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Hi Gary
There is no way that I could get ward staff to process EQA samples - we don't have auto QC, and ward staff already refuse to process IQC at the weekends/public holidays (it's "not their job").
 
Most of our analysers are looked after by Clinical Technology engineers who process IQC and the EQA samples for me (Mon - Fri).
 
I strongly feel that current aqueous BGAS EQA samples should NOT be processed by ward staff as I can just imagine that they would get confused and start to vigorously shake patient blood samples in the same way as EQA samples.
 
In an ideal world, all POCT EQA would be blood-based, stable and all POCT operators would test them in the same way as patient samples. At the moment, this ideal world is not achievable.
 
PS where does it state in the CPA standards that POCT BGAS EQA should be analysed by non-technical staff?
 
Sorry - I've not been very helpful,
Chris Bromley
POCT Coordinator,
University Hospital of North Staffs
 

________________________________

From: Clinical biochemistry discussion list on behalf of Gary Mascall
Sent: Tue 11/09/2007 10:34
To: [log in to unmask]
Subject: POCT Blood Gas EQA



Following a recent CPA inspection, one of the non conformances was to do
with EQA for POCT Blood Gas analysers.
We were told that laboratory staff who service, maintain and IQC the
analysers should not be analysing the EQA samples, this should be done by
other staff. However, none of the EQA samples are actually whole blood in
a syringe, so how could we possibly assess the ability of the users to
correctly mix the EQA sample in a different way and matrix to how they
would normally handle a patient sample?
We feel that we are EQA ing the analyser and not the users, in the same
way we perform EQA for our in laboratory analysers for other analytes, and
intend to respond in this way.
We would be grateful to hear how others handle this issue, and whether
anyone else has been given the same non conformance following a CPA
inspection.

Thanks,
Gary

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------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
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