Ocular pH Implementation Supply Questions

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Researching ocular pH to implement in our ER. 

Some people are using two levels of QC, some three. How many do you think are appropriate and why?
Anyone have a QC product reccommendation?

Anyone take away QC from floor staff and put it on the POCC to ensure regular completion (Very low-volume test performed by providers. IQCP if not day of patient testing?)?

Strips: wide variety available. Do you use a single strip centered on 7? Or two strips (0-7 and 7-14)? Reason for choice? Product reccommendation?

Thank you all! Very grateful for this communication tool.

3 Replies

Hi Ken,
Your post is timely for me because it’s been awhile that we had any doc/provider asking for pH paper in “the eye kit” but just got one today in an urgent care.
What I know is limited about 2 or 3 levels of QC but my understanding is that you follow your state regulations unless the manufacturer requires it. Texas requires only 2 levels so we leave out middle QC.
Our program is fairly large so unless we do it at the testing site to train or troubleshoot, here, a POCC does not take perform routine QC.
You are asking two questions I was going to ask so hope someone chimes in.
I actually got in to check and see about past posts on the because I was pretty sure the info has been posted in the past.

Hi Ken,
My facility uses pH paper in the ED (ocular) and strips in the GI areas. POCC performs QC to ensure completion. I use 3 levels of pH buffer, 4,7 and 10. The pH paper range is 0-12 and the strips are 0-14. Both are ordered from MicroEssentials company. They also have buffer solution. The state of Maryland requires QC to be performed weekly. I just use the Thermo Scientific buffer solution from the main lab.
Not sure what the reason of choice is for the paper and the strips as both were here before me. 
The paper and strips are only used by the Providers (I hope) so competency is not too bad.
Good luck with your new project, Ken!

Our system uses MicroEssential pH paper 1-12 and 2 controls for pH, Fisher Chemical Buffer Solution 4 and 7. We chose these levels due to the pH levels for determining action and treatment. Do follow Peggy's advice and know what your State requires. The Buffer Solution is bought by the bottle and delivered to POC. We aliquot and label accordingly and send via courier to our locations with a paper QC log. Our locations for eye pH are Emergency Departments and Urgent Cares. These pH tests are ordered in the patient's EMR and enter/edit resulted by the Provider.

Erika

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Ken Charpie
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