Hi Charlotte

Happy New year to you and hope you managed to get some well-deserved time off from POC duties over the Christmas period.

Just after some more information relating to your ACB post regarding the Nova H&H meter. Wondering how the theatre team are getting on with it and whether you performed any  in house evaluations for performance against your lab reference method.

My theatres currently have Hemocues, honestly I am not a fan, and the devices are on their last legs and would like to explore all options before renewing their current instrumentation of choice.

Any information would be appreciated and received in the strictest of confidence.

 

Best Wishes

 

 

 

Hi Phil,

 

We have just implemented the Nova H&H meter for Theatres and so far not had any indication of any problems but they’ve only had them 12 days! We have trained theatre recovery staff and due to train some Anaesthetists today. They have moved away from HemoCue. I wasn’t involved with the HemoCue but all of the staff were pleased that I was removing it, both clinical and laboratory. I have worked with transfusion team to make sure that staff using the equipment understand how they need to act on the results, that the settings reflect the right thresholds etc. I am hopeful this will be beneficial for the staff as an indicator for an FBC not for transfusion, but only time will tell.

 

I hope this helps!

 

 

 

Dear Phil,

 

We use Hemocues. Did try to stratify to move to BGA only. But then looking into it deeper there were some cases were a finger prick was more preferable to a full BGA sample – phlebotomy access, regularity of testing and access to a BGA played into it.

 

It is certainly a debate between usefulness to patient care pathway vs cost efficiency loss with multiple methods/training.

 

The Nova H&H meter – we have intended to look at this meter further, but fallen of the ever expanding priority list.

 

Kind regards

Katy

 

 

 

Hi Phill

 

We are in discussions internally to move away from handheld tHb meters in favour of using blood gas analysers. Recent verifications have shown that more than acceptable accuracy is obtained from blood gas analysers. I’m sure our POCT team would agree with your assessment of the meters. User error is always a factor and recent device validations haven’t been as good as we’d hoped.

 

Regards

 

 

 

Hi All,

 

I was wondering what haemoglobin meters different sites use and what their thoughts are. We’ve tried a number over the past few years and found that they are heavily prone to user error, cannot connect to our LIMS or compare poorly against the lab method. It seems that none of the devices tick all the boxes but perhaps there are some out there I am not aware of.

 

Kind Regards,

 

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