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Successful Cardiac POC Testing, a Lab and ED Partnership
Claudia Wilkins
Level:
This session is at an intermediate level.
Program
Description:
This session
will provide an overview of traditional concerns that surround
POCT and the importance of overcoming these issues, appreciate why
the laboratory must take a leading role in developing POCT,
understand why POC cardiac marker testing is vital to the
Emergency Department, and learn how to implement and maintain a
successful ED POC cardiac program and identify elements essential
for success.
Objectives:
Upon completion of the seminar, participants will:
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Identify major POCT concerns and how to overcome them
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Appreciate the TAT issue and impact on patient care
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Understand the importance of building POCT partnerships
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Understand why POC cardiac testing is vital to the
Emergency Department
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Identify important considerations when choosing a POC
cardiac system
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Learn how to establish and maintain a POC cardiac
program
Claudia Wilkins is a certified
Medical Technologist with over 35 years experience in laboratory
medicine. Claudia has been in her current position as Laboratory
Point-of-Care Testing Coordinator at Mercy Medical Center for
eight years. She has oversight responsibility for all laboratory
testing performed at the patient’s bedside outside of the clinical
laboratory by non laboratory personnel. Claudia is also very
active in her community. In the late seventies she was
responsible for assisting with the implementation of the first
blood bank in an Ecuadorian hospital.
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Tight Glycemic – A Team
Approach
Leana Salka
and
Maureen Smythe
Level:
This session is at an intermediate level.
Program
Description:
This
session will focus on implementation and collaboration strategies
using a team focused approach for implementing and managing a
glycemic control program. The session will also focus on program
implementation and management as it relates to the Lab.
Objectives:
Upon
completion of the seminar, participants will be able to:
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Identify the requirements that are needed
when working with nursing, pharmacy, physicians, lab
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Identify how to meet compliance requirements
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Develop tools for data management
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Understand the implication of meter accuracy
Leana Salka is a Point-of-Care Assistant
Coordinator at William Beaumont Hospital. Leana has a Bachelor's
of Science in Laboratory Sciences from Oakland University, and a
degree in Medical Technology. Leana has worked as a bench tech in
various areas of the laboratory including automated chemistry,
special chemistry testing, urinalysis, and urgent chemistry. She
has been a part of the Point-of-Care Testing Team since 1999.
Part of her job duties include overseeing various bed-side testing
programs throughout the hospital, training and maintaining
authorization for bed-side testing operators, ensuring that CAP
guidelines are maintained via calibration, calibration
verification, establishing analytical measurement range, and
patient correlations.
Dr. Smythe is a Professor of Pharmacy
Practice at Wayne State University in Detroit. She holds a cross
appointment with William Beaumont Hospital in Royal Oak, MI. Dr.
Smythe is a Fellow of the American College of Clinical Pharmacy
and a member of the Society of Critical Care Medicine. Dr. Smythe
has spoken at several national meetings in areas involving
critical care therapeutics.
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Laboratory Management Issues; POC and PST INR Testing
Richard J. Ackerman, MT (ASCP)
Level:
This session is at an intermediate level.
Program
Description:
This session
will focus on the issues involved in POC and PST PT/INR testing.
Subjects covered will include an overview of PT/INR testing and
oral anticoagulation therapy. Regulatory issues and method
validation will be discussed so that the participants will
understand the rationale behind the requirements and methods and
will take home practical examples of solutions and recommendations
for improvement that can be immediately implemented in their own
Point of Care settings. College of American Pathologists (CAP) and
CLIA accreditation requirements for Point-of-Care Testing (POCT),
including changes to the POCT Inspection Checklist and the status
of Equivalent Quality Control. Requirements for validation of new
methods, pre-analytical and analytical variables and analytical
measurement range will be discussed. Best practices will be
shared.
Objectives: Upon completion of the
seminar, participants will be able to:
- Understand oral anticoagulation
therapy
- Be aware of the pre-analytical
and analytical variables in coagulation testing
- Perform method validation for
POC coagulation testing
- Anticipate the major areas
inspectors will examine during the POCT inspection.
Mr. Ackerman is a certified Medical
Technologist with over twenty years of experience in laboratory
medicine. Before his current position as a Product Support
Manager with HemoSense, he was involved with coagulation testing
in both clinical laboratory and POC settings for the majority of
the last 20 years. His experience has been primarily in sales for
various commercial vendors but has functioned as a consultant on
various occasions. Former employment in the coagulation industry
has been with Organon Teknika, Colorado Coagulation Consultants,
International Technidyne and Sigma Diagnostics.
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Transforming Care: The Clinical Impact of
Point-Of-Care Testing
Donald K. Maxwell, DO, FCCP
Level: This program is at a beginner level
Program
Description: This session will focus on the clinical
implications of using point-of-care testing from an end-user’s
viewpoint. Multiple case studies discussing various point-of-care
tests that are currently utilized in our facility will be
reviewed. The impact of conversion to point-of-care testing from
a hospital standpoint will also be discussed. The participants
will understand the rationale of using point-of-care testing from
a clinical aspect and the benefits that arise from using such
technology.
