Ideas to work smarter not harder in 2026!
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Looking at what we can do to work smarter in 2026, our program continues to grow with requests and 3 of us keep up with 4 hospitals, 2 med centers and trying to work with about 150 ambulatory sites!!! Hospitals and med centers are under CAP--non waived testing. Also trying to reduce costs!!
What are you doing for:
1--Work up of a replacement analyzer from Abbott iSTAT
2-New lot of iSTAT QC (tri level and ACT), do you run it with a designated lot of cartridge and the old lot of QC? and what should the acceptability be--since all we can do is try to return it
3-Addressing COM.30560 that is new in Dec 2025 to the "all commons" checklist
Humidity--operated in manuf. specified ranges. iSTAT says 10-90%, iSTAT tech services states that iSTAT internal/external simulators will not work >90% but does not have any written solution for <10%
What are you doing for:
1--Work up of a replacement analyzer from Abbott iSTAT
2-New lot of iSTAT QC (tri level and ACT), do you run it with a designated lot of cartridge and the old lot of QC? and what should the acceptability be--since all we can do is try to return it
3-Addressing COM.30560 that is new in Dec 2025 to the "all commons" checklist
Humidity--operated in manuf. specified ranges. iSTAT says 10-90%, iSTAT tech services states that iSTAT internal/external simulators will not work >90% but does not have any written solution for <10%
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We have Creat, CG4, and CG8: we do electronic simulator, Tricontrols Cal Ver 1, 3, and 5 each run once, Tricontrols 1 and 3 in duplicate over 2 days, 5-10 patient correlations that we do our best to span the range. 5 is the minimum. The correlations are done to our designated reference ISTAT. For ACT, the CAP regs say that AMR is not needed on clot based tests, but that is listed in CAP POC Checklist (POC.08450- 08600) but that is more pertaining to 6 month AMR. It doesn't mention this in the validation section for NW tests in the All Common. I used to run electronic simulator, QC in duplicate over 2 days and 5 patient correlations. There are some ways to get some high patient results for the upper range, but I am thinking that the Heparin Linearity process in the Abbott manual may be good to follow when checking in a new device.
2-New lot of iSTAT QC (tri level and ACT), do you run it with a designated lot of cartridge and the old lot of QC? and what should the acceptability be--since all we can do is try to return it
Yes we do this. Our acceptability criteria is 12%. We run the new lot on the designated reference ISTAT and the current lot on one of our other ISTATs that is validated for ACT. If the new lot and old lot don't match, we repeat QC. Since there is that mixing process to follow, it does leave some room for error. Repeating QC usually fixes it and they match.
3-Addressing COM.30560 that is new in Dec 2025 to the "all commons" checklist
Humidity--operated in manuf. specified ranges. iSTAT says 10-90%, iSTAT tech services states that iSTAT internal/external simulators will not work >90% but does not have any written solution for <10%
Yes we monitor humidity in our areas. If the humidity gets too low, it is usually because the temp is low or the area is not in use overnight (such as our CVOR). We experience more issues with temp than humidity, but occasionally it happens. It usually comes back in by the time we are taking the readings in the mornings. We have areas that have other humidity ranges and I don't think we have ever got to a <10% reading being that our location is in the midwest.