical Scientist for Point of Care Testing and Laboratory Lead for the Bowel Cancer Screening Programme Hub Clinical Support & Screening Services | Gateshead Health NHS Foundation Trust Queen Elizabeth Hospital | Queen Elizabeth Avenue | Sheriff Hill | Gateshead NE9 6SX |
T: 0191 445 8563 |  E: [log in to unmask] |


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