Waived competency - Hemocue
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In one of my emergency rooms, I have both nurses and RT that are trained on the Hemocue. They have a long standing battle over who is responsible for daily QC and come to find out, it's only been RT doing it.
My question is - we have always had users demonstrate QC and a patient test for their competency. If the RNs are not ever doing QC, they will have no idea how to perform it for a competency. Is it required or everyone's opinion that if you use an instrument, you need to be responsible for the test system as a whole, including QC?
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Agreed with Pet, though it might not be required by your accreditation org, having end-users perform QC can give you quality indicators of operator technique and process. What if there was an issue with the way your nurse loads sample and it affects results? You could possible catch it from a failed QC performed by the nurse but you would never catch it if you were the one doing QC.
We use the HemoCue Hb for our Bloodless Program. Liquid QC level 1 and 2 are performed daily by RN, LPN or NA (all are competency per protocol) and Proficiency is also rotated among end users. I also track the patient results (RALS) and monitor Core Lab results - I have had to do re-training w/ staff on collection and processing patient specimen. I also use the recommended lancet (gauge) for the HemoCue.
Which middleware will be the best for Hemocue, DCA, Clinitek? Does it matter which EHS we use when we choose middleware?
Hi Linda,
As a RALS user, I know they connect to all the well known POCT devices including the three that you mention. We have our system connected to Epic through its lab module Beaker.
You would probably need to contact the middleware folks for the specifics of the EHS they connect too.
JoAnn
Oh, Linda, I probably added some anxiety on your end with my previous post. JoAnn is an excellent resource so listen to her! I'm not able to advise on those instruments being connected since as sad (I struggle to not type 'pathetic'...oops it slipped out) as it is to say, we only have a few iSTATs, all the ACTs and all the glucose meters connected. We do use Hemocue, Clinitek and DCA Vantage but that is still manual charting and manual QC reviews.
I agree with JoAnn that the middleware company would have to tell you about the LIS/EHS experience they each have. That's what is kinda hard to wrap one's head around in some ways - middleware may be thought of as 'generic, connect this to that' but in a way it can also be specific in utility. Also - don't discount that a customer need can translate into a new version of middleware for all!
I feel positive that Telcor also connects to most everything. I wish you could attend AACC expo to see first hand what is available via all the companies.
But when your posts circulates I'm sure there are folks who will respond related about Telcor and other companies. JoAnn and I happen to use the same one and RALS has worked very well for both of us in our own little worlds.