Journal of Point of Care Testing
AACC Announces Point-of-Care
Testing Professional Certification
Add 'CPP' Initials After Your Name makes
Certified Point-of-Care Testing
testing is among the fastest growing
disciplines within laboratory medicine
and clinical diagnostics. Certification
through the AACC Board of Certification
documents that healthcare professionals
working in point-of-care testing have
proven expertise in this area and are
among the top in their field.
This certification is valuable for those
in the clinical setting as well as
industry and academia. As a Certified
Point-of-Care Testing Professional, you
will stand out as someone who has gone
above and beyond to demonstrate
proficiency in point-of-care testing.
How is this Certificate Exam different
from AACC Certificate programs?
The Certification Exam is a board exam,
not an educational course. Passing the
Certification Exam then allows for
credentialing (use of the 'CPP' initials
behind one's name). Hundreds of folks
took the AACC Certificate Programs,
including the POC ones. Those were built
and identified by AACC to be
education/instructional courses. A
Certificate Program could be a resource
used for initial education or
refreshing/updating knowledge in order
to take the Certification Exam if one
chooses that route of preparation.
Taking the Certificate course does not
'certify' those who pass (there are no
credentialing initials added by passing
the Certificate course)… taking the
Certificate Exam does.
For more details and to take the
exam, click here...
To view the AACC CLN Daily article,
One and Done?
trial suggests that a single blood test may be
sufficient to diagnose diabetes.
Laboratory News, July 2018
Multiple blood tests have been the clinical mainstay
for confirming type 2 diabetes. However, a study
that tracked individuals over several decades for
incident diabetes and other conditions found that
measuring elevated fasting glucose and HbA1c levels
from a single blood sample may suffice for an
accurate diagnosis. Investigators published the
results of their prospective cohort study in the
Annals of Internal Medicine.
Clinicians under current guidelines rely on two
glucose tests to confirm a diabetes diagnosis.
“Whether 2 different tests from a single blood
sample provide adequate confirmation is uncertain,”
wrote the study’s investigators, who launched a
prospective study known as the Atherosclerosis Risk
in Communities (ARIC) trial to see if this approach
The FDA reviews guidelines for capillary glucose
testing in critically ill patients
Jeffrey A. DuBois, MLO, June 21, 2018
blood testing with point-of-care (POC) glucose
meters in hospitalized patients and, particularly,
in critically ill patients, remains a topic of
interest in the medical and regulatory communities.
However, determining the requirements for effective
clinical use has proved challenging.
An FDA panel
This past March,
the U.S. Food and Drug Administration (FDA) convened
its Clinical Chemistry and Clinical Toxicology
Devices Advisory Panel, seeking guidance and
recommendations on the acceptability of capillary
specimens in critically ill patients based on
benefits and risks, and whether capillary specimen
testing in this patient population meets the
criteria for waived status under the Clinical
Laboratory Improvements Amendments (CLIA)
regulations. The FDA began by summarizing the
history of POC glucose testing for the panel and
emphasized the need for manufacturers to submit data
supporting their glucose meters’ acceptability for
use with critically ill patients. The FDA reviewed
the data submitted for a glucose meter cleared for
use with these patients using arterial and venous
specimens, and related that no manufacturer had
submitted data for capillary whole blood.
Read more >
The clinical laboratory
is an inherently
Laboratorians face a
variety of dangers
working in an
Equipment (PPE) are
essential keys to ensure
Maintaining a clean and
orderly environment and
are vital as well. A
cluttered workspace and
an area contaminated
with biohazards threaten
the safety of both
employees and visitors.
Lab directors should
conduct audits of their
environment to identify
safety hazards specific
to their lab. Such
audits typically do not
need to interfere with
the day-to-day lab
processes, and they
should be performed on a
regular basis, at least
monthly. Many changes
can occur in a
laboratory at any time,
such as the movement of
placement of new
equipment, or even the
movement and stocking of
lab supplies, and the
implications of such
changes for safety
should be recognized.
Read more >
New guidelines and studies suggest improved
approaches to C. difficile testing
Sherry A. Dunbar, MLO, June 21, 2018
difficile represents a significant health threat
around the world. In the United States, infections
caused by C. difficile are now the most common type
of healthcare-associated infection. Nearly half a
million infections occur in the U.S. annually, with
an estimated 29,000 deaths within 30 days of the
Consequently, much effort is ongoing toward the
development of better testing and treatments for C.
difficile. This year, new clinical guidelines were
released that included significant changes to how
healthcare teams respond to C. difficile infections.
In addition, scientists and clinicians are
conducting a number of studies and generating useful
information that could guide new expectations or
policies about testing and treatment.