Objectives: Upon completion of the seminar, participants will
be able to:
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Understand
the impact of Point-Of-Care-Testing from a clinical standpoint
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Heighten
their awareness of the clinical utility of POCT
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Discuss
various scenerios in which POCT can be highly valuable for
prompt clinical intervention in multiple areas of the hospital
Dr. Donald Maxwell
is the Medical Director of the Medical and Surgical Transition
Intensive Care Units and the Stroke Center at Banner Desert
Medical Center in Mesa, Arizona. He is a member of the Internal
Medicine Department and a staff intensivist in the critical care
units at Banner Desert Medical Center as well as Banner iCare. He
is board certified in Critical Care Medicine and Internal
Medicine. Dr. Maxwell is a member of the Society of Critical Care
Medicine, American College of Chest Physicians, American
Osteopathic Association, American College of Physicians, and the
American Medical Association. He is actively participating in
over 20 various hospital and health system committees to help
improve the quality of care being delivered in the adult intensive
care units at his facility and health system. Dr. Maxwell research
interests include patient safety, sepsis, end-of-life, and quality
improvement in critical care. He is beginning to author and
co-author on articles, book chapters, and abstracts pertaining to
critical care and sepsis as well as being a regional speaker on
severe sepsis in the southwest for Eli Lilly and Edwards
Lifesciences.
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Sources of Variation in Point of Care Glucose
Testing
Donna
Ostheimer
Level: This session is at an intermediate level.
Program
Description: This session will focus on the common
physiologic and method/technique dependent sources of variation in
Point of Care glucose testing. The participants will understand
the sources of variation commonly encountered in the daily
management of a glucose Point of Care testing program.
Objectives: Upon completion of the seminar, participants will
be able to:
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State meter
and laboratory analyzer glucose accuracy requirements.
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Understand
physiologic sources of variation that impact blood glucose test
results.
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Readily
determine method and technique dependent variables in testing.
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Troubleshoot differences between meter and laboratory results.
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Use this
information to improve procedures and practices to reduce the
occurrence of discrepant results observed in routine testing
between the meter and laboratory analyzer.
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Point of Care - It Rhymes with Nightmare for a
Reason
Lisa Vitry
Level: This session is at an intermediate level.
Program
Description: Laboratory testing performed by non-laboratorians
outside the clinical lab creates unique and challenging issues
POCT coordinators must address on a daily basis. These issues,
such as, compliance and effective communication, will be discussed
with possible solutions and helpful hints. Ample time will be
provided for open discussion.
Objectives: At the conclusion of this presentation the
attendee will be able to:
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Effectively
communicate laboratory terms to the non-laboratorian.
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Develop a
compliant training and competency program.
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Execute a
multidisciplinary approach to non-laboratorian compliance.
Lisa has
a Bachelor’s of Science in Biology and Chemistry from the State
University of New York and a degree in Medical Technology from
Albany Medical Center School of Medical Technology. She has been
employed in the Medical Technology field for 14 years in many
capacities, including, bench tech, laboratory supervisor,
Laboratory Director, and Infection Control Practitioner. In 1999
she was employed by the Colorado Department of Public Health to
work in the Public Health Microbiology lab and was instrumental in
developing and executing testing for bioterrorism agents. In 2002
she was offered the position of CLIA inspector for Colorado, a
position she held for 3 years. Currently she is employed by
Centura Laboratories as a Point of Care Systems Technical
Specialist.
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Point of Care Testing and CAP Accreditation
Jean
Ball, MBA, MT(HHS), MLT(ASCP)
Level: This session is at an intermediate level.
Program
Description: This session will focus on the College of
American Pathologists (CAP) accreditation requirements for
Point-of-Care Testing (POCT), including changes to the POCT
Inspection Checklist and the status of Equivalent Quality
Control. Requirements for validation of new methods, calibration
and analytical measurement range will be discussed. Best
practices will be shared. The participants will understand the
rationale behind the requirements and will take home practical
examples of solutions and recommendations for improvement that can
be immediately implemented in their own Point of Care settings.
Objectives: Upon completion of the seminar, participants will
be able to:
-
Anticipate
the major areas inspectors will examine during the POCT
inspection.
-
Better
prepare for the inspection
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Itemize d
the required elements for POCT policies and procedures
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Discuss new
and or changing POCT requirements
Ms. Ball
is a certified Medical Technologist with over thirty years of
experience in laboratory medicine. Before coming to the College
of American Pathologists (CAP), she worked in hospital and clinic
settings in every area of the clinical laboratory, in both bench
technologist and supervisory capacities. Jean has also spent many
hours in the classroom, teaching in medical technology and
business arenas. She has also drafted classroom and online
curricula and written and revised textbook materials. Jean began
her career at the CAP in 2004 as an Inspection Specialist in the
Laboratory Accreditation Program (LAP) and thoroughly enjoys her
travels inspecting CAP- accredited laboratories.
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