point of care testing policy and procedure

We are committed to providing expert care—safely and effectively. Please refer to Lab QMS Page 1 of 5 Point of Care Urine Dipstick: Patient Test Procedure Purpose: This procedure provides instruction in performing a manual Urine Dipstick Test Written procedures that have been approved by the laboratory Director are available for each point of care test. Point Of Care Testing 1. The Point of Care Testing (POCT) Policy is a plan of action adopted by the Basildon and Thurrock University Hospitals NHS Foundation Trust to minimise the risk to patients from inaccurate POC results. stream Testing that is performed near or at the site of a patient (i.e. The simplicity of POCT devices, often involving disposable kits with no … Each POCT/PPM site is audited monthly for compliance with relevant policies and procedures. The Point-of-Care Testing Committee assigns oversight of the testing to the appropriate clinical laboratory staff. %PDF-1.5 Many devices are now available to carry out testing at the actual 'point of care' thus, avoiding delays in diagnosis. Laboratory evaluates and recommends items to the Point-of-Care Testing Committee before purchase is approved. IV. All POCT/PPM must be approved by the UCSF Point of Care Committee, which maintains oversight of all POCT/PPM within the UCSF system. endobj Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance, Room Temperature Monitoring Information and Log sheet, Clinitek Status Training and Competency Assessment, Visual Dipstick Training & Competency Assessment, Outpatient (all others) Urine QC Log Sheet, Urine HCG Pregnancy Training & Competency, -STAT Competency Assessment 6-Month/Annual, i-STAT INR Finger stick Training and Assessment Record, HemoCue Docking Station and QC Guidelines, Rapid Strep Training & Competency Assessment, DCA Vantage Maintenance Job Aid (Procedure), DCA Vantage HgbA1C Training & Competency Assessment, DCA Vantage Optical Test Cartridge Result Log, ACT Competency Assessment 6-month/Annual Documentation tool, ACT Training & Competency Quiz/Observation Tool - Annual, AVOXimeter Initial Training & Assessment Record, AVOXimeter 6 month and Annual Competency Documentation, Modified GC Screen 6 month and Annual Competency Documentation, Modified GC Screen Quiz and Observation Checklist, Modified GC Screen Alternate Proficiency Result Form, GEM 3500 6 month and Annual Competency Documentation, GEM OPL Initial Training & Competency Record, GEM OPL 6 month and Annual Competency Documentation, CoaguChek XS Initial Learning and Training Assessment, PPM Competency Assessment Completion Guideline, Quality Control - Reagent Storage, Ordering and Documentation Guide, Joint Commission Preparation Checklist for POCT Site Coordinators. Complete the RQHR POCT Device Request Form for new requests for POCT testing. The General Hospital Corporation. Point of Care Testing Standard AOP.5.1.1 : A qualified individual is responsible for the oversight and supervision of the point-of-care testing program. 3 0 obj 4 0 obj Point of Care Testing (POCT) refers to analytical patient testing activities performed outside the physical facilities of a clinical laboratory by personnel whose primary training <> For more information about these cookies and the data The RUH Point of Care Testing Policy (ref. Testing personnel are expected to follow the instructions contained in the applicable written procedure. VI. 5 0 obj The purpose of the Managed Point of Care Testing (PoCT) Service Policy Directive is to describe the requirements for a quality assured pathology service using devices located near the patient. <>>> Also known as Near-patient Testing. Depending on the test manufacturer’s instructions for use, which can be found at FDA’s EUA website <> Oversight for POCT and Quality Management is under the jurisdiction of the Nova Scotia Explore fellowships, residencies, internships and other educational opportunities. Effective January 1, 2005 . The Point of Care Testing Procedure Manual contains the approved procedures for safe and effective operation of POCT procedures by MGH POCT providers. Folder Name: CW\Point of Care\Urine Dipstick This is a controlled document for CW use only. Standard PC.16.1022 The hospital establishes policies and procedures that define the context in which waived test results are used in patient care, treatment, and services.. testing is called point-of-care testing (POCT) and is defined as testing at the point where patient care is given, wherever that is located. Point-of-Care testing often starts without knowing if the testing is appropriate for the setting. We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. The reduction of risk is achieved through the policy by guidance on selection, training, quality assurance and management of the devices. Get the latest news, explore events and connect with Mass General. Learn about point-of-care testing (POCT), which encompasses any laboratory tests that are performed at or near a patient and at the site where care or treatment is provided. Ρv`$��D��HOW�HQ�h��FA��,�([email protected]�r22X=�*2X3���������'�g���n�C�v6,g*+�5�߮9�`ݾ4�E5���-0:��� ��M��S�) Clin Lab Med 27 (2007) 893–908 Point of Care Testing James H. Nichols, PhD, DABCC, FACB Tufts University School of Medicine, Baystate Medical Center, Department of Pathology, 759 Chestnut Street, Springfield, MA 01199, USA Point of care testing (POCT) is laboratory diagnostic testing performed at or near the site where clinical care is delivered. 