venous vs fingerstick PT/INR

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I have been asked a question about how often venous blood is being used by
clinics with certificates of waiver for PT/INR testing rather than
fingerstick.

I am guessing that this is not common, but have no data to support my hunch,
so I am asking the experts-

In your anti-coag clinics, do you use fs, venous or both? If both, what is
the approximate split of the samples?

Thanks.

Marcia

Mlzucker.zivd@gmail.com

6 Replies

Hi
Our anti-coag clinics use fingersticks (waived test and method) with CoaguChek XS and XS+ meters.  
Some meters are waived testing only using fingerstick specimens and some aren't capable with venous specimen.

Hi Marcia - we use the CoaguChek XS in several clinics, and they almost exclusively use a fingerstick sample. 

We perform PT/INR testing in 14 of our ambulatory clinics and only test via fingerstick

Hi Marcia! All of our clinics that perform INR use the Coaguchek and all samples are fingerstick. If there is a question about the result, or if it's higher than 4.5, the site will either collect a venipuncture or send the patient to a draw site. That sample is performed in the lab.

Hello,
We use the Abbott iSTAT PT/INR cartridges in our Coumadin Clinic, Pre Op and Cath Lab.  All are fingerstick unless there is a critical and the patient is drawn and the specimen is sent to the lab for confirmation. They do 300 patients/month in the Coumadin Clinic.

Good morning- for those above that use the i-STAT in your Coum clinics- how did you get the validation for the PT Plus cartridges? Did anyone use the CoaguChek  vs FS for the validation? We are getting some resistance wanting to FS and get "a draw" for lab comparisons. Thank you!

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Marcia Zucker
almost 2 years ago
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