It’s a different setting but once the repertoire gets that big I’d have a look at the experience of the Oxfordshire EMUs.
https://www.oxfordhealth.nhs.uk/wp-content/uploads/2014/08/OP-089.15-Emergency-Multidisciplinary-Assessment-Unit-EMU.pdf
I’d include creatinine but not urea. NB assessment of renal function as part of work-up for imaging.
What are your thoughts on some inflammatory marker? That’s a traditional stumbling block and might drive specimens that still need CLT.
Certainly consider INR and D-dimer.
Something to do with COVID-19?
Have you already simulated a busy day to see how many specimens would still go to CLT? And to assess peak loading on each PoCT device?
And the big one… that patient throughput. But include reducing stress on the staff as a desirable outcome as well as that.
Jonathan
> On 16 Jul 2020, at 16:27, Tracey Eastwood <[log in to unmask]> wrote:
>
> Dear all,
>
> Our ED are looking at ways to improve patient flow through ED using further POCT tests/ devices. Our current repertoire of tests includes: pH, blood gases, sodium, potassium, ionised calcium, glucose, lactate, cooximetry, Glucose & Ketone meters, flu, RSV, urinalysis and pregnancy tests.
>
> Would you recommend any other POCT tests that have had an impact on clinical decision making and reduced waiting times in your Trust's ED? INR and D-Dimer have been mentioned. I’m aware that Werfen have a metabolic cartridge that includes Urea and Creatinine, does anyone use this?
>
> Any information and advice would be much appreciated, thank you in advance for your help,
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