[AACC Point-of-Care Certificate Listserv] Re: Glucometer

Bill Childers chilb at drmc.com
Thu Dec 17 01:33:11 UTC 2009


Take into account the AMR for your POC instrument and the correlation between your POC and you lab instrument performing the same test. If all is good, use the same panic/critical values. In our experience the correlations are very close to our lab instrument values. 
 

 
William J. Childers, CLS
Laboratory Director
Phone: 661-721-5779
Fax:      661-721-5560
chilb at drmc.com
>>> salsabila_88 at yahoo.com 12/16/09 12:24 PM >>>

Hi
How do you esablish critacl result for the AC inform?
Do you follow the main lab? 
 
POC.04550 Phase II N/A YES NO
Are critical limits established for the results of certain tests important for prompt patient
management decisions?
NOTE: Critical limits must be established for appropriate tests (such as glucose) so that immediate
notification of a physician or other clinical personnel responsible for patient care occurs. These may be
indicated in the procedure manual and/or in a separate manual or policy. The analysts must be familiar
with critical limits for procedures that they perform
 
How do you evaluate a new recieved analyzer according to NCLLS?
Do yiu run 20 days?
Thank you
Samman G
 


--- On Tue, 9/29/09, DeSisto, Silka J <SilkaDeSisto at Centura.Org> wrote:


From: DeSisto, Silka J <SilkaDeSisto at Centura.Org>
Subject: RE: [AACC Point-of-Care Certificate Listserv] Re: Glucometer
To: "Point-of-Care Certificate" <aacc-poc-cert at aacclists.org>
Date: Tuesday, September 29, 2009, 11:15 PM

 _filtered #yiv2004850191 {font-family:Tahoma;} _filtered #yiv2004850191 {margin:1.0in 1.25in 1.0in 1.25in;}#yiv2004850191 P.MsoNormal {FONT-SIZE:12pt;MARGIN:0in 0in 0pt;FONT-FAMILY:"Times New Roman";}#yiv2004850191 LI.MsoNormal {FONT-SIZE:12pt;MARGIN:0in 0in 0pt;FONT-FAMILY:"Times New Roman";}#yiv2004850191 DIV.MsoNormal {FONT-SIZE:12pt;MARGIN:0in 0in 0pt;FONT-FAMILY:"Times New Roman";}#yiv2004850191 A:link {COLOR:blue;TEXT-DECORATION:underline;}#yiv2004850191 SPAN.MsoHyperlink {COLOR:blue;TEXT-DECORATION:underline;}#yiv2004850191 A:visited {COLOR:blue;TEXT-DECORATION:underline;}#yiv2004850191 SPAN.MsoHyperlinkFollowed {COLOR:blue;TEXT-DECORATION:underline;}#yiv2004850191 P {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 P.requirementno {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 LI.requirementno {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 DIV.requirementno {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 P.phase {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 LI.phase {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 DIV.phase {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 P.gradation {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 LI.gradation {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 DIV.gradation {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 P.questiontext {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 LI.questiontext {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 DIV.questiontext {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 P.grouptext {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 LI.grouptext {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 DIV.grouptext {FONT-SIZE:12pt;MARGIN-LEFT:0in;MARGIN-RIGHT:0in;FONT-FAMILY:"Times New Roman";}#yiv2004850191 SPAN.EmailStyle25 {COLOR:navy;FONT-FAMILY:Arial;}#yiv2004850191 DIV.Section1 {}Our meter is the Roche Accu-Chek Inform, and the operator's manual suggests to always perform linearity before initial use. This may be different depending on the specific manufacturer's instructions for each meter as the checklist question below suggests.

From: aacc-poc-cert-bounces at aacclists.org [mailto:aacc-poc-cert-bounces at aacclists.org] On Behalf Of Kivisto, Diane T.
Sent: Tuesday, September 29, 2009 9:55 AM
To: Point-of-Care Certificate
Subject: RE: [AACC Point-of-Care Certificate Listserv] Re: Glucometer



Are you sure about needing to do the linearity for new waived instruments? I know it used to say you had to but that question was removed a few revisions ago for waived testing.
 

