Waived NIcotine Testing

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Hello,


I am wondering if anyone does point of care or waived nicotine testing in their hospitals.  We are looking for waived urine or saliva testing that can be done point of care prior to surgery. 


I appreciate any information!  Thank you!

6 Replies

We have the NicCheck 1 test strips. Our perianesthesia unit uses it to determine whether nicotine is in the patient's system prior to surgery. Its a simple enough test that is semi-quantitative.


Zach, did you do any validation of the nicotine test before you implemented?  At my institution we tried to confirm the manufacturer’s cutoff for the NicQuick urine test.  We used urine samples from a reference lab which had been quantitated
by GC/MS.  The test kit gave “positive” results with quantities that were well below the stated cutoff.


We are looking to implement the Alere iScreen OFD Cotinine since it is for saliva.

Thanks for your response!  Do you have any patient or QC logs and a policy that you could share?  We are in the beginning stages of bringing this to our system and I would love to see what others have!


Thanks!

We are implementing the Cotinine test (One Step COT) and it only comes with an external positive control. I was wondering if someone had this same situation and if yes, what did you use for the negative control?

We had implemented this test for urine samples a few years ago for our bariatric surgery patients and used PT material from API. We ended up discontinuing the test after failing surveys. Like Terry Hawkins above, our investigation revealed that the cutoffs for the strips did not align with manufacturers statements. There were also concerns related to shipping at the time. All materials were labeled as requiring refrigeration however they were shipped via truck at ambient temperature which in the summer time was quite hot. We discovered that you could request refrigerated shipping for a fee. Things may have changed since then. I too would recommend a mini validation/verification prior to Go Live

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Lisa Freymuth
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