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
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.
Consultant Biochemist and Clinical Lead for Point of Care Testing Services
Department of Clinical Biochemistry
Barking, Havering & Redbridge University Hospitals NHS Trust: Working to make our hospitals better.
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