UA Analyzer
4 followers
0 Likes
Does anyone have any experience using the Siemens Clinitek Status +; are there any downsides or restrictive limitations?
52 Replies
Displaying items 1-15 of 52 in total
Reply
Subgroup Membership is required to post Replies
Join POCT Listserv now
Suggested Posts
| Topic | Replies | Likes | Views | Participants | Last Reply |
|---|---|---|---|---|---|
| iSTAT in NICU -chem 8, CG4 | 4 | 0 | 125 | ||
| Rotem Sigma Validation Help | 1 | 0 | 85 | ||
| Hemochron Sig Elite use outside of manufacturer temperature range | 1 | 0 | 135 |
Yes, there are some troubling limitations. Sending configurations through RapidComm requires turning the analyzer off/on. Remote connectivity should not require this. Another major problem is that the instrument can only store ranges for one set of controls at a time. When the lot# changes you need to update the ranges in each Clinitek manually. Not fun if you have a lot of analyzers or devices in remote locations. We also have problems with the internal clocks. They tend to gain time, which interferes with automatic charting. You can't post a result with a future time.
We had our Cliniteks hooked up to Telcor and it was a breeze. No problems with connectivity.
Even when the main hospital computer is down, the results will go to the EMR directly as soon as the computer is up.
We run UHCG in ER. It works like a charm ( knock on wood).
The ER staff do not have to set a timer anymore or read the UHCG visually.
The result goes directly to the EMR
The UA dipstick is another story. WE have not figured out how to do UA dipstick in ER without double billing.
So ER does not do UA but our L&D does UA dipstick.
WE are not able to charge the L&D for UA dipstick because we cannot double bill if there is confirmation to do.
This has nothing to do with the instrument. Doing the UA dipstick is fine.
We just did not want to check the charges at the back end and have to cancel duplicate charges.
Until the UA dipstick can be charged separately from the Microscopic and confirmation we cannot use it for that purpose.
They are great little instruments.
Hi Pet,
Do you have Epic? Our billing team wrote a bunch of rules for UA macro, UA macro with micro, POCT UA macro with lab micro, UA complete (macro/micro) all around bundling and replacing the 81003/81015 with 81001. This happens on the epic side not the lab side.
Hi,
Also, if lab repeats the UA macro the billing deletes the charge for the POCT macro and bills out the lab charge.
Reine,
Still waiting for Epic. They told us this year but it does not look like it is going to happen.
I will have to email and call you so you can help me out to get the charges for the UA dipstick.
Would you send me your contact info if you don’t min? .
Right now we have Meditech for HIS and LIS.
Thanks,
Hi Pet,
Feel free to email me at rmakiya@chw.org
Thanks,
Reine
CONFIDENTIALITY NOTICE: This electronic, facsimile, or written communication, including any attachments to it, may contain confidential information or protected health information subject to privacy regulations such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This transmission is intended only for the use of the named recipients. If you are not the intended recipient, or a person responsible for delivering it to the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of any of the information contained in this transmission is STRICTLY PROHIBITED. If you have received this transmission in error, please immediately notify me by reply e-mail and destroy the original transmission in its entirety without saving it in any manner.
We have installed Clinitek STATUS devices at multiple locations and it is one of the least problematic devices, for the most part. I echo Terry's comments on how the analyzer clock gains time - not sure what that's about, but although the timestamp may be off slightly, it does not stop it from posting to the EMR - lucky for us. We use Telcor for middleware, which also offers Operator Certification, which updates to the analyzers every 10-15" or so. Nice feature. Regarding QC lots, yes it is true that it can only hold 1 lot; however, we simply order large volumes of single lots so the range settings do not need to be changed often. I don't see it as a major issue at all.
Regarding the double-testing/double-billing when a sample is sent to lab for follow-up - that was fine prior to changing our in-lab UA platform to the Iris. Between the Iris and the LIS (Sunquest), we cannot seem to command the Iris to ONLY perform the microscopic and not repeat the macro. So, we end up doing 2 macros - and one either gets credited/rejected by billing software, or we are billing for 2 and insurers have been paying for 2. As that end is not within my purview, I am not entirely sure.
Thank you all for the awesome comments.
James- Did you know Telcor can set the date/time on your Clinitek also. This stops the problem of the fast clock
J.
-----------------------------------------------------------------------
Confidentiality Notice: This e-mail message, including any attachments,
is for the sole use of the intended recipient(s) and may contain
privileged and confidential information. Any unauthorized review, use,
disclosure or distribution is prohibited. If you are not the intended
recipient, please contact the sender by reply e-mail and destroy
all copies of the original message.
Ooh, no I didn't, but I will pursue - thanks Katie!
Does anyone have verification data on manual vs Clinitek status that you could share with me? Would like to look at some independent studies that people have done, vs our own. We have one location with vehement resistance towards getting a dip reader because they feel they are not as accurate as manual. I say yes and no, but would like some extra data for them. Thanks!
Maybe because I am new to a lot of this, but why doesn't your Medical director step in and say that they need to use the analyzer to have uniformity throughout the facility. Because I know with us that's what the case would be. Lets be honest the analyzer will give a consistent read, where as if a person would read the strip it could vary from individual to individual depending on what they see and the time frame that they read the strip, plus just for ease and time I would think people would like to have an analyzer read it so that I can walk away and do something else
dave m
Thanks for your thoughts, Dave! I agree. We are only at the investigation stages of looking into this instrument and at this point, we need to find the money first. Since that can take a while (or even be rejected), I am gathering what information I can to help calm the nerves of this location instead of just using force. But, our medical director has been informed of this and will most likely help nursing if it comes down to that. In the meantime, I am curious to see any studies that others have performed. Thanks
Karla, to answer your first question, I do not have manual-to-Clinitek verifications - when we implemented the STATUS, our lab method was the Clinitek 500, so that is what we compared it to. Considering that most laboratories have not utilized a manual read as their primary method in many, many years, I think I would ask myself the benefit of that.
Regarding the general subject of manual reads for UA strips in the POC setting - here is my prejudice: folks that are both administering direct care and doing POCT can fall victim to doing 'whatever' they need to to get a lab result that matches the diagnosis. Need to prove that patient has a UTI? Well, just let the strip sit a little longer until you see a positive :). Maybe a little exaggerated, but I think you get my point. That said, I think it is more important to have an objective means of determining a lab result in POCT than it is in your core lab. Plus, it makes your life as a POCC much easier by not having to constantly enforce to trainees the importance of proper test times. Win/win!