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Clinicians discuss pros and cons of point-of-care testing devices
Bubble Shooter will have you addicted from the very first bubbles you shoot down. Just resize it to what YOU need. Traditional-Chinese Includes Version 2. We encourage anyone using the Message Translation feature to donate the files they've worked on, so others may benefit from an edition of Point-N-Click that functions in their language. While rapid results represent an advantage, devices do not always deliver the best quality results. Interview Questions Give an example of a difficult work situation and how you handled it and learned from it.


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The growing use of point-of-care-testing devices You forgot to provide an Email Address. This email address is already registered. You have exceeded the maximum character limit. Please provide a Corporate E-mail Address. Please check the box if you want to proceed. But some doctors who have adopted the technology say a number of drawbacks still exist with these devices, and the growing use of them raises questions about patient safety.

She said the device, about the size of a cell phone, has had an impact on the way she and her colleagues deliver care. The device makes it possible to get a glimpse of what is happening in a patient's cardiovascular system more quickly than traditional ultrasound machines, which are less portable. However, the device is not without its detractors. Battery life is limited, images generated from the Vscan device cannot be uploaded to the hospital's picture archiving and communication system , and images are less detailed than full echocardiograms, Mangion said.

Additionally, there are no standards for appropriate use, which she worries could lead to unnecessary full echocardiograms. Wireless devices impact point-of-care delivery. Device management at point of care. Industry considers standards for medical device tracking. These kinds of concerns are common in other point-of-care testing devices.

While new technologies offer physicians a way to quickly assess patients' condition, the fact that the tools were developed recently means there is little to no consensus on how to use them most effectively. Yet, even with drawbacks, doctors are still eager to make use of point-of-care testing devices.

He most frequently uses the device to perform Chem-8 panels, which measure patients' blood for sodium, potassium, chloride, bicarbonate, blood urea nitrogen, creatinine, glucose and calcium. The device gives Frankel access to measures of these compounds, which he said provide critical information about a patient's condition in less than two minutes. Before point-of-care testing was available, sending samples to the lab and waiting for results could take more than an hour, he said.

Speed is particularly important among stroke patient cases. Frankel said that doctors need to know a patient's prothrombin time, which is a value measuring blood coagulation, before administering medications to stroke victims. Still, he added that the point-of-care testing device is no replacement for laboratory testing because the range of values the device can test for is more limited than full lab workups.

There is as tradeoff between speed and inclusiveness. John Petersen, director of Victory Lakes Clinical Laboratories and point-of-care testing, associate director of clinical chemistry, and professor of pathology at the University of Texas Medical Branch, takes a similar view of point-of-care testing. While rapid results represent an advantage, devices do not always deliver the best quality results.

For example, he said that point-of-care glucose meters can be less accurate than full lab blood sugar tests. This can make a difference for diabetes patients who are on tight glucose control plans.

Any variation in test results could throw off a patient's medication regimen. Ultimately, Petersen said physicians need to know the strengths and weaknesses of point-of-care testing devices. Just because they do not offer the most accurate test results does not mean they shouldn't be used. The portability and rapid results they offer can help steer a physician in the right direction, giving them an idea of a patient's condition and allowing them to start the patient on a treatment plan.

This can buy the doctor time until a more complete workup is completed. She said that properly training users on all the functions of a point-of-care testing device is the key to making sure it is used correctly and delivers the greatest benefit possible.

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