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What's Happening in POCT

POCT NEWS





Point-of-care Hemoglobin Testing:

Methods and Relevance to Combat Anemia
By: Katja Lemburg, Medical Laboratory Observer, September 2016

 

Anemia is a condition that causes a high degree of personal disability but, historically, has lacked adequate resourcing in many public health systems. This situation is even less understandable when you consider that the main diagnostic, hemoglobin testing, is one of the most commonly used point-of-care (POC) tests, and one of the easiest to perform.

POC hemoglobin testing is often needed in settings where the use of a benchtop laboratory hematology analyzer is not practical. It is ideal for use in settings where resources are poor, or there is a need for mobility and simplicity in field use, or where turnaround time (TAT) for the test result needs to be short, as in acute clinical situations. Read more >

CMS Says Nurses Can Perform High Complexity Tests
By Glen McDaniel, Advance Newsmagazines - www.advanceweb.com

 

The Centers for Medicare and Medicaid Services (CMS) recently published a memo that it sent to CLIA inspectors on how to interpret educational requirements. CLIA had always specified the minimum educational requirements for individuals performing laboratory tests.

 

In recent years there has been quite a strong lobby from nursing to recognize a nursing degree as a biological science degree, having the requisite credit hours of biology, chemistry etc. Those of us with oversight for point of care testing (POCT) had also been unsure as to whether nurses could perform non-waived tests and maybe even fully manage a POCT program where non-waived tests were utilized.

 

Now CMS has weighed in definitively by saying that, yes, a nursing degree is a science degree making nurses qualified to perform non-waived tests. A careful reading of the CLIA regulations would suggest that if that is true, then nurses may in fact be allowed to even direct laboratory testing. Read more >

Not fit to test: battling high hemolysis rates in the ED
By Anne Ford, CAP Today, August 2016

Poverty, unemployment, crime, dropout rates: In some categories, no community wants to be No. 1. And in some categories, no hospital wants to be No. 1 either. High on that list: hemolysis.

“Hemolysis is a big issue,” Michael Phelan, MD, said at the Executive War College meeting this spring. In fact, “it’s the leading cause of unsuitable specimens” at the Cleveland Clinic’s main campus, where Dr. Phelan is an emergency medicine physician. As he discovered at the start of a CDC-funded project to study and reduce hemolysis at his hospital between 2014 and 2015, his emergency medicine department led all other departments in hemolysis rates. Over the course of one week... Read more >

Let’s Close the Knowledge Gap
CAP Today, From the President's Desk, August 2016

 

Most of us have heard the laboratory described as a black box where specimens are exchanged for information and diagnoses. This tells me that we work beside some highly skilled people who don’t know what we do and that the knowledge gap makes them uncomfortable enough to joke about it. This incomplete understanding of what takes place within the laboratory has meaningful consequences in multiple contexts.

 

I am certain you will be asked (often by someone well into the process of creating a budget) to quantify your value to the institution. Because this is virtually inevitable, we should anticipate it and formulate a succinct response. For example, one might say that we know how to ask the right questions, to work with complex systems, or to keep stuff from blowing up. Ideally, we can transition from there to the real answer: Our value lies more in how we think than in what we do. Read more >

2016 AACC POCC Forum Highlight

 

Effective communication skills when discussing an overdue PPM competency assessment with a physician

 

Pat Kraft from Good Samaritan Hospital, Dayton, Ohio, and Greg Cosentino from Hunterdon Medical Center, Flemington, NJ, read from one of the scripted dialogs that were performed by a panel of POCC’s to demonstrate effective communication skills. 

The 2016 Point of Care Forum topic at the AACC Annual Conference in Philadelphia
was ‘Leadership Communication for the POCC: Overcoming the Barriers of Productive Communication’, presented by Rick Import of Whitehat Communications.

 

Among the forum highlights was a role play session 'acted' by a panel of POCCs. One of the role play dialogs that drew a lot of attention from the audience was between a POCC and physician on the subject of PPM competency. Many in attendance requested that it be made available for reference in their own settings. 

 

Here is that dialog. We hope it helps and want to thank Marcia Zucker, PhD for providing the segment of the dialog that POCC’s will find so valuable when discussing PPM competency with physicians.

 

Note: Many more POCT highlights from AACC will be available on this website and through the PointofCare.net eNewsletter in the coming weeks.

Point-of-Care Versus Lab-Based Testing: Striking a Balance
Bench Matters: July 2016, By Kathleen David, MT(ASCP),  Clinical Laboratory News

Point-of-care testing (POCT) is all the rage right now, and for good reason. These often portable, easy-to-operate devices and instruments return results quickly, enabling immediate treatment or intervention. POCT also short- circuits many steps involved in lab-based testing, obviating the need to collect a specimen, transport it to the lab, perform testing, and transmit the results back to the provider. This speed and efficiency often greatly improves both patient outcomes and patient satisfaction.

Despite its popularity, however, POCT has downsides... Read more >

AACC POC Award Winners | More

Kerstin Halverson Named

2016 POCC of the Year

The AACC CPOCT Division has announced that Kerstin Halverson of Children’s of Minnesota has been named the 2016 Point of Care Coordinator of the Year. Since 2003, Kerstin has overseen the entire POCT program for two hospitals, one ambulatory surgery center, three clinics and one ancillary testing site.  Read more >

Pat Kraft Receives 2016 Outstanding Contributions to POCT Award

Patricia Kraft, M.A., MT (ASCP), Laboratory POCT/Safety/Education Coordinator at Good Samaritan Hospital in Dayton, Ohio is the recipient of the 2016 Outstanding Contributions to POCT Award. Pat graduated with a BS in Medical Technology from the University of Dayton... More>

AACC Launches Express Membership Category

$65 Annual Fee Provides Numerous Association Benefits

Great news for POCCs and Exclusively for New Members, AACC’s New Express Membership enables you to benefit from a wide range of resources at an affordable dues level, including:
Access to AACC’s online networking opportunities; Select educational programs, and News publications.

 

One of the essential ways that AACC members convene is online through the members-only AACC Artery. Discussions cover a range of topics from the challenges of monitoring point-of-care testing compliance to practical lab fundamentals, such as critical values and specimen types and retention. For more details, and to sign up, visit the Express Member page!

Click here for more stories in our Article Archives...

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Last updated: 09/07/2016 Questions or corrections: editor@pointofcare.net. © 2016  BACK TO TOP