Avox - POC or respiratory?
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Our facility has the director of respiratory handle all things blood gas. Cath lab has mentioned getting an AVOX machine. I am curious on opinions if POCC should oversee or if respiratory should.
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Hello, I am out of office and shall return 7/22/2024. If you require immediate assistance, please contact the main lab at 5872 for Southlake and 4247 for Northlake. Thank you.
Monika Bibbs, MHA, H(ASCP)
Lab, Point of Care Coordinator
Southlake Campus
(219) 757-7340
Northlake Campus
(219) 881-5183
mbibbs@methodisthospitals.org
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To answer the proposed initial question, the first question must be asked: does the Cath lab/Respiratory have their own licensure to perform co-ox testing? if not it absolutely falls under the lab licensure and most likely the pathologist that is on the CLIA. Respiratory staff while typically much better at testing as a whole than other non-laboratorian depts but also don't typically understand or are even aware of all the regulatory requirements needed to be followed to maintain its use.
Can I ask what other systems facilities are moving to instead of the AVOX? Something you would recommend or familiar with?
"Modern systems" What does that mean? Lock out of operators and interfacing?
AVOX serves the patient and the cardiologist in a faster manner from result to reset than other instruments that perform OXYHGB can. While it is a spectrophotometer essentially, it is reliable and cheap by cost per test.
Also, for us in San Antonio, it was invented here. The inventor used to train my Cath Labs in the late 1990's.
Deanna, "Modern Systems": systems designed around todays regulatory requirements with improved safeguards.
Yes, the Avox can do a test in 10 seconds... but thats about all its got going for it besides its historical dominance in the industry. It was really the only system available for use for a very long time. Which is why most practitioners nearly all demand it. "I did my physician internship using it 30 years ago" = "I'm most familiar with it and haven't used anything else or are aware of the benefits of others, andI don't like change"
*IF* you have a small user database, which follows QC requirements "to the Letter" religiously, have few to no sample issues it is possible that the Avox will fill your depts. needs HOWEVER:
More modern systems have more features, safe gaurds and benefits that the avox simple does not have the capability for. Examples include:
Politely stated: Brand loyalty to something because it was locally developed is in my opinion not something that should be considered when patient care is at stake. The Avox was a good system for.... its... time, which has now passed. Are you using mainframe chemistry analyzers in your main lab that were developed 40 years ago? I'd bet my last dollar you are not.
In the place that I work, when cardiologists ask for something by name, they usually get it. It is then up to me to manage it.
Just another case of POCT being different everywhere, depending on multiple opinions and varying patient population needs...... POCC find different solutions to the same issue.
This is why we have multiple manufacturers to cover the same test menus.
Bless his heart...I did appreciate Jeremy's explanation of spectrophotometry......knowledge on a Friday. I will certainly leave him with his last dollar...