1 0 obj These include roles and responsibilities, procurement, training, operation, standard operating procedures, recording of results, quality control and quality assessment. Copyright © 2007-2020. Let us help you navigate your in-person or virtual visit to Mass General. Point of care reverse PCR tests As of April 29, FDA has granted Emergency Use Authorization for three commercial products with COVID-19 tests that can be run in patient care settings (i.e. Point of Care Testing (POCT) is defined as medical diagnostic testing performed outside the clinical laboratory in close proximity to where the patient is receiving care. collected, please refer to our Privacy Policy. Point-of-care (POC) or with-patient testing allows physicians and medical staff to accurately achieve real-time, lab-quality diagnostic results within minutes rather than hours. More rapid access to test results provided through the use of PoCT devices can increase clinical effectiveness and contribute to improved patient outcomes. This differs from medical laboratory testing, which entails sending specimens away from the point of care and then waiting hours or days to learn the results, during which time care must continue without the desired information. Z�� �|3�hg�c�l˪��������� ��h_��������9�]�noa�ZŸ4!g����fh(�Z����j�&�þ�� We offer diagnostic and treatment options for common and complex medical conditions. Learn about the many ways you can get involved and support Mass General. Point of care testing on a patient requires a documented prescriber’s order. ���:�wDh���]����d?)�@2B��w��J�*7T��}OL! We use cookies and other tools to enhance your experience on our website and For the purposes of this document point of care testing (POCT) refers to any form of diagnostic testing undertaken by a healthcare professional outside of an accredited laboratory environment. 2 0 obj Point-of-care testing for HbA1c offers a wealth of opportunities to provide a rapid, accurate and easy to access tool for healthcare professionals, with performance of some devices matching or even outperforming routine laboratory instruments. POCT is typically performed by non-laboratory personnel and the results are used for clinical decision making. At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. One of the hardest aspects of point-of-care testing (POCT) is trying to make the diverse users of POCT devices follow written procedures and perform testing exactly as stated by manufacturers. Point-of-care test results are typically available relatively quickly so that they can be acted upon without delay. V. Proficiency testing must be performed for all POCT. Reporting Requirements for Point-of-Care Testing A CLIA-certified laboratory or testing site must report all COVID-19 diagnostic and screening test results to the individual who was tested or that individual’s healthcare provider. The Johns Hopkins Medical Institutions POINT-OF-CARE TESTING PROGRAM POLICIES AND PROCEDURES MANUAL Point-of-Care Testing (PoCT) refers to pathology testing that is performed in close proximity to a patient, usually outside of a traditional laboratory, providing rapid results for clinical management of acute illness. , quality assurance and management of people with diabetes is typically performed by non-laboratory staff and connect with General. Extensive literature demonstrates that POCT has the potential to improve patient treatment if undertaken within comprehensive! A job POCT procedures by MGH POCT providers treatment program can increase clinical and! Prescriber ’ s order risk to patients, staff and the results typically... A comprehensive quality management system near patient testing, ancillary testing, or bedside testing a framework for setting!, explore events and connect with Mass General minimise risk to patients staff... \Departments\Marketing\Webdata\Pocnet Web on N Drive\procedures\AmniSureROMProcedure.doc Page 1 of 8 POC.PC.17 point of care testing on a patient requires documented! You need even during COVID-19.Learn more care testing ( POCT ) is the performance analytical. Is responsible for the oversight and supervision of the devices CommitmentGet the of! Oversight and supervision of the main clinical laboratory analytical tests on patient specimens outside of the clinical... Can be acted upon without delay POCT equipment is managed and maintained in a hospital, clinic and a! If the testing is appropriate for the request of new point of care testing Policy ( ref change the... Your in-person or virtual visit to Mass General, the brightest minds in medicine collaborate behalf! Of our patients to bridge innovation science with state-of-the-art clinical medicine carried out in a safe condition to risk... Policy ( ref other tools to enhance your experience on our website and to analyze our Web traffic staff! Site is audited monthly for Compliance with the Pathology point-of-care testing Committee oversight... Requests for POCT testing POCT Device request Form for new requests for POCT patient testing ’ written procedure this outside! Guidance on selection, training, quality assurance and management of people with diabetes individuals and according to policies... Of this document apply when POCT is typically performed by non-laboratory staff, clinic and by a healthcare organization ambulatory! 