iSTAT vs Hemachron
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We have been using iSTAT Celite ACT for over 4 years in our Cath Lab/Vascular Surgery areas. We have a new doctor who has
come who insists he only has to wait 60 seconds for heparinized perfusion with a Hemachron Signature Elite, whereas the iSTAT takes in the 200 seconds range. Does anyone have experience with these analyzers who can explain the difference to me ?
Louise Watts, MT(ASCP)
POCC/OP Lab Svcs/Referral Testing
Iredell Health System
557 Brookdale Drive
Statesville, N.C. 28677
Phone (704)873-5661 ext 2584 ***NOTE: this is a telephone change***
Fax (704)878-4689
louise.watts@iredellhealth.org
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Hi Louise,
The difference in the cath lab/vascular surgery areas is simply the warm-up time. On the Elite, the cuvette is inserted into the device and warmed while the sample is being collected. On the iSTAT, you add the sample, then place the cartridge in the device. Testing does not begin until the internal calibration is completed which can take over a minute- thus the perception of a difference. The actual test takes the same time for an ACT-LR on the Elite and the iSTAT ACT.
Marcia Zucker
mlzucker.zivd@gmail.com
Hi Louise,
We had the very same issue in our Cardiovascular Department. We ended up switching to the Hemochron Sig. Elite. Like Dr. Zucker said it really does come down to the fact that you are pre-warming the cuvette while getting ready to add the sample. Makes the test time seem shorter. I've been pleased with the Hemochron.
Bonnie
One thing about the Hemochron ACT is that the user can see the seconds counting. Our perfusionists feel like this speeds up the procedure and makes them more efficient because once they reach the "magic" number that can proceed without waiting for the final result.
Judy Smith
Aspirus Wausau Hospital
333 Pine Ridge Blvd.
Wausau, WI 54491
judys@aspirus.org
Hi All,
I am launching the iSTAT ACTk (kaolin) in a few months, doing validation, correlations and IQCP starting first of the year. Does this hold true for Kaolin as well?
Any sharers:
ISO- Any paperwork for ACT (k)/CHEM8+.... iSTAT, Quiz, PP Presentation, IQCP, P&P and any other handouts for end users (RN's Only will be using/non-waived) that you would please share - I am working on my "Manual" now to prepare the "Go-Live" email me at bpost@ghvhs.org
I have BhCG & Creatinine to share- please let me know and I will take anything you have so I can educate myself and my POCC :-)
Thank you in advance-
Happy Holidays!!!!
Beth
Hi Beth,
If you send me your email address I can share my iSTAT ACTk stuff with you.
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
From: Beth Post via POCT Listserv (Groupsite) [mailto:users+1224225@poct.groupsite.com]
Sent: December-20-19 12:02 PM
To: Andrews, Kathy (LAB) (HorizonNB)
Subject: [POCT Listserv] Re: iSTAT vs Hemachron
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Thank you Kathy