1. Point of Care 101

2. What exactly is Point of Care (POC)?

3. What is Point of Care?
Laboratory testing performed by non laboratory personnel
Performed outside traditional laboratory setting
PPT ( Provider Performed Testing)/ PPM (Provider Performed Microscopy)

4. Benefits of Point of Care
Convenient
Faster turnaround time
Absence of traditional laboratory
Impacts patient care; allows for faster treatment

5. Who uses Point of Care Testing?
Clinics and physician offices
Emergency Services-ED, UC, Ambulance and Helicopter
Hospitals-ICU, NICU, CVL, OR
Newborn Transport

7. Instruments at TriCore
Blood Gas – ABL 90, Rapid Point 500, Gem, iStat
Avoximeter
Hemochron
Hemocue
DCA
Glucose meter – Inform II, Performa
INR – Coagucheck XS, Plus, Pro
Clinitek
Ketone meter
VerifyNow

8. Manual Testing Urine hCG Visual urine CLO Strep A
Gastric and Fecal Occult Blood
HCV HIV
Urine Drug Screen

9. What exactly do POC techs do?

10. Babysitter?

11. The Enforcers?

12. Jack of All Trades Trainers/ Educators Regulatory compliance
Consultants
Instrument Implementation
Tech Support

13. Educators/ Trainers Nursing Orientation Annual Training/ Skills Fair
Train the Trainers
Retraining
E-learning

14. Regulatory Compliance
Monitor QC
Monitor Instrument functions
Operator access
Review documentation
Audits
Method comparisons
Proficiency Testing/ Split Samples

15. Consultants
Instruments
Test kits
Regulatory/ compliance questions

16. Instrument Implementation
Approval process
Point of Care Committee
Ordering process IT
Training
Implementation
Monitor

17. Tech Support Trouble shoot Access issues Operator errors
24/7 On Call Service

18. Challenges
Limitations: sensitivity, increased operators, increased interferences, expired supplies, result interpretations, test ownership.
Perspective – lab vs. nursing staff
Balance between regulatory compliance and impact on patient care.

19. Value Decrease in morbidity and mortality Reduced waiting time
More rapid decision making
Decrease in time spent in the ED, clinic, etc.
Shorter Inpatient stays
New Technology
Improve understanding
Improve patient care
Bridge gap between lab and nursing

20. Additional Value

21. Questions