Point-of-care laboratory testing in critical care

1999 ◽  
Vol 8 (2) ◽  
pp. 72-83 ◽  
Author(s):  
MA Harvey
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Standard Of Care ◽  
Successful Implementation ◽  
Point Of Care Testing ◽  
Laboratory Equipment ◽  
Critical Care Units ◽  
Respiratory Therapists ◽  
Advantages And Disadvantages ◽  
Outcomes Of Care

BACKGROUND: Critical care practitioners are searching for ways to improve the quality and outcomes of care while decreasing cost and length of stay. One technological advance that may facilitate meeting these objectives is bedside or point-of-care laboratory equipment. Evaluation of point-of-care testing for application in each institution requires information about the devices available; knowledge of the advantages and disadvantages of the technologies, the clinical impact, and cost of the process change; and strategies for successful implementation. OBJECTIVES: To review the literature on point-of-care testing and the experience of healthcare professionals who have already successfully implemented this type of testing. METHODS: A total of 81 relevant published articles were reviewed, and 21 critical care units in 8 facilities that use point-of-care testing were visited. Open-ended interviews were conducted with 83 subjects: 56 nurses, 14 laboratory personnel, 9 respiratory therapists, and 4 others. CONCLUSIONS: Point-of-care testing is a technological innovation with the potential for improving patients' care without increasing costs. It most likely will soon become part of the standard of care.

Current nursing practice of point-of-care laboratory diagnostic testing in critical care units

1995 ◽  
Vol 4 (6) ◽  
pp. 429-434 ◽  
Author(s):  
Lamb LSJr ◽  
RS Parrish ◽  
SF Goran ◽  
MH Biel
Keyword(s):  
Critical Care ◽  
Patient Care ◽  
Laboratory Testing ◽  
Point Of Care ◽  
Diagnostic Testing ◽  
Critical Care Nurses ◽  
Point Of Care Testing ◽  
Critical Care Units ◽  
In Vitro Diagnostic

BACKGROUND: The development of user-friendly laboratory analyzers, combined with the need for rapid assessment of critically ill patients, has led to the performance of in vitro diagnostic testing at the point of care by personnel without formal laboratory training. OBJECTIVES: To determine the range of laboratory testing performed by critical care nurses and their attitudes toward this role. METHODS: A survey of critical care nursing consultants was conducted, using a modified Likert scale, to assess objective measures of point-of-care testing practice in critical care units and to determine nurses' attitudes toward the practice of point-of-care testing. Statistical analysis was performed to determine significant trends in responses. RESULTS: Of the units responding to the survey, 35% used critical care nurses exclusively to perform point-of-care testing, 32.5% used laboratory technicians and critical care nurses, and 25% used other personnel. Of critical care nurses performing laboratory testing, 95.5% performed blood glucose analysis; 18.7%, arterial blood gas analysis; 4.5%, electrolyte analysis; 4.5%, hematology profiles; and 22.7%, other testing. Most agreed that stat tests were not reported promptly, thereby necessitating bedside testing. Respondents indicated that they would prefer that laboratory personnel operate in vitro diagnostic equipment and that requirements for critical care nurses to perform laboratory testing detracted from other patient care duties. CONCLUSIONS: Most nurses who perform point-of-care testing responded that it was necessary and helpful in patient management. However, they would prefer, because of their other patient care responsibilities, that laboratory personnel take this responsibility.

Accuracy and precision of point-of-care testing for glucose and prothrombin time at the critical care units

2001 ◽  
Vol 307 (1-2) ◽  
pp. 119-123 ◽  
Author(s):  
Cecilia Yuoh ◽  
M Tarek Elghetany ◽  
John R Petersen ◽  
Amin Mohammad ◽  
Anthony O Okorodudu
Keyword(s):  
Critical Care ◽  
Prothrombin Time ◽  
Point Of Care ◽  
Point Of Care Testing ◽  
Critical Care Units ◽  
Accuracy And Precision

Critical Care Glucose Point-of-Care Testing

2016 ◽  
pp. 97-121 ◽  
Author(s):  
S.N. Narla ◽  
M. Jones ◽  
K.L. Hermayer ◽  
Y. Zhu
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Point Of Care Testing

scholarly journals Point-of-Care Testing at the Disaster–Emergency–Critical Care Interface

2012 ◽  
Vol 11 (4) ◽  
pp. 180-183 ◽  
Author(s):  
Nam K. Tran ◽  
Zachary Godwin ◽  
Jennifer Bockhold ◽  
Gerald J. Kost
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Point Of Care Testing

Point-of-care testing: a standard of care?

Anaesthesia ◽  
2015 ◽  
Vol 70 (10) ◽  
pp. 1113-1118 ◽  
Author(s):  
C. Hildyard ◽  
N. Curry
Keyword(s):  
Point Of Care ◽  
Standard Of Care ◽  
Point Of Care Testing

scholarly journals KEUNTUNGAN DAN KERUGIAN PENJAMINAN MUTU BERDASARKAN UJI MEMASTIKAN KECERMATAN (POCT)

2018 ◽  
Vol 13 (1) ◽  
pp. 38
Author(s):  
Hartono Kahar
Keyword(s):  
Renal Function ◽  
Critical Care ◽  
Point Of Care ◽  
Occult Blood ◽  
Self Management ◽  
Renal Function Test ◽  
Advantages And Disadvantages ◽  
Function Test ◽  
Bedside Testing ◽  
Definition Of

Laboratory examination especially for critical care such as emergency care, intensive care has been developed near the site of patientcare which is referred to point-of-care testing (POCT). As to the definition of POCT, there are many synonyms such as ancillary testing,satellite testing, and bedside testing, near patient testing, home testing, self-management, patient self-management, remote testing andphysician’s office laboratories. Based on evidence-based POCT, the National Academy of Clinical Biochemistry (NACB) has recommendedsome POCT such as coagulation tests, transcutan bilirubin testing, marker for acute coronary syndromes, diabetes mellitus, drugsand ethanol, Infectious disease testing, occult blood test, pH testing, renal function test, intraoperative PTH, renal function test andreproduction test. Some researchers conclude that performing POCT for critical care is efficient, while others found it not efficient,therefore, careful assessment of the advantages and disadvantages is important when implementing POCT. Nurses are the personnelin the acute care unit who often perform POCT; however they desire that laboratory personnel take the responsibility, therefore it isimportant to discuss which personnel are appropriate to conduct quality control of POCT.

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