2 separate questions

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Hello!
   I have 2 questions for you all. First- what type of point of care testing instruments and tests are you all using for stroke patients? I am just wanting to see the different options that you all are using because we may need to go the POC route to improve our turnaround times but I am also very leery with our ED. They haven't always been the most compliant department. :) 

2nd question- I need to come up with an iSTAT indicator for my new fiscal year. We do Creatinine testing in Radiology and ACT-k testing in Cath Lab currently. I wondered if you all had any suggestions for me?

Thank you!
   

1 Reply

At present, we aren't doing any POC testing for stroke patients. We are looking at the Hemochron INR for one of our EDs, as it's the only device FDA cleared for testing INR on all patients (not just those on Warfarin). We are already using the device for INR at our freestanding ED/UCs, and it is a bit difficult to manage. 
For i-STAT indicators, have you considered looking at the cartridge error rate? I've done this in previous positions. I looked for a 2% error rate, but you could determine that by checking what is currently happening, and choose a higher rate that is doable. Cartridge errors can lead you to see who is having difficulty dosing the cartridges, with multiple errors due to short sample, overfill, clots, etc. 

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Ashlee Byquist
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