Freestanding ED/UC sites
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For anyone out there who has freestanding ED/UC sites, how are you handling critical calls? Our sites are extremely busy, and the testing is done by non-laboratory staff, using a POCT model. In our system, POCT results are not called by our call center, and we have comments in our procedures that state that the if the person doing the test is the patient caregiver, then we don't need to call any critical results. Because the labs are run by dedicated lab staff, they are not caregivers. They run far too many tests in their shift and also are not laboratorians so aren't familiar with critical values. Since our lab isn't running the tests, we are concerned for the liability of calling/reporting lab values that we're not performing. So, we are looking for a solution that will best serve our patients and providers. Has anyone out there looked at this issue? Any thoughts on how to move forward? I appreciate any feedback.
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Depends on device and middleware, but can you do a comment or entry that acknowledges the results as critical?
For iSTAT with Telcor QML, a numerical comment can be created.
The middleware can be configured to "not send" if press 1 and send if press 2
So then you can say - they acknowledged result as critical - thats first step anyway. Then in review POCC filter for comment 2 and send a report to site (or review yourself) for documentation in chart.