Waived CBC analyzer
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Does anyone have experience with the waived CBC analyzer? I'm being asked to look into it for our ED.
Thanks!
Deborah Martuch
POCT Manager
Health First
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We use the Sysmex XW-100 in our urgent care. It is a nice analyzer, a bit too dummy proof, as it makes you do a lot of repetitive work but it won't let nurses run it without doing and passing QC, which is a good thing.QC every 8 hours is required. It suppresses a lot of the abnormals and requires you to run a lab CBC, which is also good. Cannot run a patient under 2 years of age. There is no known proficiency samples that work on the analyzer. So that is a draw back. It doesn't allow for calibration and must be hooked up to the internet so that Sysmex can monitor the QC to tell you if it passes. All in all it works pretty well and is a good screening tool.
No experience. But, I did have a chance to speak to Sysmex's technical rep when we were considering putting it in one of our clinics.
It blacks out any results that are abnormal and the normal range seems pretty tight. We decided we could live with that. What we couldn't live with was that it's not able to be interfaced . I couldn't see a non-lab person manually entering in so many parameters without errors. They did say that they were working on it being able to interface, so they could be almost there.
Hi Deborah,
I assume you're asking about the new Sysmex XW100. We just implemented one in a physician office lab. It works well; however, there are strict defined parameters and will not give you results for counts that fall outside of those established ranges. Those samples must be run via an alternate method. It also requires a dedicated line for connection to Sysmex servers so QC data can be reviewed at corporate. All calibrations and updates to the analyzer are performed by Sysmex over that dedicated line. The office where we implemented this switched from a moderately complex analyzer to this one, so the transition has been more difficult than expected. I would recommend reviewing the clinician's guide from Sysmex before making a decision. The range for each analyte is outlined in that document.
Michelle Bridges
Outreach Coordinator (AdventHealth)
Good-day we use Sysmex-xw 100 our Physician in the urgent care, do not like the suppresion of results. I do think it is an overkill with the diluent. no interface we do a manual PASS/FAIL and Action log for the QC. The urgent care is now looking into the H&H HemoPoint H2. Only waived testing is performed here in our Urgent Care. Staff are MA .
We use the Sysmex pOCHI at our Emergency Centers and our staff and physicians love it.
I would advise to stay away from the QBC. It is waived, however it is a centrifuge which spins a crit tube and gives you a 9 parameter CBC with platelet count. I have seen one back in the mid-90s and cannot believe that they are still selling that "thing" today.
Correct me if I am mistaken but the Sysmex pocHi is not waived. It is moderately complex.