For example, studies have shown that molecular tests
targeting a marker specific to a single C. difficile
strain are less useful now, as other strains of the
pathogen have become more prevalent.3-5 These
findings could help clinical labs fine-tune their C.
difficile testing procedures to ensure the most
reliable results. Also, several recent studies have
Read more >
Christiane Nooney from Duke Hospital
Named 2018 POCC of the Year by AACC
AACC Critical and Point of Care Testing (CPOCT)
Division has announced that Christiane “Chris”
Nooney, MBA/MHA, MT(AMT), DUH POC Supervisor, Duke
Hospital, DukeHealth has been award the 2018 Point
of care Coordinator of the Year.
Chris was unanimously selected as the 19th recipient
of this auspicious award given annually to recognize
outstanding achievements in the POCT field by
persons who are primarily responsible for a given
institution’s POCT program. It is based on the
extent of the nominee’s responsibilities and
accomplishments, particularly the impact this person
has made in improving the quality of the POCT
program at their facility. The award also includes a
cash award and funds to support attendance at the
AACC Annual Meeting as well as an elegant trophy.
Read more >
Other AACC Award Winners Announced include:
Outstanding Contributions to
Best Annual Meeting Abstract for Outstanding
Research in CPOCT
2018 Penny Jones Travel Award
Jeff Dubois, PhD
of the Time Required for Manual and Semi-Automated
Urinalysis and Pregnancy Testing with Associated EMR
Manual Entry Errors
John R. Petersen
and Peggy Mann
JoAnn Crain, MS, CLS, UMass Memorial Medical
Center, Worcester, MA
Point of Care Testing Compliance
With Nursing Leadership and Sharing Data Upped
Performance on a Crucial Parameter
I. Khan, MSc, PhD, Clinical Laboratory News, June
The 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. The
simplicity of POCT devices, often involving
disposable kits with no maintenance or
troubleshooting, tempts users to take shortcuts. The
downside of this approach is that when procedures
are not followed to the letter, mistakes happen.
POCT devices are designed so they can be used by
anyone with at least a high school diploma, hence
users range from students to physicians.
Read more >
Preanalytical Errors and Critical Variables in
Aparna Jha Ahuja, MD, May 24, 2018, MLO
Today’s “smart” technology enables us to have
important information at our fingertips.
Point-of-care testing (POCT)—also referred to as
“near patient, bedside, and extra-laboratory
testing”1—offers the rapid delivery of healthcare
information as well.
Centralized laboratory testing was the standard
until the mid-1980s. Since that time, many
laboratory tests (e.g., glucose and blood gas
testing) have transitioned to patient care settings,
including physicians’ offices, ambulances, and
hospital units (e.g., the intensive care unit,
emergency department, surgical suites), as well as
clinics, dialysis centers, and nursing homes.2
Devices for POCT range in size from small handheld
meters for glucose monitoring to larger benchtop
analyzers for hematology.
Read more >
John Brunstein, May 24, 2018
There is an
enduring appeal to the concept of point-of-care (POC)
or near-POC diagnostic methods. Having the ability
to perform a diagnostic test in the doctor’s office
while a patient is present, rather than having to
send a sample off to a centralized lab for testing,
means that what would otherwise need to be two
patient visits could be replaced by a single
session. It also suggests the potential for a more
timely response with a specific rather than
empirical treatment strategy, with particular
implications for the appropriate, limited use of
antibiotics. Carrying the POC concept a step
further, one can imagine the potential utility if
cheap, effective, reliable diagnostic systems could
be made small, portable, simple, and rugged enough
for use in low-resource settings, where they might
have the greatest human impact.
Of course, many
such diagnostic methods exist, but they are most
frequently some form of a rapid immunological test.
While these excel in simplicity, low cost, and
speed, they generally lack the sensitivity and
specificity that a molecular method would provide.
That they are so widely used even with these
shortcomings underscores the need for POC/near-POC
testing and the potential for growth in this field
if suitable molecular devices and tests can be
Read more >
CMS gives 213
hospitals 'five stars' for patient experience. See
how yours fared...
CMS on April 25 updated its Hospital Compare website
with new Hospital Consumer Assessment of Healthcare
Providers and Systems (HCAHPS) summary star ratings.
CMS' summary star rating scores hospitals on a
one-to-five-star scale based on the 11 publicly
reported measures in HCAHPS survey, which assesses
patient experiences. The agency started assigning
hospitals patient experience star ratings based
solely on HCAHPS scores in April 2015. The latest
update is based on HCAHPS survey data collected
between July 1, 2016, and June 30, 2017.
4 ways patient experience may be costing you
The patient experience summary star ratings are
distinct from CMS' overall quality star ratings,
which are scheduled to be updated in July. Overall
star ratings are based on 62 quality measures from
seven categories: effectiveness of care, efficient
use of imaging, mortality, patient experience,
readmissions, safety, and timeliness of care.
A map of the country’s hospitals and
their rankings is available on the Advisory Board’s
Web site (registration is required to view the map).
Read more >
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Last updated: 08/13/2018
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