Hi,
We currently have one in Endoscopy and one in AED.
We ask all departments to audit TAT's and do cost evaluation before the POCT committee sanctions the use of a POCT device.
With regards to general theatres, why do they need one? An INR is only useful for Warfrain monitoring, so surely a patient's INR should have been checked before they go to theatre and their Warfarin stopped a couple of days before where necessary? I fear it would be used inappropriately for coagulation monitoring intra-operatively.
Regards
Hannah Williams
Senior Biomedical Scientist
Haematology
0151 529 3405
________________________________________
From: ACB Point-of-Care Testing [[log in to unmask]] on behalf of Cambridge Anthony (PLYMOUTH HOSPITALS NHS TRUST - RK9) [[log in to unmask]]
Sent: 06 March 2015 10:24
To: [log in to unmask]
Subject: Re: CoaguChek in general theatre
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Hi All
Depending on which device is in use, it very much comes down to the competence of the operator. Technique and competence is everything.
Tony Cambridge
Lead Biomedical Scientist
Point of Care Co-Ordinator
Tel Ext- 01752 792299
Tel Int- 52299
E- [log in to unmask]
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Bennett Michelle (BFWH)
Sent: 06 March 2015 09:13
To: [log in to unmask]
Subject: Re: CoaguChek in general theatre
The values are bang on, with SD <1 AND cv <3. The results are almost identical. We haven't had a single flier.
Regards
Michelle
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Barlow Ian (NORTHERN LINCOLNSHIRE AND GOOLE NHS FOUNDATION TRUST)
Sent: 06 March 2015 09:08
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Subject: Re: CoaguChek in general theatre
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Remember that an r2 of 0.97 does not mean that the numbers are equivalent. You could get perfect correlation even when results are twice the lab values.
All the r2 means is that there is a good association/relationship between the 2 variables but does not imply equivalence.
What is the slope and intercept?
Regards
Ian
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Bennett Michelle (BFWH)
Sent: 06 March 2015 08:54
To: [log in to unmask]
Subject: Re: CoaguChek in general theatre
Hi Greg
They have improved greatly. We are currently evaluating for our anticoagulant clinic and the R2 value is approximately 0.97 for the correlation. However, I do not believe that it is best practice for the theatres to be using these devices. I have asked them to provide some evidence to prove that it would be essential to the service.
Kind regards
Michelle
Michelle Bennett
Point of Care Testing Coordinator
Blackpool Teaching Hospitals NHS Foundation Trust Cardiac Divisional Offices
Tel: (01253) 95 7511
Email: [log in to unmask]
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Greg Watts
Sent: 05 March 2015 23:20
To: [log in to unmask]
Subject: Re: CoaguChek in general theatre
Has anyone critically looked at the correlation curve against lab results. The last one I saw had ew PT results twice the value of the lab and vice versa.
Perhaps that's acceptable these days - or perhaps they have improved.
Regards,
Greg
Greg Watts|Deputy Director
A division of Douglass Hanly Moir Limited
Ph. (02) 9487 9518|Fax: (02) 9473 8118
Mob 0414 890 525|e-mail : [log in to unmask]
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Samantha Tara Ekin
Sent: Thursday, 5 March 2015 10:30 PM
To: [log in to unmask]
Subject: Re: CoaguChek in general theatre
Hi Michelle
We have 5 soon to be 6 INR POCT in use, in use in ED, for stroke patients, endoscopy, short stay surgical, an elderly off site area, VTE service and soon in our elderly hip ward. All for valid clinical reasons and some showing financial benefits, i.i reduction in slots cancelled in endoscopy and short stay waiting a lab INR result.
We have had no request from Theatres direct and I would struggle to see the clinical need here.
Cheers
Sam
-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Michelle Bennett
Sent: 05 March 2015 09:06
To: [log in to unmask]
Subject: CoaguChek in general theatre
Hi
General theatre have approached me regarding the need for a CoaguChek device for POC INR testing. I have asked them for evidence that procedures are currently being delayed/cancelled due to waiting for INR results from the laboratory. I have been informed that it is common place to have POC INR testing in general theatres within other Trusts, and so I was wondering if this is the case and what your experiences have been? Has there been any improvement regarding cancellations and delays where POC INR testing has been introduced?
Any feedback would be greatly appreciated.
Best wishes
Michelle Bennett
POC Coordinator BTHFT
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