GEM Hemochron 100

The GH100's have a lot of benefits:
Wireless
Touchscreen with traffic light status indicator
QR code to eliminate scanning in the cartridge packages (depending on configuration)
HOWEVER, there is a big negative. The FDA imposed Werfen to place a statement in the literature that disallows action to be taken on "greater than" results. (I know there was a Sig Elite memo in ~2020 that stated something similar, but the vendor never updated their package inserts/operator's manual to state this.) We have some areas (like Cath Lab) that give a large heparin bolus in emergency cases just to make sure that the patient is anti-coagulated prior to the initiation of the procedure. They would use the "greater than" Sig Elite result to note that the patient was sufficiently anti-coagulated, to discontinue heparin dosing, and the procedure could start. Now with the GH100 statement, these areas cannot use the same workflow. 
I just recommend reviewing the vendor literature and how your testing areas use the ACT results prior to implementation. 
Good luck!

Thank you for your feedback!  Another question - Nova meters have NovaNet, i-STATs have the DE; is the GEM web Plus required for the instrument or can the instruments be connected to the LIS?  By the time we would implement, our LIS will then be Epic.

No. You can use the Configuration Manager (CCM) software that comes with the GH100s. 
We have QML and use the Links tab (GH100 Configuration) to configure it. 

Jessica, Would you share how they addressed the workflow for out of range HI results?

A > result is obtained and is trapped in QML exceptions.
Staff will repeat the test (using a new sample to rule out preanalytical errors). 
If another > result is obtained, POC staff will manually send over the "result" to the patient's chart. All that is actually sent is the "out of range high" instrument error, not a true result. 
Then, POC staff will credit the testing charges so that the patient is not billed for what is essentially an instrument error message in the chart. 

We met with our compliance and legal teams and determined this was the best way to handle these results. We also wanted to enable the testing area to be able to document that they ran an ACT test, when indicated, for the procedure. Werfen/FDA does not allow action to be taken on these results, which we have noted in our procedure, too. 

Thank you Jessica.  That's good info to have as we will be changing our LIS in the near future and if we end up getting the GEM 100s, this may be helpful.

Thank you very much Jessica!

Jessica, are you using the operator lockout feature? Do your users have to enter both OID and password? I would prefer no password before each test but I'm having difficulty setting up this way with QML. 
Any advice is much appreciated!

Yes, we have operator lock-out employed. In QML, you can change the "Op Password Required" to "no" (under the Links tab > GH100 Configuration).

Also, make sure you have each operator configuration page set to "Authority Level" 4. Level 1 has supervisor access. We mainly assign level 1 to POC staff. Anyone designated as a supervisor will have additional permissions, pending on the configuration, and WILL have to enter a password in order to make modifications, perform QC troubleshooting, etc. We have a couple smaller hospitals in our system that don't have POC staff on site every day, so there are trusted operators that have the level 1 authority. (But I digress...)

Thanks for your reply! Still having trouble and I'm told that it may be because our new GEM instruments are on configuration version 1.4.1. 
This operator list and password issue is a bump in the road that is holding up our go-live. Any ideas would be appreciated!