Urine Pregnancy Testing
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Do you perform urine pregnancy testing at your facility point of care? If so what areas utilize it? What barriers or issues do you encounter with it? What kit do you use? Do you capture the testing on paper or use an electronic method?
Thanks in advance!
Karen Clark
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We do, in ED and all pre-op areas - it's pretty much become the standard to perform POC.
Used to do manual (cartridge/kit) test, but gradually have switched all areas over to Siemens CT Status (using Telcor as middleware), which automates all things associated with the test (results, QC, lot# documentation, operator management, billing), so it's win/win.
Hi Karen!
We use Cardinal's hCG Combo Rapid Test for urine hCG testing. It's performed in both the main lab and POC at one Radiology site (separate CoW). We hesitate to use it POC because of the concern for false negatives if the sample is not a first morning specimen. The test result is recorded on a worksheet and faxed to me so I can order and result it. We tried to get the RadTechs access to order/result but apparently it's a big deal to build and they would have too much access to ordering.
For areas practicing under the Lab's CoA, I have been able to implement iSTAT Quantitative BhCG for Pre-Op and Outpatient Radiology.
Hope that helps!
Best,
Amber
We ran manual ProAdvantage kits in all our ambulatory sites and ED. Hardest part for end-user was manually filling out paper QC logs and patient testing logs. Hardest part for us was auditing these logs. We also had issues with nurses calling faint lines as negative.
Currently transitioning to Clinitest to move everything electronic. All QC and results flow through Clinitek instrument into RapidComm middleware and we audit remotely. So much better but the downside we've found is you can only run one test at a time per instrument so when there's a spike in testing during the day the nurses have to babysit the instrument coming back every 5m to start a new test.
We use Cardinal's hCG Rapid Comb test as well. We have them at all of our outlying clinics.
We upload results using the Accu-chek meter.
One other benefit of CT Status devices - they are pretty cheap! If you think you're going to have throughput issues if the dept gets busy, get 2 or 3 of them. You'll be glad you did.
We use Clinitest HCG on the Clinitek Status Connect.We have them in ED and OP Surgery. The ED and OP Surg staff love it because they can see the results in the EMR right away. Even X-ray can see result before the patient is moved to their department.
The nurses do not have to go back to the lab room to see result. Our ED has 2 urine readers. OP Surgery has one.
Our Clinitek is connected to Telcor as our middleware and Meditech is our LIS/HIS.
Knock on wood, it has worked well for us.
For those who are using the Clinitek as your reader. Are the results interfaced solicated or unsolicated to your EMR? If it is solicated, what identifier are you entering in your device.
We using the Alere uHCG cassette. Manual entry logs are clumsy and difficult to be compliant by users. And multiple cliniteks, logistically, remote viewing would be optimal.
Clinitek readers are fine, but a read time of five minutes per cassette. Plus side is data capture through an interface.
Thank you.
For our Cliniteks, results are interfaced - no connection to test order, so unsolicited.
You cannot "view" the device remotely, but most all practical issues are managed via the Telcor middleware. Only a few things have to be managed at the device, like QC lot#, ranges, but it's not inconvenient, especially if you order your QC in large batches.
Thanks for all your responses!
Hi Karen,
The only area that we allow the use of manual preg test kits(Innovacon by Alere) is our Sexual Health Program. They use the kits when visiting the High Schools. Otherwise,
any other area who requires POC preg testing need to get approval for the Clinitek Status analyzer. This could be the Emerg. Dept, O.R., Day Surgery, off-site Health Centers etc.
The manual preg tests get resulted on a label that contains all of the accreditation required information. It is then placed on the patient’s chart.
The Clinitek Status analyzer print outs are placed on a form that contain all of the patient’s required information and reference ranges. It is signed , photocopied, then the
copy is placed on the patient’s chart. It is photocopied because the print out will fade so is not considered a permanent record.
Hope this helps…..J
Kathy Andrews
MLT, RT
Point of Care Coordinator /
Coordinatrice des Analyses Hors Laboratoire
Moncton & Miramichi Area /
Régions de Moncton et Miramichi
Horizon Health Network / Reseau de Sante Horizon
Tel: (506)-857-5315 Fax: (506) 857-5325
kathy.andrews@horizonnb.ca
“In order to succeed, we must first
believe that we can.”
Nikos Kazantzakis
From: Karen Clark via POCT Listserv (Groupsite) [mailto:users+1160276@poct.groupsite.com]
Sent: October-01-19 1:54 PM
To: Andrews, Kathy (LAB) (HorizonNB)
Subject: [POCT Listserv] Urine Pregnancy Testing
ATTENTION! External email / courriel externe.
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We use Clinitest uHCG on Clinitek Connect.
We have them in ED and OP Surgery.
The nurses love it! The X-ray do to.
X-ray can see the uHCG result before they get the patient in their department.
As soon as the test is done, the result goes to the EMR.
The nurses don’t have to go back to the testing area to see the result.
WE have our instruments connected to Telcor for middleware.
Our LIS/ HIS is Meditech.
Knock on wood! No complaints from anyone since we got the uHCG on the Clinitek.
Hi,
We are not interfaced YET!! When we do then we will use the Meditech account(visit ID) number.
Kathy Andrews
MLT, RT
Point of Care Coordinator /
Coordonnatrice de Pointe de Service
Moncton & Miramichi Area /
Régions de Moncton et Miramichi
Horizon Health Network /
Reseau de Sante Horizon
Tel: (506)-857-5315 Fax: (506) 870-2889
kathy.andrews@horizonnb.ca
“The arrogance of success is to think that what you did yesterday will be sufficient for tomorrow”
-William Pollard
From: Michael Lau via POCT Listserv (Groupsite) [mailto:users+1223910@poct.groupsite.com]
Sent: October-02-19 1:46 PM
To: Andrews, Kathy (LAB) (HorizonNB)
Subject: [POCT Listserv] Re: Urine Pregnancy Testing
ATTENTION! External email / courriel externe.
------- Horizon Health Network Disclaimer -------
This e-mail communication (including any or all attachments) is intended
only for the use of the person or entity to which it is addressed and may
contain confidential and/or privileged material. If you are not the intended
recipient of this e-mail, any use, review, retransmission, distribution,
dissemination, copying, printing, or other use of, or taking of any action in
reliance upon this e-mail, is strictly prohibited. If you have received this
e-mail in error, please contact the sender and delete the original and any
copy of this e-mail and any printout thereof, immediately. Your
co-operation is appreciated.
Le présent courriel (y compris toute pièce jointe) s'adresse uniquement à
son destinataire, qu'il soit une personne ou un organisme, et pourrait
comporter des renseignements privilégiés ou confidentiels. Si vous n'êtes
pas le destinataire du courriel, il est interdit d'utiliser, de revoir, de
retransmettre, de distribuer, de disséminer, de copier ou d'imprimer ce
courriel, d'agir en vous y fiant ou de vous en servir de toute autre façon.
Si vous avez reçu le présent courriel par erreur, prière de communiquer
avec l'expéditeur et d'éliminer l'original du courriel, ainsi que toute copie
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reconnaissants de votre collaboration.
For those who use Clinitek for HCG, how often do you have QC performed on each Clinitek? We have the 10SG strips QC'd every day but not sure we want to do that for HCG, as it takes 5 minutes per cassette.
We perform QC monthly for the hCG.