s a terrington peterborough & stamford hospitals nhs foundation trust
Post on 13-Dec-2015
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S A TerringtonPeterborough & Stamford Hospitals NHS Foundation Trust
Why point of care?
What would the likely hurdles be?
What was out there?
– was there anything out there that we felt was suitable?
How was it implemented?
Why point of care?
The service we were providing was……- Immuno Fluorescence
- Same day testing available only 9am to 1pm, Mon to Friday
The Clinicians wanted it !
but…….what did the Laboratory want?
First and foremost it must be a workable solution!
Improved service to users- improved turnaround times
Properly funded- Estimated cost from historical data
No loss of data- Epidemiological (reporting through Cosurv)
- Laboratory Database\PAS
Convenient (or not too Inconvenient)
Which test?
Quick View
Now RSV (Binax)
What would the likely hurdles be?
Funding
Data Capture
Quality issues- CPA Standards A2,A9,C4,D3,F2,F3,H4 - and probably a few more! Examination Audit?
- Kit Data and QC
- Staff training and competencies
How was it implemented?
Funding
How was it implemented?
Funding
Meet with Ward Staff
Our Proposal:
We would train and sign off all staff and retain competency records.
Only trained staff would be permitted to perform testing.
Once the RSV testing is completed, the NPA plus the used RSV panel, plus a request form must be sent to Microbiology Lab.
The request form must have the RSV test result recorded on it, plus the date and time of testing, plus the signature of the tester (for comparison against our records)
Our Terms and Conditions:Failure to comply would result in withdrawal of the facility
No replacement kit if we hadn’t received all of the used palettes
…. we used CPA as a COSHH
How was it implemented?
Funding
SOP produced
Meet with Ward Staff
How was it implemented?
Funding
SOP produced
Kit data and QC- handled and recorded, records retained by the lab
Meet with Ward Staff
How was it implemented?
Funding
SOP produced
Kit data and QC- handled and recorded, records retained by the lab
Training – Provided & Recorded, records retained by the lab.
Meet with Ward Staff
Terms and Conditions:Failure to comply would result in withdrawal of the facility
No replacement kit if we hadn’t received all of the used palettes
….and We used CPA as a COSHH
How was it implemented?
Funding
SOP produced
Kit data and QC-
Training .
Data Capture
Met with Ward Staff
What next?
CPA
– Storage of kit on the ward and Ambient temperature measurement?
– Examination Audit?
Other Point of Care testing?
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