COM.30350 Reagent Storage and Handling
Hello,
Our point of care department is looking for ideas for temperature and humidity monitoring of room temperature areas where point of care testing reagents are located while in use.
For example, our department monitors the room temperature and humidity of where we store our glucose strips and QC before they are sent to the 200+ different rooms within our main campus.
The hospital facilities department monitors the room temperature and humidity of a few select areas within the hospital.
We were cited on the above guideline as once the glucose reagents make their way to the units where they are in use, we do not have daily room temperature and humidity logs.
Short of implementing temp/humidity charts for the units in each area the strips and QC are stationed (200+ charts), and the hospital implementing a central monitoring system...any other options?
Thanks!
Michelle
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We questioned the intent of this question and received a response in writing stating that this is for “bulk” storage. We interpreted this as monitoring our storeroom.
Donna McCalla, CLS ASCP
Point of Care Testing Coordinator
Lankenau Medical Center and Riddle Hospital
Main Line Health Hospitals
100 E Lancaster Ave
Wynnewood, PA 19096
LMC Phone: 484-476-3499
RH Phone: 484-227-3505
Pager: 5366
From: Michelle Strube via POCT Listserv (Groupsite) [mailto:users+1229302@poct.groupsite.com]
Sent: Friday, January 10, 2020 12:10 PM
To: McCalla, Donna
Subject: [EXTERNAL] [POCT Listserv] COM.30350 Reagent Storage and Handling
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I called CAP about this same issue in 2017 and also received the reply that it is intended for bulk storage and not reagents/supplies in use.
Hello Ms Johnson
At this time, ambient temperature monitoring is required where there is "bulk storage" of supplies such as the laboratory or central supply. Ambient temperature is not required where a "working supply" of reagents are kept for immediate patient use.
I hope you find this information helpful.
Best regards,
---- Original Message ----
Good Morning Accreditation specialists - I have questions about the following standard on the POC All Common Checklist:
I got cited for this standard in my last cycle.
I did purchase a device called Temp Stick. Temp Sticks are by Ideal Sciences. They discount the rate the more you buy. The person I spoke to , his name is Dave; and is very friendly and accommodating. They are little monitoring devices that can be connected via the network and have alerts sent via email, or text message to 10 different people. We did not implement them because our facilities is now monitoring the nurses station on all units. I get a daily email with data points which are taken twice in a 24 hr period.
Hi Laura! Doesn't it have to be NIST certified? Thanks!
Michele, the only cost-effective method would be to delegate certain areas to have the working reagents stored so that you can have about 100 thermometers, etc. Make sure the hospital acknowledges the policy , etc. GL!
I certify all thermometers' against an NIST standard very January. Even if you purchase an NIST thermometer, they have to be calibrated/ verified each year.
Hi Michelle,
We, too, were cited a few years ago. And just like some others we called CAP who also confirmed that the intent of the standard is for bulk storage, not immediate use. As such, we limit the amount of immediate use the units can have at a time. We were told the immediate-use req's are met by the manufacturer/test system in the procedural, quality measures when each test is performed.
for bulk storage of POC reagents - what is the acceptable range for humidity? We have multiple central storage and the humidity is different at each facility
Of course an inspector noticed
ambient temperature 15-30 follow manufacturer temp guide.bulk storge
reagent frozen <15 - , or 2-8 ref. hope this helps.