New POC test requests

Hello, 
I have a smartsheet form that I send out for all POC expansion requests. (I can send you a copy if you want). Then I send this to the POC commiette which is me, Lab Quality manager, Lab admin director and medical chair. If it is not approved due to cost, volumes, need, etc. it is a bit easier to reject from all the heads of laboratory rather than just me. 
I agree with your statement above, having a glucometer "just in case" translates to you constantly training staff for it to be used once or twice a year. It will be them fumbling around because they never use it. 
Thanks,
Jake

@Jake-- would you please also send a copy of that to me? Thanks!

We have a form also that they fill out and it has to be approved by our POC Lab with our section medical director and Lab Director.  This situation you describe would likely not qualify.  Not only does it seem like a waste of supplies, personnel couldn't stay competent to do the testing correctly.

 We are finding more and more folks wanting a glucometer for everything (possible fainting in the lobby, meter in Peds and OB just in case). We also have vendors ply things like black boxes for the ED use and then the module tries to get their own POCT test. I (as QA) usually meet with the requester and explain steps: training, competency, proficiency, documentation, validation of method by lab, their responsibility in purchase of equipment or kit and supplies etc. Sometimes the sheer complexity turns them off. If not :-) I have a form where they have to justify WHY the lab does not meet their current need. I then discuss with medical director and then he can rule one way or another.  We are in favor of patient care, obviously, but often requestors think everything is plug and play. They are not aware of their responsibility in the process.

We have an application for our POC team to evaluate with the practice leadership, includes cost analysis and a few other items like training and competency needs. The application is reviewed and signed off by a POC Coordinator, the practice leader, Laboratory Administrative Director and the POC medical director (not necessarily on the CLIA but provides oversight of all system POC items). There are also a few other hospital forms for the practice to fill out, one is for approval by IT for scheduling needed work and one is for new services to be added that addresses compliance with orders/billing. While it seems like a waste in cost and time for maintaining the test method at this location, why is it needed for emergent locations? Why is 911 not good enough?

0-10 per year? Glucose testing is not expensive but does take a toll on compliance with training and competency. To ask for emergency use only, makes me wonder if this was a reaction to an event that occurred and if glucose testing is really the answer. Not to mention, every test on a patient is required to have a physician order and resulted in the EMR.