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It's strange how EDs can differ in their view - locally EDs have gas machines as in yours and similar glc/urinalysis. They have no appetite for doing more lab work, probably connected to fact that they are content with v rapid TATs from main lab. Suppose question is what is driver for ED to have POCT? If TATs not meeting need, can you adjust process? is it that they have had nice reps visit? I'll happily put POCT in anywhere appropriate....if it is run correctly [as per MHRA guidelines], and properly costed -that usually generates a re-evaluation dj From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of KWONG Pandina (RF4) BHR Hospitals Sent: 23 January 2013 11:43 To: [log in to unmask] Subject: POCT in ED Dear Colleagues, Apologies for cross posting..... Our Emergency Department (ED) has always wanted more POCT than they currently have. They have a blood gas machine (with gases, Na, K, glucose, lactate and ionised Ca), pregnancy testing, urinalysis and glucose meter. I have spent 4 years arguing that if they want to have FBC, creatinine, urea, amylase and LFTs in addition to what they currently have, the instruments will have to be operated and managed by laboratory-trained staff. Thus constituting a small laboratory with its associated costs. There is now insurmountable pressure on pathology to put in more laboratory equipments into ED at minimal costs, without the setup of a hot lab. I would love to hear from you if you have equipments in ED other than gas machines measuring FBC, U&E, amylase, LFTs and other pathology tests. Are the results validated? If so, by whom? Has the POC patholgy results made a difference in your ED waiting time or allowed for early discharge? I would love to hear from you before the end of this week. Many thanks, Pandina Pandina Kwong FRCPath Consultant Biochemist and Clinical Lead for Point of Care Testing Services Department of Clinical Biochemistry King George Hospital Barley Lane Essex IG3 8YB Tel: 0208 9708020 Barking, Havering & Redbridge University Hospitals NHS Trust: Working to make our hospitals better. This communication, together with any files or attachments transmitted with it contains information which is confidential and may be subject to legal privilege and is intended solely for the use by the person(s) or entity to whom it is addressed. If you are not the intended recipient you must not copy, distribute, publish or take any action in reliance on it. If you have received this communication in error, please notify [log in to unmask]<mailto:[log in to unmask]> and delete it from your computer systems. Barking, Havering & Redbridge University Hospitals NHS Trust reserves the right to monitor all communications for lawful purposes. 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