CRRT Blood--iSTAT

We do perform CRRT testing for both the iCa and ACT on the ISTAT. In Cerner it was built to show in the EMR as POC Calcium Ionized CRRT and POC ACT CRRT. In DE, we added a source of CRRT to the unit that performs this test. They have to option to select in on the ISTAT screen. We use Telcor as our middleware. We too will be transitioning to Epic but not until next fall. I do not know how this will impact things here.

Thanks for all of the information, Debra! 

Hi Heather,
  We are a large health system and at our pediatric facility, we have much the same process as Debra described.  Here is how it currently appears in Cerner - clearly identified as a CRRT sample.

  We are also transitioning to Epic later this year and have yet to work out an analogous process with Beaker/Epic, but we are working on it!

You might want to check with CAP about this type of sample as I was told it was not one that Abbott submitted as a sample source for FDA approval which if you do the testing on the ISTAT makes it High-complexity. 

Hi Heather,

We perform CRRT samples on the iSTAT using the CG8+ cartridge. Your LIS team along with your middleware team should be able to work on this for you. We use Epic Beaker and RALS. On the instrument you would have to customize the sample type customizations. As long as they select CRRT, only the ionized calcium will report to that order, if they accidently select ART/VEN/CAP/OTHER it will result under the full CG8+ order we have. This does happen rarely and we correct the chart with a safety event. If you have additional questions feel free to email me at soguzman@luriechildrens.org

SampleType customization.pdf