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POCT

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by

dianna White

on 17 April 2013

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Transcript of POCT

Medical Assisting Administrative & Clinical Competencies -7th edition; Blesi, Wise, Kelley-Arney
Google Images - Pictures
http://youtu.be/YIJVNZ-6nV8 - Hemoglobin Video
http://youtu.be/trOHqwOtwkg - Hematocrit Video
http://youtu.be/tU-FzfcUO2w - Hematocrit Video
http://youtu.be/LphYsipaEZ4 - Using the microscope Resources Assemble all equipment
ID patient and yourself
Explain procedure
Wash hands and put on PPE
Obtain culture w/sterile swab
Label test kit w/patient information
Perform test (using manufactures directions)
Dispose of biohazard
Document Rapid A Strep Rapid A Strep
Assemble all equipment
ID patient, yourself and explain procedure
Wash hands and put on PPE
Label specimen container
Obtain culture w/sterile swab
Place swab in container
Attend to patient needs
Dispose of biohazard
Document Throat Culture Using the microscope
http://youtu.be/LphYsipaEZ4
Assemble all equipment
ID patient and yourself and explain procedure
Wash hands and put on PPE
Stir urine and pour into tubes
Spin in centrifuge
Drain off urine
Drop sediment on slide and cover
Place on microscope
Dispose of biohazard Urinalysis/UA - Microscopic ID patient and yourself and explain procedure
Assemble all equipment
Wash hands and put on PPE
Stir urine
Get Mutlistix Regent Strip and dip
Begin timing – (follow manufactures directions)
Read results from bottom to top – document in file and log
Dispose of biohazard (Per facility) Urinalysis/UA - Chemical Odor Volume Color Specific Gravity Urinalysis/UA - Physical Urine Cassette Fresh Urine Sample PPE
Patient Chart Equipment Quality control materials (if needed) Human Chorionic Gonadotropin/hCG Videos with book resources ID patient and yourself, explain procedure
Assemble all equipment
Wash hands and put on PPE
Place test strips in meter
Perform a capillary puncture
Dispose of sharps
Apply drop of blood
*** touching ONLY the droplet ***
Wipe patients’ finger with 2x2 – apply pressure
Read results – document in file and log
Apply bandage – if NKA Glucose/GTT http://youtu.be/trOHqwOtwkg http://youtu.be/tU-FzfcUO2w ID patient and yourself, explain procedure
Assemble all equipment
Wash hands and put on PPE
Perform a capillary puncture
Dispose of sharps
Collect blood in microhematocrit tube (s)
*** touching ONLY the droplet ***
Wipe outside of tube/place in sealant
Wipe patients’ finger with 2x2 – apply pressure
Apply bandage – if NKA
Place tube in centrifuge
Seal, close , and run centrifuge
Read results – document in file and log Hematocrit/Hct Micro-hematocrit tubes Micro-hematocrit Centrifuge Gauze
Alcohol wipe
Gloves
Patient Chart
Sterile Lancet Equipment Sealing clay Hematocrit/Hct http://youtu.be/YIJVNZ-6nV8
ID patient and yourself and explain procedure
Assemble all equipment
Wash hands and put on PPE
Turn on hemogloinometer
Perform a capillary puncture
Dispose of sharps
Collect drop of blood with Microcuvette
*** touching only droplet***
Wipe patients’ finger with 2x2 – apply pressure
Results will display – document in file and log
Apply bandage – if NKA Hemoglobin/Hgb/Hb Hemoglobin/Hgb
Hematocrit/Hct
Glucose (FBS/RBS)
Human Chorionic Gonadotropin/hCG
Urinalysis/UA
Throat Culture POCT QC:

Follow State and Federal Regulations
Records/files are current and accessible
Maintain MSDS
Biohazard Communication Manual
Chemical hygiene plan
Universal precautions techniques
Retain copies of biohazard pickups
Incident Reports log
Placing all sharps in the biohazard sharps container

Hair securely back and minimal jewelry
1:10 bleach solution made daily
Lab Log
date, time, name of patient, name of test, who performed it, the results, when the results were received, and when sent it was sent to the lab
Posting Stand Precautions for employees
Adequate lighting in work areas
Fire extinguisher with directions
Walking pathways fee of clutter
Fire and evacuations posted Quality Assurance/QA
Patient identification
Patient preparation and specimen collection
Specimen processing and transportation
Instrumental and technical performance
Safety
In-Service training of all HCP’s Quality Control/QC Physician’s Office Laboratory
Point of Care Testing Diagnostic Testing Sterile swabs
Sterile tongue depressor
PPE
A Strep test kit (manufactures directions)
Patient’s chart Rapid A Strep Penlight – optional Sterile Swabs Equipment: Sterile Tongue Depressor
PPE
Label
Patient’s chart Throat Culture Uric acid crystals
Gout Calcium oxalate crystals
Acute renal failure Example of urine crystals Urinalysis/UA - Microscopic Fresh Urine Sample
PPE
Tongue depressor
Timing device
Patient’s chart Fresh Urine Sample Timing device Equipment Mutlistix Regent Strips Urinalysis/UA - Chemical ID patient and yourself
Explain procedure
Assemble all equipment
Wash hands and put on PPE
Quality control test (if needed)
Get Urine Cassette ready
Perform test (per manufactures directions)
Read results – document in file and log
Dispose of biohazard Human Chorionic Gonadotropin/hCG Sterile Lancet HemoCue Microcuvettes Hemoglobinometer Equipment
Alcohol wipe
Gloves
Patient Chart Hemoglobin/Hgb/Hb Microscope w/light Tapered pipette Frosted glass slides w/glass cover Centrifuge 2 – centrifuge tubes Equipment Urine sediment chart Urinalysis/UA - Microscopic Sterile Lancet Glucometer Test Strips Videos with book resources Gauze
Alcohol wipe
PPE
Patient Chart Glucose (FBS/RBS) Follow State and Federal Regulations
Records/files are current and accessible
Maintain MSDS
Biohazard Communication Manual
Chemical hygiene plan
Universal precautions techniques
Retain copies of biohazard pickups
Incident Reports log
Using biohazard sharps containers
Hair securely back and minimal jewelry
1:10 bleach solution made daily
Posting Stand Precautions for employees
Adequate lighting in work areas Gauze Equipment Doctor will read results Fire extinguisher with directions
Walking pathways fee of clutter
Fire and evacuations posted
Lab Log
Full transcript