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ACB-POCT  May 2016

ACB-POCT May 2016

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Subject:

Re: Ketones

From:

"Ryder David (UHMB)" <[log in to unmask]>

Reply-To:

ACB Point-of-Care Testing <[log in to unmask]>

Date:

Fri, 13 May 2016 14:01:39 +0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (192 lines)

Did you employ this for glucose too, or just ketones?

David Ryder, Point of Care Testing Coordinator

University Hospitals of Morecambe Bay NHS Foundation Trust
Furness General Hospital
Dalton Lane
Barrow-in-Furness, Cumbria, LA14 4LF

External: 01229 491171 | Extension: 51171 | Mobile: 07580 818900

-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Helen Peat
Sent: 13 May 2016 07:50
To: [log in to unmask]
Subject: Re: Ketones

We issue a folder whereby the staff have to record all patient tests performed (incl date, name, hospital number, strip lot, result, operator) and a sheet to record IQC results (incl date, operator, strip lot, IQC lot number, result, pass, fail, comments etc). We can then tie the two up, assuming it has been filled in

 Helen Peat
Point of Care Manager. Biochemistry Laboratory Manager
 
BB: +44 (0)7826875875
Tel: 07826875875  
Internal: 15978    
Email: [log in to unmask]
Web: http://www.uhb.nhs.uk  

Clinical Laboratory Services, Level -1, Office 7 Pathology - University Hospitals Birmingham NHS Foundation Trust Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston Birmingham, B15 2GW



-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Cambridge Anthony (PLYMOUTH HOSPITALS NHS TRUST)
Sent: 12 May 2016 18:59
To: [log in to unmask]
Subject: Re: Ketones

Out of interest, what methods are used to record QC data against a patient result to ensure that it can be audited. Especially for non-connected devices, where it would be difficult to link every QC to a patient sample analysed on any one day.

Regards

Tony Cambridge
Lead Biomedical Scientist
and POCT Coordinator
T: 01752 792294
E: [log in to unmask]
________________________________________
From: ACB Point-of-Care Testing [[log in to unmask]] On Behalf Of McCue Phil (RD8) Milton Keynes Hospital [[log in to unmask]]
Sent: 12 May 2016 14:38
To: [log in to unmask]
Subject: Re: Ketones

Hi Michelle,

We use Nova connected glucose & ketone meters. As far as is possible we try to get wards only to test the ketone meters on days were there are patients to be tested. The Ketone result can wait a few minutes if they need to QC the meter. This, however, doesn't stop some locations running QC every day or in some instances 3 times per day.  We e-mail the ward managers if the QC is being carried out too frequently as they like to keep tabs on how much they are spending on test strips.

Kind Regards

Phil McCue
Point Of Care Services Lead, Core Clinical & Support Services Division


Milton Keynes University Hospital NHS Foundation Trust
T: 01908 995797 I Ext: 85797 I E: [log in to unmask] I www.mkhospital.nhs.uk Support our charity I Follow us on Twitter I Like us on Facebook

-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Bennett Michelle (BFWH)
Sent: 12 May 2016 14:10
To: [log in to unmask]
Subject: Re: Ketones

Hi All

Out of curiosity for ketone testing, what policy for QC do other Trusts have in place.  We are trying to enforce a weekly check with a QC on the day of any patients tests as well in our Trust, but we receive numerous complaints regarding the cost of checking meters weekly when the devices are infrequently used.  I am reluctant to change the policy as of yet, especially since we do not have connected meters yet.  I would be very interested to hear what other Trusts have in place, especially any Trusts that may not have data managed devices at present.

Thanks
Michelle

Michelle Bennett
Point of Care Testing Lead
Ext. 7511


-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of HOLLOWOOD NICKY (RCD) PATHOLOGY
Sent: 05 May 2016 16:17
To: [log in to unmask]
Subject: Re: Ketones

We have the abbott meter and have ketones activated on about 2/3 of our meters.  We are a small hospital so our type one diabetic patients are located throughout the hospital.  We much prefer having on one meter as it reduces training time, documentation, management, less equiepment, connectivity operator lockout etc is all on one device etc.  The strips are labelled and coloured differently so getting tests mixed up is not a problem for us.  We can spilt packs and share between low usage wards as the strips are individually wrapped.  We can keept our DKA management protocol in one place-with the meter. Costs are offset by reduced bed days/time though we had to do some audits and troubleshooting when we first introduced ketone testing as a lot of type 2 patients were tested........These meters work well for us in this trust.

Nicky Hollowood

POCT Manager

Pathology Department

Lancaster Park Road

Harrogate

HG2 7SX

01423 555858

________________________________________
From: ACB Point-of-Care Testing [[log in to unmask]] on behalf of David James [[log in to unmask]]
Sent: Thursday, May 05, 2016 2:20 PM
To: [log in to unmask]
Subject: Re: Ketones

We use Nova - single meter for both

No issues - have only activated ketones in locations where DM patients managed - has kept costs under control

dj

-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Cambridge Anthony (PLYMOUTH HOSPITALS NHS TRUST)
Sent: 05 May 2016 13:57
To: [log in to unmask]
Subject: Re: Ketones

Hi Theresa

Currently with Roche for glucose and Abbott for ketones. Always been a bit reluctant to have a combined meter due to the reports of staff interpreting ketones as glucose and vice versa. Will be going to tender next year for glucose and will likely incorporate ketones at that point so I'll never say never!

Took a look at the Roche meter but didn't evaluate it as we were not ready for a tender and other ongoing procurement prevented it. I have a similar opinion to other responses posted.

Regards

Tony Cambridge
Lead Biomedical Scientist
Tel Ext- 01752 430050
Tel Int- 30050
E- [log in to unmask]


-----Original Message-----
From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Theresa Hornsby
Sent: 05 May 2016 07:30
To: [log in to unmask]
Subject: Ketones

Can I ask if anybody is using the ketone meter that Roche provide? If so, what do you think of it? If you don't use it but have looked at it I would appreciate any feedback.

Also if you have Roche glucose meters and don't use that device, what ketone meters do you use?

We currently use a combined meter but are about to go to Tender and aren't sure whether to stick to a dual meter or not. The reasoning behind your choice would be appreciated.

Many thanks.

Theresa

POCT Coordinator
Norfolk & Norwich University Hospital

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Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:
to do so is strictly prohibited and may be unlawful.

Thank you for your co-operation.

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