Posted: September 23rd, 2015

Point of Care Patient Testing (POCT)

In order to improve patient access and throughput, a management review of the requirements for a rural (outreach) diabetes treatment clinic has established the need to provide POCT for glucose and HbA1c.  You have been asked by your manager to provide recommendations for the selection of appropriate POCT devices for these two tests.

Your Assignment:
Provide justification for your choice of glucose and HbA1c devices.  To do this you will need to develop a selection criteria to compare the available devices.  Then you will need to summarise your recommendations and consider any on-going operational procedures required in order to provide quality results for patient testing.

Include in your answer recommendations with regard to:
•    Critical evaluation of testing devices which provide results appropriate to clinical requirements (i.e. is the chosen device fit for purpose ?)
•    Pre-analytical considerations
o    Instructions for patient preparation and sample collection
o    Patient safety and risk management
o    Operator handling & training required
•    Analytical considerations
o    Frequency and type of quality control (QC)
o    External quality assessment (EQA) procedures
o    Device maintenance requirements
•    Post-analytical
o    Instructions for the recording / reporting of results
•    Other general considerations for testing

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