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ACB-CLIN-CHEM-GEN  September 2007

ACB-CLIN-CHEM-GEN September 2007

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Subject:

Re: Space and resources for POCT.

From:

Joan Pearson <[log in to unmask]>

Reply-To:

Joan Pearson <[log in to unmask]>

Date:

Wed, 12 Sep 2007 16:24:30 +0100

Content-Type:

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Dr MJ Pearson
Department of Clinical Biochemistry & Immunology
Old Medical School
Leeds General Infirmary (Leeds Teaching Hospitals NHS Trust)
LEEDS LS1 3EX
UK

tel   (44)-113-392-3945
fax  (44)-113 392-3453.

http://www.leedsth.nhs.uk

>>> "Grimes, Helen, UCHG" <[log in to unmask]> 09/12/07 3:43 PM
>>>
>Q1. Has anyone had problems with being assigned space for POCT devices?
Do they accept Blood gas/critical care analysers being put into corners
of sluice rooms? Anyone had problems with analysers identified as
contamination risk in clinical areas? Am I correct in saying that there
are no guidelines for space and location? Do you all have special rooms
designated for POCT?

Yes, I think you are correct. You have to take each case individually
and argue it on the basis of quality, risk management and keeping the
kit in good condition.  For blood gas analysers, we insist on a certain
bench area, a lockable cupboard (for spares, consumables etc), a sink
and preferably a handwash basin adjacent or very near, a network point,
a phone and an ambient temp and humidity similar to the ward.  We do not
allow blood gas analysers in sluice rooms; they are often cold and damp,
with rubbish lying around - not an environment which encourages users to
treat them with care.  The problem with having analysers in areas where
many people are able to access them is that some people cannot resist
fiddling with it and therefore cause problems - this is also a risk of
course.  I don't think we've ever had an issue with one in a clinical
area (eg an open ward) - they are all in small rooms or bays of their
own, often converted from some other use - eg cupboards, store-rooms or
in one case a toilet.

>Q2. An instrument for Thromboelastography has been purchased. We are
trying to role out governance for POCT, and that all devices generating
"laboratory" results come under the appropriate laboratory. Our POCT
policy is still not Hospital policy, but is going through various
Committees. In this case, Haematology do not have resources to take it
on. How do other laboratories handle this? If the laboratory cannot take
it on, and the clinician takes responsibility, could he still be queried
for not adhering to "best practice".

Similar situation here re haematology.  We were asked to take one on,
and on investigation it appeared that the only job required of our staff
would be cleaning the kit - not on!  The clinician agreed to do quality
checks (not really QC/EQA as we would understand it in biochem) and
after ensuring that all users would be trained by the supplier (who had
a good programme) I'm afraid I left them to it.  I would guess that most
TEGs around are not strictly supervised by the lab but ideally ought to
be.  

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