Piccolo Express- CMP Waived
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Does anyone use the Piccolo Express for CMPs? I also question how it is a waived test panel. Our Infusion Center department is looking for something that can have a quick turnaround time, especially for BUN, Creat and Calcium. Any feedback about this analyzer and how you use it in your facility would be greatly appreciated. Thank you!
Annette Tarbuk
Annette Tarbuk
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There is a hardware/disk integrity check (iQC - Intelligent QC) that is performed upon startup and with every test. There is a requirement to capture the iQC (hard copy or electronic) for the first patient test of the day of testing to demonstrate that the meter (it is classified as a meter) is working properly. (We happen to capture the iQC for every patient and QC test within our LIS, eliminating the failure point of failing to capture just the first patient test of the day.) This requirement was imposed by the FDA to obtain and maintain Waived status. (The dirty little secret is that if the iQC fails, there will be no patient results reported.) Assay time is approximately 12 minutes.
Points of failure:
I think you will like them for your setting.
https://www.abaxis.com/piccolo-xpress/
https://www.abaxis.com/resources/category/en/
https://www.abaxis.com/reagent-panels/
Annette Tarbuk
we are using these in our doctor's offices and medical assistants are doing the testing. Will testing be done by MLT or MT (CLS)?
If we purchase the device, the nursing staff in our infusion center will be performing the testing. According to our policy, nurses are able to perform waived testing. However, training and competency will be maintained by POC.
One thing to be aware of is that the QC does not tell you if it passes or fails and will allow patients to run on failed QC. This is one of our biggest challenges. Also, all ranges of QC have to be programmed by each analyte for each new lot of QC. QC is run every new lot, new shipment and once a month. It is difficult to manage if you are not close to the facility running the piccolo. Let me know if you have any more questions.