Calculated Hemoglobins

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For those of you who provide a calculated Hemoglobin result on the i-Stat or Epoc, do you include a statement in the policy stating blood transfusion decisions should not be solely made from the this result due to the limitations of this test? 


Thoughts greatly appreciated!  


 

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This was a helpful discussion for me since we just started using epoc and the question of transfusion came up in one of my training classes, thanks all!

From the first page in our EPOC procedure:

NOTE: Hemoglobin results obtained by EPOC analyzer are calculated using a measured HCT and should not be used for transfusion decisions. For low results an EDTA specimen should be sent to lab for confirmation. 
 

epoc doesn't specifically address this limitation in their system manual, I wonder why?

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Tierra Cuff
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