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MAS
News...
Point
of Care Testing at UMass Memorial Health Care, Worcester, MA
UMass Memorial Health Care is the largest health care system in
Central and Western Massachusetts.
The
total number of POCT tests performed annually is approximately
900,000. The waived testing includes whole blood glucose
(Life Scan), Stool for occult blood (Sure-Vue), gastric
aspirates and vomit for pH and occult blood (Gastroccult), Urine
dipsticks (Bayer), Urine pregnancy (OSOM), Hemoglobin (HemoCue),
rapid strep (Signify A), H.Pylori (Pyloritek), hemoglobin A1C
(DCA2000). Whole
blood glucose is the most utilized waived test with a total
volume of 500,000 annually.
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The information
in this excerpt was taken from the July 2004 issue of
CRITICAL POINTS, the official newsletter of the
AACC Critical and Point of Care Testing Division.
To view the
entire article, click
here • To
view the entire issue, click
here
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The
system has 109 Sure Step Flexx glucometers, 62 download
locations spread over 45 nursing stations. The database supports
greater than 2000 certified operators and all patient and QC
results. The RALS-Plus
IMS screens over 1000 patient test results daily and sorts
results according to the customization profiles established by
the POCT division.
Moderately complex tests include blood gases
(I-STAT), electrolytes, glucose, BUN, Creatinine, ionized
calcium, hematocrit (I-STAT), ACT, PT-INR testing (I-STAT), BNP
(Bio-site) and fetal scalp pH (Bayer). Four years ago the core
laboratory at university campus moved to an off site location
approximately half-a-mile from the campus. These two locations
are connected through a pneumatic tube system. We could not
successfully validate the blood gas testing using the pneumatic
tube system and realized that we needed to seek alternate
methods to perform blood gas testing.
We chose the I-STAT method, because it opened up
a whole new menu of choices for doing POC testing especially in
ICU’s. Currently we have I-STAT devices in all our 8 ICU’s,
2 OR’s and phlebotomy dept. at University and Memorial
campuses. All I-STAT devices are networked to the POCT office
and interfaced to our LIS system. The POCT division monitors QC
and patient data on a daily basis and are able to use system
software to customize analyzers to suite specific nursing
locations. We currently use Abbott software for our data
management, but are looking to consolidate in to the existing RALS-Plus
software platform for more uniform management of the POCT
testing.
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© 2005 Medical Automation Systems,
Inc., Charlottesville, VA USA. All rights reserved.
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