Te Matau a Māui | Laboratory Services

Point of Care Department Information: Difference between revisions

Point of Care Department Information (view source)

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== '''References''' ==
== '''References''' ==
and for detailed information on Point Of Care Testing requirements refer to:
For detailed information on Point Of Care Testing requirements refer to:


HBDHB Point of Care Testing Policy          HBDHB/CPG/101 (2020)
HBDHB Point of Care Testing Policy          HBDHB/CPG/101 (2020)


New Zealand Best Practice Guidelines for Point of Care Testing (2018)
New Zealand Best Practice Guidelines for Point of Care Testing (2022)




The HBDHB POCT Manager (as appointed by the laboratory) is responsible for the implementation and maintenance of the POCT Quality Management System (QMS) for HBDHB clinical areas.  The QMS is based ISO 22870:2006 and ISO 15189:2012, in line with IANZ accreditation requirements and national and international best practice. Refer to HBDHB POCT Policy CPG/SPG101 and relevant POCT Manuals for further information regarding the POCT QMS.  
The HBDHB POCT Manager (as appointed by the laboratory) is responsible for the implementation and maintenance of the POCT Quality Management System (QMS) for HBDHB clinical areas.  The QMS is based ISO 5189:2022, in line with IANZ accreditation requirements and national and international best practice. Refer to HBDHB POCT Policy CPG/SPG101 and relevant POCT Manuals for further information regarding the POCT QMS.  


== '''Point of Care Quality Manager Job Description''': ==
== '''Point of Care Quality Manager Job Description''': ==
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|Tech  Room, Theatre
|Tech  Room, Theatre
|-
|-
|Stat  Strip Lactate Meter, Fetal Fibronectin
|Nova Lactate Meter, Fetal Fibronectin
|Lactate,  FFN
|Lactate,  FFN
|Maternity
|Maternity
|-
|-
|Cobas  b101
|Cobas  B101
|HbA1c
|HbA1c
|Diabetes  Centre
|Diabetes  Centre
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|Blood  Gas
|Blood  Gas
|ICU
|ICU
|-
|Siemens Clinitek
|Urinalysis
|ED
|}
|}


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|FBC
|FBC
|Acute  Ward, Laboratory
|Acute  Ward, Laboratory
|-
|Cobas B101
|C-reactive Protein
|Acute Ward
|}
|}


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|Bi-Monthly
|Bi-Monthly
|-
|-
|Waikato EQA – Wairoa/Hastings
|RCPA - Wairoa
|CRP
|Monthly
|-
|Waikato EQA - ED
|Urinalysis
|Monthly
|-
|Waikato EQA – Wairoa/Hastings/CHB
|Glucose
|Glucose
|Monthly
|Monthly
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|Weekly
|Weekly
|-
|-
|Sample Comparison (b101 vrs D100 Hastings)
|Sample Comparison (b101 vs D100 Hastings)
|HbA<sub>1</sub>c
|HbA1c
|Monthly
|Monthly
|-
|-
|Sample Comparison (meter vrs ABL Hastings)
|Sample Comparison (meter vs ABL Hastings)
|Lactate
|Lactate
|Monthly
|Monthly
|-
|-
|Sample Comparison (Hemocue vrs  XN-3000)
|Sample Comparison (Hemocue vs XN-3000)
|Haemoglobin
|Haemoglobin
|Monthly
|Monthly
|-
|-
|Sample Comparison (ABL Lab vrs ABL  ICU)
|Sample Comparison (ABL800 Lab vs ABL90 ICU)
|Blood Gas
|Blood Gas
|Weekly
|Weekly
|-
|Sample Comparison (Alinity vs B101)
|CRP
|Monthly
|-
|Sample Comparison (Alinity vs iSTAT)
|Chem8
|Monthly
|-
|-
|RCPA sample comparison - CHB
|RCPA sample comparison - CHB
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|Fortnightly
|Fortnightly
|Anaesthetic Technicians
|Anaesthetic Technicians
|-
|CRP
|Weekly
|Wairoa Laboratory Staff
|}
|}


All Internal and External QC is regularly reviewed and commented on by the POC QM and/or relevant HOD/Senior Scientist and acted upon if required.
All Internal and External QC is regularly reviewed and commented on by the POC QM and/or Chemical Pathologist and acted upon if required.


== '''Out of Hours Support''': ==
== '''Out of Hours Support''': ==
Wairoa                                 For problems with POCT equipment on the ward after hours, consult with Associate Clinical Nurse Manager. If further support is required contact Wairoa Laboratory staff or POC QM.
Wairoa                              For problems with POCT equipment on the ward after hours, consult with Associate Clinical Nurse Manager. If further support is required contact Wairoa Laboratory staff or POC QM.
 
Glucose /Ketones            For problems with glucose meters out of hours contact the laboratory for a loan meter.


Glucose /Ketones             For problems with glucose meters out of hours contact the laboratory for a loan meter.
Lactate                              No out of hours support, send sample to the laboratory.


Lactate                                 No out of hours support, send sample to the laboratory.
Hemocue                         No out of hours support, send sample to the laboratory.


Hemocue                            No out of hours support, send sample to the laboratory.
ABL90 ICU                       No out of hours support, send sample to the laboratory.


ABL90 ICU                           No out of hours support, send sample to the laboratory.
Fetal Fibronection           No out of hours support.  


Fetal Fibronection           No out of hours support.  
TEG                                 No out of hours support.


TEG                                        No out of hours support.
CHB                                 Not used out of hours.


CHB,                                     Not used out of hours.
B101                               No out of hours support.


B101                                      Not used out of hours.
Urinalysis                        No out of hours support.


== '''Equipment Inventory:''' ==
== '''Equipment Inventory:''' ==
All POC devices and instruments are documented and recorded on a spreadsheet located at:
All POC devices and instruments are documented and recorded on a spreadsheet located at:


H:\Departments\Equipment Inventory\MASTER Equipment Inventory
J:\Departments\Equipment Inventory\MASTER Equipment Inventory


Under the POC tab. This contains information relating to age of device, model, asset number and also hyperlinks to the individual devices Equipment Log. This log documents issues and troubleshooting.
Under the POC tab. This contains information relating to age of device, model, asset number and also hyperlinks to the individual devices Equipment Log. This log documents issues and troubleshooting.
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