TEG for Line Pulls?
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Hi all,
Just curious if anyone uses TEG to pull lines post cardiac cath. Currently we use the Hemochron ACT-LR, but are running into continuous issues with keeping staff competent. (Although our cath lab staff uses the instruments quite frequently, our ICU nurses only do a handful a year. Hard to keep 60+ nurses competent when you only perform 17...)
I'm looking at core lab alternatives that would still provide a timely answer for safely pulling lines and TEG was brought up as a possibility. The RapidTEG test gives an ACT result...curious if anyone has correlated the two. Would I be comparing 'apples to oranges'?
Thanks for your input!
Kelyn Celeskey
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Kelyn,
Before you pull the test from bedside, consider reducing the number of ICU nurses to the charge nurses. This would help you with competency maintenance and prevent delays in shealth removals. Cost difference is also something to consider.
I do agree that 60 nurses in the unit that has low volume is simply too much.
Have a great weekend.
Sonya
I've suggested this, as well as sharing the cath lab staff just for running ACT's, multiple times. For one reason or another, the managers aren't agreeable with either option. They fear running into issues with staffing shortages, vacations, etc, and don't want to be left with a shift that has nobody signed off. *sigh*....
:)
Is there any chance of using ISTAT ACT cartridges?
No, we would have the same issue. If the test remains POC, I would have to have competencies on the whole slew of nurses, regardless of the testing platform. It just isn't practical when they only do a handful a year. We spend more money on reagents for competency assessment than we do on patient tests!
Sounds like a tough conversation needs to occur if they are unwilling to reduce the numbers of end users. Also apporach the medical director for support to pull it if they are not willing to compromise.
Push it from a financial and patient safety viewpoint.
I was in the same boat a few years back. You got to have a great relationship with nursing admin and they need to understand our regulatory requirements.