POCT PT/INR- Use in the Emergency Departments
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Hello!
Recently, I received a request for POCT PT/INRs- especially with the PTPlus cartidge from Abbott. Our ED is requesting to use the PTplus cartidge on Stroke patients even though that is not what the cartridge is approved for.
What are you using for ED patients and even more specifically stroke patients?
Thank you!
Erin
Recently, I received a request for POCT PT/INRs- especially with the PTPlus cartidge from Abbott. Our ED is requesting to use the PTplus cartidge on Stroke patients even though that is not what the cartridge is approved for.
What are you using for ED patients and even more specifically stroke patients?
Thank you!
Erin
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For the life of me, I do not know why Abbott would not have sought FDA approval for non-Warfarin patients for the new PTPlus cartridges, but here we are.
That cartridge is optimized for monitoring patients on warfarin. It has not been validated as a general screen or even for use in patients on direct oral anticoagulants (DOACs) and heparin for example. What certificate does your ED have. Maybe your lab medical director can let them know that off label use puts the test in a high complexity category. I am sure they don't want the hassle of doing their own validations and meeting high complexity testing requirements.