Handwritten Paper Logs
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I'm trying to find out if there is something better than paper logs available for POCT kits such as hCG, Flu, Strep, etc.
Do we HAVE to have handwritten logs? Is my enterprise behind the times?
I'd like to find something that might help reduce paperwork errors. I know the information on the logs is important. I wonder if there's something available that will prompt operators to enter all information before allowing them to step away from the documentation. Not necessarily this:
But something!
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We have electronic forms for POC testing documentation that are part of the patient's electronic medical record. They are available in folders as part of commonly used forms that nursing staff uses. They were designed with the input of POC staff across our large health system.
Now while that sounds great - they are not perfect. Meaning that, certain fields can only be made "required" (meaning only that they backlight in yellow) but the staff can still exit the form with the form being incomplete. We are told that they cannot be made mandatory. Whether that is because of the program's limitation or the fact that no nursing form is ever made with mandatory entries, I do not know.
We enter the results in the ACCU-CHEK Inform II. We use RALS as a middleware.
There are also options available within various POC middleware products, like Telcor QML - that have forms that can be documented on and will cross to LIS/HIS. The problem with that, however, is establishing access and maintaining competency of use with nursing staff for this separate system that has a singular purpose. I've not tried that route but don't imagine it would be well-received.
NOVA and Roche glucose meters meters can record and send results to EMR by using their Manual Test program.
You can program it to include lot number of reagent , internal QC, and the operator who logged on.
Result will be transmitted by TELCOR or RALS middleware.
What kind of glucometers do you have, are you able to do a manual test entry on them?
We do ours in the NOVA Meter with RALS as middleware as well. We are only doing the hcg’s right now but would like to implement our waived testing to the Manual
Test Entry side of the NOVA meter.
Penny,
How do they document HCG QC? How do you control/track it? Do you have issues with compliance with QC?
Wael,
You are able to use the AccuChek to track the kit tests? Can you tell me how?
Shannon,
What kind of middleware do you use?
A tab for "other tests" will show up under the glucose test tab. The test results are entered manually. This must be done via the middleware.
Wael
We get a box of each new lot from the warehouse and QC it here in the core lab. We qc monthly and with each new lot. You can add the feature to the NOVA meter
and document through RALS. We do this with strep controls and will be implementing this with hcg throughout the OU Medical System.
Hi, Wael,
We use RALS Web3. Unfortunately, I've discovered that the "Other Test Entry" option is an add-on that was not selected at the onset of our current contract with Roche. We're approaching the end of that contract, and with the "critically ill" issues hanging over our heads, plus an upcoming enterprise-wide IT system change, we're considering changing to NOVA. Unfortunately, at this point, it doesn't seem that adding the "Other Test Entry" to our menu is a viable option.
That being said, once a decision IS made, I'm definitely going to push for adding this to our system. I'd also like to know - are you using bar code IDs for the patients? Right now, I'm happy to get a manually entered patient ID that includes DOB and patient initials. It's not a very good system, but it's better than randomly chosen numbers. If you are using bar code IDs, are they attached to an armband, or just the patients' charts?
Shannon
Hi, Penny,
We use the AccuChek Inform II. Ours are not set up with "Other Test Entry" in the menu.
Shannon
I am also using the Nova meter. So this gets set up in QML and at the meter through NovaNet? Do you pull QC reports through your middleware then? Sorry for all of the questions.
Leah