poct a co-ordinator's tale
TRANSCRIPT
POCTPlymouth Derriford Hospital
A Co-Ordinator’s Tale
Tony CambridgePOCT Co-Ordinator
Plymouth Hospitals NHS Trust
Who are we?What do we do?How did we get there?Where are we heading?
Content
A CPA accredited POCT team based in Derriford Hospital in Plymouth
Marketed as POCTPlymouth The team is multi-disciplinary BMS, Associate Practitioner and ATO grades (4.5wte)
Who We Are
We provide a POCT service to the acute trust, the community and private healthcare sites
Overview of the service:
-Blood Gases - 16 analysers across the trust, 14 connected-Glucose – 230 meters, 180 Performa, 50 connected Inform II (4 off site)-Urinalysis- 70 sites, 30 Urisys 1100 meters, not connected-Urine Pregnancy Testing- 20 sites, currently all eye read-Hemocue Hb- 6 meters, mainly 201DM
We do not have full connectivity (and I don’t expect to ever achieve it!)
What We Do
Maintenance of blood gases and other equipment (monitoring connectivity solutions)
Training and Competency of staff Audits (QPulse audit calendar) Addressing non-conformance (QPulse) Quality assurance schemes Answering telephone calls/emails!!!!
A Typical Day
Who Is Involved? Transfusion nurses MDLPs Peninsula Network Managerial and
Clinical Support Self audit tools
-Essential to have a POCT Team
Named contacts at each site
Suppliers’ trainers/auditors
Medical and nursing teams
Blood gas technicians
Provide a full service to local Community Hospitals and Care UK
Provide glucose EQA scheme to Community Hospitals in Somerset
Advisory service to local GPs EQA and audit to some GPs/health centres
Looking to support POCT activities outside of our locality
Further Activity
2000 POCT section was part of the Chemistry Special Investigations section
2006 POCT section created with a section lead (BMS3), deputy (BMS2), BMS and ATO staff with rotation of BMS staff through the laboratory
2008 Rotation of staff through the POCT team removed 2009 Workforce redesign.
Reduction of state registered staff in favour of associate practitioners
2011 Further changes to the team including addition of an ATO 2012 (January) CPA Pre-Assessment visit
(July) CPA 2 day Assessment (3 assessors) Accreditation awarded November 2012
How Did We Get There?
Lab test costs Atebion Income generation Cost centres
EssentialExcellent managerial and clinical support from Pathology
How We Are Funded
Expansion of repertoire and scope of POCT CPA re-assessment Increase staffing in team Develop POCT in ED Set up POCT suite at a community hospital Develop better governance within GPs and
health centres
Where Are We Heading?
Promote our activities POCT Awareness across the acute and
community settings Engage with suppliers- tap into their
business acumen Market our services more effectively Peninsula tender contracts- Value
Our Approach
www.clabs.co.uk websiteMarketing
New Business
Phase 1 Govern existing activity Expand the scope of POCT in the local communityPhase 2 Market services as POCTPlymouth The laboratory has a commercial website www.clabs.co.uk Dedicated POCT page on the trust website Dedicated email address [email protected]
The Concept
Phase 3 Market our services beyond the locality Elements include: EQA management Provision of controlled documentationE-Learning and competency packages Possibly audit of POCT services Equipment evaluation
The Concept
Will It Succeed?
We hope so…-Get on the Pathology agenda-Pathology labs meet with the CCGs-POCT a major part of pathology provision
We hope to…-Generate income to re-invest in the team/service-Not a profit making scheme-Sign up new users-Scale up our activities
