Department of Laboratory Medicine & Pathology Point of Care Testing (POCT) Section
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1 Department of Laboratory Medicine & Pathology Point of Care Testing (POCT) Section Qatar Journey with POCT implementation Story Jaham Shada Habib(ASCP i ) POCT Supervisor-HMC
2 Outline 1. HMC / Department of Laboratory. 2. POCT Overview 3. Journey Start up Pilot Hospital 5. Implementation Process Plan 6. Challenges & Difficulties 7. POCT standardization across HMC 8. Future vision
3 Hamad Medical Corporation ( HMC) Largest non-profit healthcare organization in the State of Qatar Provides approximately 90% of acute services to the country Eight hospitals & the National Ambulance Service and Home Healthcare Service
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6 Department of Laboratory and Medical Pathology(DLMP) The main reference laboratory in Qatar has more than 29 sections, around 700 technical staff including medical and administrative staff. DLMP has strong partnership with Universities in Qatar, resulting in majority of the staff being from these institutions
7 Traditional POCT Simple Glucometers, spread across HMC Hospitals. Blood gases under random Quality Control. Urine Strips used to monitor thousand of women without any validation Chemistry Laboratory were voluntarily sending staff on monthly basis for checking and reviewing Yearly Training of one day for all POCT devices
8 NO POCT Section Simple training manual from manufacturer Any unit can purchase POCT devices No proper training/ no job description for Coordinators No real point from where how to control test performed outside laboratory / No proper documentation, No Standaraziation.
9 Journey Start Up Early 2009 When new specialty hospital raised Small Committees were formed (lab+ Physcian +IT+ Nurse +engineer ) to discuss the need & requirements POCT devices + IT middleware was selected Two staff assigned as POCC. Vendor provide a big sheet to fill the need
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12 Pilot Hospital Heart Hospital
13 Total 136 Wards A Telemetry beds 20 Ward B Telemetry beds 20 Ward C Telemetry beds 20 Coronary Care ICU 20 Cardiothoracic ICU 12 Surgical High Dependency 24 Emergency Department 20
14 Implementation Process Plan: Site visit was developed Hospital Committee was created Infrastructure survey ( net port, power socket, safety, engineering & IT ) Instrument Distributions Training Arrangement Time line was only 15 days
15 Challenges & Difficulties Rejection of new complicated system Time limitation Poor infrastructure: Net Port /Power Sockets Limited support from IT team for POCT connectivity concept Hamad Medical Corporation POCT Section CoaguChek XS Pro
16 Challenges & Difficulties: Competency Development for new instrument Point Of Care Coordinator Training for new Middleware Space Limitation ( POCT Office ) SOP development & acknowledgment manually for huge number of staff Practice Standardization for different POCT endusers Electronic POCT Operators identification. Setting Reference Ranges of different test designations according to clinical setting of patient category!!!!!!
17 Standardization Across HMC Starting from March Installation of new middleware AegiesPOC Open system with different instruments /machines from Nova, Roche,Siemens,& ITC. Using standardized approach in training within CAP checklist for different end users of Nursing staff, Technicians, Respiratory Therapist & Perfussionist.
18 Blood gas Radiometer ABL 90 2 nd middle ware was AQURE and chosen to connect all blood gases Radiometers ABL 90 across different hospitals Currently we have 40 blood gases in service connected to AQURE
19 Hospital No. of staff trained per facility No. of Nova stat strip meters installed No. of Urine Clinitek status connect installed No. of coagulation installed No. of blood gas analyzers installed HGH, HHCs and Satellites WH AWH RH AKH TCH Total
20 Hospital Nova stat strip meters Urine clinitek status connect Coagulation Devices Blood gas Analyzers HGH, HHCs and Satellites WH N/A 600 AWH RH N/A 300 AKH TCH Total
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22 What a team can achieve? POCT steering committee( lab + Physician + nurse + IT + Material Management + Engineering +who ever can effect / affect ) POCC : Communication Skills, Social Intelligence, Multi lab back ground, Problem solving, IT interests Quality, Accredita tion and Satisfacti on
23 Future Vision CAP Accreditation E-learning Electronic documentation Integration of home care INR with POCT middleware Electronic notification of POCT critical result to physicians directly To organize POCT day December, 2017
24 Thank You
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