POCT Flashcards

1
Q

What is the main limitation of POCT

A

Cost

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2
Q

Where can POCT devices be found?

A

ED
OR
Radiology

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3
Q

What are advantages of POCT?

A
  • Portability
  • Reduced TAT
  • Smaller blood specimen required
  • Reduced hospital stay
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4
Q

What are disadvantages of POCT?

A

-Hard to control inventory
-cost
-Maintenance of QC and QA
-Manual entry of data

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5
Q

What are accuracy requirements of POCT?

A
  • Comparable with central lab
  • Daily QC
  • Proficiency and competency testing
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6
Q

What are the staff members responsible for POCT?

A
  • Director (responsible)
  • Coordinator
  • Administers
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7
Q

What does LIS stand for?

A

Laboratory informatics system

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8
Q

What is the LIS responsible for?

A

Interfacing
Reduces errors with data entry

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9
Q

What are characteristics of a good POCT device?

A
  • Portable
  • Reagent cartridges
  • Results w/i minutes
  • minimal operating steps
  • Tests whole blood samples
  • Built in calibrator and QC
  • produces results close to the lab
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10
Q

What is “CLIA-waived” ?

A

Reference to a devices ability to being simple and low risk for producing incorrect results.
- Not used in Canada

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11
Q

What are examples of devices?

A

Glucometers
Rapid tests
FOBT

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12
Q

How do glucometers measure?

A
  • electrochemical measurements
  • using biosensors
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13
Q

What are rapid tests?

A

COVID
Pregnancy

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14
Q

What is the difference between devices and non instrument based POCT?

A

Data has to be manually entered for non instrument based POCT

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15
Q

How do pregnancy tests work?

A

They test hCG and Beta-hCG levels (as early as 12 days after late period.

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16
Q

When is a female no longer considered child bearing age?

A

55

17
Q

What is FOBT?

A

Cards with guaiac and oxidizing chemicals which detect blood in stool samples.

18
Q

What is FOBT used for?

A

Screening for polyps

19
Q

What are interferences of FOBT? and what results do they produce?

A

False positives
- Beef
- Lamb
- Raw fruits + vegetables