Lot Numbers

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How are you all handling lot numbers for POC? At my facility we perform pregnancy testing and fecal occult testing with operators documenting results in the Accu-Chek. Initially they have to type in the lot number and every subsequent test the device saves the lot number and asks them to confirm it is correct. Neither of these tests have barcodes for operators to scan and if I do not walk to the department myself and change the lot in the Accu-Chek device, the staff will not properly change/document it if they somehow get their hands on a new lot before I am aware. I have heard at some facilities they do not require lot documentation by operators but I was under the impression that this information was needed!

Thanks!

6 Replies

Jeremy MacDonald

Thu Dec 12, 2024 at 8:30AM

For our manual kit POC testing on the floors the users scan a barcode sticker on the kit that that lab has created for this purpose. It contains the LOT number/expiration date. The customization setting that remembers the previous LOT number is turned *OFF* on the StatStrip glucometer that is used to enter in this data. The users are forced to scan it every time they perform a test.

Some facilities may not document the LOT of the kit, that does not make this practice correct....

Ashlee Holland

Thu Dec 12, 2024 at 9:56AM

For our automated urine pregnancy testing we have a similar setup to what Jeremy uses. When the supplies come in, I get sent the lot and expiration date for each box and this is entered into RALS. The operators use the manual test option on the StatStrip to result these and must scan the lot barcode with each patient test. I'm not sure if the Accu-chek has this same functionality or not since we use the StatStrip instruments. For manual testing, we have a paper log sheet that requires kit lot numbers and expiration dates to be documented. They note on these log sheets when a new lot is started and QC'd.

Ren Bage

Thu Dec 12, 2024 at 10:41AM

Thanks guys!

I may just have to get into individually labeling all of the supplies to keep the lots in order! I can turn off the saving the lot function and require scan only.

Patricia Carl

Thu Dec 12, 2024 at 11:41AM

Our system also uses the Accuchek to enter results for urine pregs and fecal occult blood. We are CAP accredited. I reached out to CAP and asked them if we are required to report out lot numbers and expiration dates with results. CAP stated that, "No, there is no requirement to document the lot number or expiration date along with results." I have this from them in writing.
Once I had that info from CAP, and medical director approval, I turned off the lot/expiration date requirements in the Accuchek configuration files. This solved the problem.
We do record the lot numbers, expiration dates and QC results on a reagent receipt log in core lab.

Erika Deaton-Mohney BS, MT(ASCP), CPP

Thu Dec 12, 2024 at 12:07PM

We use Nova glucometers and Telcor for glucose testing. New lot numbers and expiration dates are sent to our team via email by our distribution center where we will then enter them into our data management system. If a new lot gets distributed and we were not notified, the user cannot scan this required item in. Then we get notified as well.

For manual testing, such as UPG and FOB, we use QC logs that include that information. This system has proven effective for us.

Jeremy MacDonald

Thu Dec 12, 2024 at 12:25PM

Patricia, There is a difference between placing the LOT numbers on the actual lab report and being able to identify what LOT number was used with a specific test ran.

We do not have the LOT numbers on the lab reports, but this information can be retrieved from within the system if needed.

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Lot Numbers