From: aacc-poc-cert-bounces at aacclists.org [mailto:aacc-poc-cert-bounces at aacclists.org] On Behalf Of DeSisto, Silka J
Sent: Tuesday, September 29, 2009 10:22 AM
To: Point-of-Care Certificate
Subject: RE: [AACC Point-of-Care Certificate Listserv] Re: Glucometer

 
There is only one question on the CAP checklist that applies to AMR for waived testing:

POC.08050
Phase II
N/A  YES  NO

 
For waived tests, does the POCT program follow manufacturer instructions for calibration, calibration verification, and related functions?
 
 
The remaining questions in the CALIBRATION OF QUANTITATIVE SYSTEMS section do not apply to waived tests.

 

You are not required to perform linearity/calibration verification/AMR studies every 6 months for glucose meters that are waived. You only need to do it on all new meters prior to being placed into service or whatever the manufacturer recommends. We only do the linearity on our new meters before they go out to nursing, then semi-annually we compare 5 random whole blood samples to the lab for glucose.

 

TJC does not specifically address AMR as it applied to waived testing.

 

Hope that helps! A lot of POC coordinators go way overboard with AMR testing when they don't have to.

Silka

 


Silka J. Clark, MT(AMT)

Technical Specialist, POCT

Centura Laboratory Services

Porter, Parker & Littleton   Adventist Hospitals

cell (303) 204-2735

2525 S. Downing St.

Denver, CO 80210

SilkaDeSisto at centura.org

www.centura.org


 

From: aacc-poc-cert-bounces at aacclists.org on behalf of Nicole Pardini
Sent: Tue 9/29/2009 8:11 AM
To: Point-of-Care Certificate
Subject: RE: [AACC Point-of-Care Certificate Listserv] Re: Glucometer

Hello,
Verification of waived meter AMR is a CAP requirement. JCAHO requires
this of all non-waived testing.

Nicole Pardini
Sr. Clinical Laboratory Scientist
Point-Of-Care Testing Coordinator
805-569-7859 npardini at sbch.org

-----Original Message-----
From: aacc-poc-cert-bounces at aacclists.org
[mailto:aacc-poc-cert-bounces at aacclists.org] On Behalf Of TAGHREED H.A
ABUNADA
Sent: Tuesday, September 29, 2009 1:05 AM
To: aacc-poc-cert at aacclists.org
Subject: [AACC Point-of-Care Certificate Listserv] Re: Glucometer

Dear all,

is the verification of AMR of glucometer required via CAP or JCI or not?

yours,
Taghreed Abunada
POCT incharge
Department of Laboratory
Hamad Medical corporation, Oncology (AAH)
e-mail: tabunada at hmc.org.qa



HMC cordially invite you to the Qatar Medical Exhibition and Congress
2009 (Qatar Health 2009) from the 12th-16th of December 2009: Join us
for the largest ever groundbreaking, 15-track Medical Congress and
Medical Exhibition. For more information visit our website:
www.q-medec.com  or email us at: info at q-medec.com
________________________________________________________________________
_____________________________________
 
Disclaimer: The information contained in this communication (including
any attachments) is intended solely for the addressee(s) and others
authorized to receive it. It is confidential and may be legally
privileged. If you are not the intended recipient, please take no action
based on it, nor show a copy to anyone, please reply to this e-mail to
notify us of the error, and you are hereby notified that any use or
disclosure of the contents of this e-mail is strictly prohibited and may
be unlawful. Therefore it is recommended that you should delete this
message immediately from your system. HMC is neither liable for the
proper, complete transmission of the information contained in this
communication nor any delay in its receipt.
________________________________________________________________________
_______________________________________
_______________________________________________
Aacc-poc-cert mailing list
Aacc-poc-cert at aacclists.org
https://my.binhost.com/lists/listinfo/aacc-poc-cert

_______________________________________________
Aacc-poc-cert mailing list
Aacc-poc-cert at aacclists.org
https://my.binhost.com/lists/listinfo/aacc-poc-cert




This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by federal and state laws, you need to hold this information as privileged and confidential. If you have received this communication in error, please notify the sender and destroy all copies of this communication and any attachments. 
 
*****************************************************************************This communication is for the use of the intended recipient only.  It may contain information that is privileged and confidential.  If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited.  If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.*****************************************************************************

-----Inline Attachment Follows-----

_______________________________________________
Aacc-poc-cert mailing list
Aacc-poc-cert at aacclists.org
https://my.binhost.com/lists/listinfo/aacc-poc-cert




-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://my.binhost.com/pipermail/aacc-poc-cert/attachments/20091217/953f2dd9/attachment-0001.htm


More information about the Aacc-poc-cert mailing list