istat vs epoc vs piccolo
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We are in the early stages of deciding which instrument to use in the ED.
Does anyone have any thoughts or experience with the istat vs epoc vs piccolo?
Thank you,
Deborah Martuch
POCT Manager
Health First
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What tests are they looking at doing?
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
Happy New Year 2020 to you!
Wishing this year brings to you the warmth of love and illuminates your path of life
towards a positive direction.
From: Deborah Martuch via POCT Listserv (Groupsite) [mailto:users+1251798@poct.groupsite.com]
Sent: December-30-19 2:36 PM
To: Andrews, Kathy (LAB) (HorizonNB)
Subject: [POCT Listserv] istat vs epoc vs piccolo
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It would depend on the testing menu. We use Piccolo for CMPs and I-Stat for B-hCG, blood gases and lactate, and troponin.
They are looking at the chem 8 at this time.
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Does the piccolo have barcode scanning capability or does the end user have to manually enter the user ID and patient ID?
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You can plug in any standard barcode scanner which is what we did to scan the patient ID. But you do still need to manually enter sex, race, and DOB.
The piccolo is a nice little instrument that will give you the results in 20 minutes and it is waived testing. It is user friendly but not really something you want to carry around. If you can use a smart phone, you have the piccolo down. This is an easy platform to use. The cartridges are expensive and need to be refrigerated. The controls must be frozen. 20 minutes can be a long time compared to the other options of epoc and iStat. I cannot speak to iStat. I can speak to the epoc. It is moderate testing. The test cards are room temperature and the controls are refrigerated. The epoc only has gases and the basic chemistry as options. HCG or Troponin are not options. It will need an IQCP. I like the epoc because of a few special features:
There are a few things about the epoc that take time to figure out or is not such a plus
I hope someone speaks up for the iStat. If you have any question, you can always contact me personally.
deatone@bronsonhg.org
Erika, thanks for the nice description of istat vs epoc vs piccolo.
I have a Piccolo for a containment room. But it does not correlate well to a Vista. Do you have any history of comparing it to the Vista?
I use the istat in NICU, Cath labs, Perfusion and Radiology. Overall it is a nice meter. Abbott hasn't changed much in the last 20 years. One thing that held us back from switching to the Epoc was the moderately complex platform. In Radiology it is a waived
test.
thanks,
Nancy Epstein
Point of Care Coordinator
CHI Health Laboratories
402-398-6603![Attachment.]( "Call: 402-398-6603")
(office)
From: Erika Deaton-Mohney BS, MT(ASCP), CPP via POCT Listserv (Groupsite) <users+1166739@poct.groupsite.com>
Sent: Monday, December 30, 2019 2:33 PM
To: Epstein,Nancy K <Nancy.Epstein@alegent.org>
Subject: [POCT Listserv] Re: istat vs epoc vs piccolo
CAUTION: This email is not from a CHI source. Only click links or open attachments you know are safe. Please send as an attachment all spam/phishing and unusual emails to spam@catholichealth.net.
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For the Piccolo comparison to main laboratory, we used the Roche 8000. The Piccolo was intended for the emergency preparedness (Ebola) patient. We closed down our response and tier level with the State. It was never used on a patient and is now for sale :)
thanks for the follow up.
Nancy Epstein
Point of Care Coordinator
CHI Health Laboratories
402-398-6603![Attachment.]( "Call: 402-398-6603")
(office)
From: Erika Deaton-Mohney BS, MT(ASCP), CPP via POCT Listserv (Groupsite) <users+1166739@poct.groupsite.com>
Sent: Tuesday, December 31, 2019 7:45 AM
To: Epstein,Nancy K <Nancy.Epstein@alegent.org>
Subject: [POCT Listserv] Re: istat vs epoc vs piccolo
CAUTION: This email is not from a CHI source. Only click links or open attachments you know are safe. Please send as an attachment all spam/phishing and unusual emails to spam@catholichealth.net.
The information contained in this communication, including attachments, is confidential and private and intended only for the use of the addressees. Unauthorized use, disclosure, distribution or copying is strictly prohibited and may be unlawful. If you received
this communication in error, please inform us of the erroneous delivery by return e-mail message from your computer. Additionally, although all attachments have been scanned at the source for viruses, the recipient should check any attachments for the presence
of viruses before opening. CHI Health accepts no liability for any damage caused by any virus transmitted by this e-mail. Thank you for your cooperation.
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