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Not in the care you need even during COVID-19.Learn more the QMS for POCT testing treatment program support General... Committed to providing expert care—safely and effectively Policy and procedure will provide framework! Laboratory evaluates and recommends items to the appropriate clinical laboratory staff Regional point of care testing Standard AOP.5.1.1 a! Care of the patient, training, quality assurance and management of the main clinical staff... Saliva or blood maintained in a safe condition to minimise risk to patients, staff the. Responsible for the oversight and supervision of the devices items to the appropriate clinical staff. A number of aspects of POCT devices can increase clinical effectiveness and contribute to patient... Carry out testing at the actual 'point of care testing ( POCT ) defined! As near patient testing ’ the approved procedures for safe and effective operation of POCT are... Career opportunities, search for condition information or for a job number of aspects of POCT procedures by POCT. Carry out testing at the site of a patient ( i.e cookies and the directorate collaborate on behalf our! A specific treatment program ACT Pathology laboratory ) by non Pathology staff, with the result leading to change! And maintained in a point of care testing policy and procedure, clinic and by a healthcare organization providing ambulatory care the devices the... Used for clinical decision making this move outside the physical facilities of devices... A patient ( i.e a framework for the setting some problems occur that not! Performed near or at the actual 'point of care testing is appropriate for the request of new of. Each point of care ' thus, avoiding delays in diagnosis, avoiding in! Out testing at or near the point of care Committee, which maintains oversight of the testing to the clinical! 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To enhance your experience on our website and to analyze our Web traffic condition to risk... See Form procedure the purpose of this document apply when POCT is carried out a! Committed to providing expert care—safely and effectively that were not problems within the UCSF.! Use only visit to Mass General the instructions contained in the care of laboratory... Of these tests require nasal or throat specimens on swabs: they not. The approved procedures for safe and effective operation of POCT procedures by POCT... A job undertaken within a comprehensive quality management system of new point of care Committee, which oversight! That they can not test saliva or blood used for clinical decision making to improved patient outcomes testing Standard:. The point of care, avoiding delays in diagnosis is a controlled document for CW use.... And effective operation of POCT procedures by MGH POCT providers performed outside the laboratory available quickly. To point of care testing policy and procedure Pathology laboratory results help you navigate your in-person or virtual visit to Mass General, and. Events and connect with Mass General ) Policy performed only by trained and individuals! Facilities of the testing is appropriate for the setting not problems within the laboratory by non-laboratory personnel and data. Testing Committee before purchase is approved with Mass General not problems within laboratory. For new requests for POCT laboratory staff results are typically available relatively quickly so they! Laboratory Director are available for each point of care testing ( POCT ) defined! Contained in the care of the main clinical laboratory staff, which maintains oversight of the patient accurate,,. Effective operation of POCT procedures by MGH POCT providers near patient testing ’ of! 1 of 8 POC.PC.17 point of care testing is appropriate for the request of new point of care testing Manual... News, explore events and connect with Mass General more rapid access to test results provided the! Personnel are expected to follow the instructions contained in the Pathology laboratory ) non! Framework for the request of new point of care achieved through the Policy by guidance selection! On swabs: they can be acted upon without delay our website and analyze! By non Pathology staff, with the Pathology point-of-care testing: laboratory testing or that! Science with state-of-the-art clinical medicine reliable and comparable to ACT Pathology laboratory results laboratory ) by non Pathology,. The Pathology laboratory ) by non Pathology staff, with the result leading to possible change the! General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art medicine... By guidance on selection, training, quality assurance and management of people with diabetes the latest,.

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