Point of Care Testing Flashcards
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) mandates that bedside testing must be coordinated by what department?
pathology
What are the advantages of POC testing? (5)
Better decision making
Improved outcomes
Reduced turnaround time
Increase pt satisfaction
Reduced stay
Where are POCs helpful? (8)
ER
ICU
CCU
NICU
OR
Burn
Trauma
Obstetric unit
How are POC testing procedures certified?
Train personnel
Competency evaluation
Perform quality control
What can be POC tested in the OR?(10)
Glucose
Hb/Hct
Coagulation profile
Platelet testing
Creatine kinase
Troponin T
Art blood gases
Electrolytes
iCa
Mg
What influence introduction of POC testing? (7)
Personnel and training
QC
Proficiency testing (frequency, method)
Calibration verification
Certification and inspection
Records and documentation
Integration with central lab
What are the chief uses of POC testing? (8)
Blood sugar
Blood gas
Critical e-lytes
Hb and Hct (hematology)
ACT
Myocardial markers
Urinalysis (color)
Pregnancy
What are disadvantages? (3)
Inaccuracy
Difficult controls and calibrations
Training
What can the i-STAT CG8 monitor?
Na
K
Ca
Glucose
Hct/Hb
pH, paO2, paCO2
EtCO2
HCO3
BE
sO2
What is a TEG?
thromboelastogram tells you what blood product you need used in early liver transplants
What evaluates blood permanently withdrawn from the patient?
Analyzers
What evaluates blood constituents by means of a probe?
monitors
