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Introducing an RSV Point of Care Service. S A Terrington Peterborough & Stamford Hospitals NHS Foundation Trust. Why point of care?. What would the likely hurdles be?. What was out there? – was there anything out there that we felt was suitable?. How was it implemented?.
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Introducing an RSV Point of Care Service S A Terrington Peterborough & Stamford Hospitals NHS Foundation Trust
Why point of care? What would the likely hurdles be? What was out there? – was there anything out there that we felt was suitable? How was it implemented?
Why point of care? The service we were providing was…… - Immuno Fluorescence - Same day testing available only 9am to 1pm, Mon to Friday The Clinicians wanted it ! but…….what did the Laboratory want?
Improved service to users - improved turnaround times No loss of data - Epidemiological (reporting through Cosurv) - Laboratory Database\PAS Properly funded - Estimated cost from historical data Convenient (or not too Inconvenient)
Which test? Quick View Now RSV (Binax)
What would the likely hurdles be? Funding Data Capture Quality issues - CPA Standards A2,A9,C4,D3,F2,F3,H4 - and probably a few more! Examination Audit? - Kit Data and QC - Staff training and competencies
How was it implemented? Funding
How was it implemented? Funding Meet with Ward Staff Our Proposal: We would train and sign off all staff and retain competency records. Only trained staff would be permitted to perform testing. Once the RSV testing is completed, the NPA plus the used RSV panel, plus a request form must be sent to Microbiology Lab. The request form must have the RSV test result recorded on it, plus the date and time of testing, plus the signature of the tester (for comparison against our records) Our Terms and Conditions: Failure to comply would result in withdrawal of the facility No replacement kit if we hadn’t received all of the used palettes …. we used CPA as a COSHH
How was it implemented? Funding Meet with Ward Staff SOP produced
How was it implemented? Funding Meet with Ward Staff SOP produced Kit data and QC - handled and recorded, records retained by the lab
How was it implemented? Funding Meet with Ward Staff SOP produced Kit data and QC - handled and recorded, records retained by the lab Training – Provided & Recorded, records retained by the lab. Terms and Conditions: Failure to comply would result in withdrawal of the facility No replacement kit if we hadn’t received all of the used palettes ….and We used CPA as a COSHH
How was it implemented? Funding Met with Ward Staff SOP produced Kit data and QC - Training . Data Capture
What next? Other Point of Care testing? CPA – Storage of kit on the ward and Ambient temperature measurement? – Examination Audit?