clinitek status l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Clinitek Status PowerPoint Presentation
Download Presentation
Clinitek Status

Loading in 2 Seconds...

play fullscreen
1 / 31

Clinitek Status - PowerPoint PPT Presentation


  • 415 Views
  • Uploaded on

Clinitek Status. POCT. Learning Objectives. Essential criteria for assessment: Present for training session Practical Assessment – 1 supervised test Show knowledge and understanding of: Urine dipping technique Entering data Changing the paper Maintenance Trouble shooting

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Clinitek Status' - Gabriel


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
learning objectives
Learning Objectives

Essential criteria for assessment:

Present for training session

Practical Assessment – 1 supervised test

Show knowledge and understanding of:

Urine dipping technique

Entering data

Changing the paper

Maintenance

Trouble shooting

Understand own continuous development responsibilities to

maintain competency.

the parts of the body urinalysis can give us information about include
The parts of the body urinalysis can give us information about include:

Kidney

Liver

Urinary Tract Infection

Blood

Carbohydrate metabolism

Nutrition

Muscles

pregnancy testing hcg
Pregnancy Testing (hCG)

Pregnancy Testing should be performed prior to treatments /

investigations with risk to foetus/patient.

hCG is produced by the embryo and released into thematernal

blood stream and eventuallyexcreted in the urine.

hCG blood test is more sensitive than hCG urine test but the urine test

is easier to carry out on a ward.

Concentration of urine varies based on the patients activity level

(dehydration) and water consumption (hydration), so the concentration

can also vary for hCG even in same individual.

sample collection
Sample Collection

First voided morning urine is best for routine analysis as it is the most

concentrated.

If possible, void directly into a clean, dry container/bedpan.

It is best to test samples immediately. If this is not possible the test

must be completed within 4 hours providing the samples are stored in

clean plastic containers.

When disposable cardboard containers are used samples must be

analysed immediately as containers may leach contaminants into the

sample providing incorrect results.

strip and cassette storage
Strip and cassette storage

All strips and cassettes should be ordered from pharmacy stores

and be stored on the ward based on the following criteria:

Multistix 10SG & 8SG

  • Sensitive to moisture in atmosphere – ensure lid is replaced

securely after each test.

  • Expiry date on side of vial and box.
  • Store at room temperature.

hCG test cartridges

  • Stored at room temperature.
  • Expiry date on individual foil wrappers and side of the box.
  • Sensitive to moisture in atmosphere - ensure foil wrapper is not damaged prior to analysis.
potential sources of error are
Potential sources of error are:

Stale specimen, Poor technique, Improper recording, Unclean

containers, Incorrect storage, No routine Quality Control or Interfering

substances.

To combat these Biochemistry POCT ask that ward staff do not

do any of the following:

Touch the test pads.

Leave cap off the strips for prolonged periods of time.

Remove the desiccant packet from containers.

Take out more strips than required for each patient.

Use out of date strips.

patient sample
Patient Sample

All urine samples should be checked before being analysed

and the flow diagram on the following slide should be

followed.

Samples should be:

Labelled [3 unique identifiers/addressograph].

Freshly expelled from the body.

Room temperature [Do not refrigerate].

Samples should not be:

Very pale/dilute.

Heavily blood stained [<1g/dl Hb]

multistix technique
Multistix Technique

Set the test table up correctly, ensuring the table insert has the strip side is facing upwards.

Completely immerse the reagent strip into the urine.

As you withdraw the sample run the edge against the rim of container to remove any

excess urine.

Holding strip horizontally blot the edge on a tissue. Do not draw the strip across the tissue as this may

damage the pads and give incorrect results.

Please try not to bend the strips whilst sampling. A bend in the strip may cause it to get lodged

inside the analyser and prevent it from working.

Place the strip along the centre of the table all the way up to the white line.

Follow the diagrams from slide 14 onwards for details on how to add patient and operator ID.

clinitest hcg technique
Clinitest hCG Technique

Set the test table up correctly, ensuring the table insert has the

cassette side is facing upwards.

Fill the mini-pipette (found within the foil packet) with enough urine so

that the lower of the two bulbs is filled.

Transfer the urine from the mini-pipette into the well of the

cartridge ensuring the well is full before beginning sample

analysis (may require 2-3 pipettes).

Follow the diagrams from slide 14 onwards for details on how to

add patient and operator ID.

slide14

Status

Ready 11:36AM 07/09/09

Instrument

Set Up

Recall Results

Cassette Test

Strip Test

To begin testing select the type of test you wish to carry out from the two selections available.

slide15

Operator ID

Last Operator:

Enter New

Operator ID

Press Enter New Operator ID to enter your initials as operator ID.

The last operator will be displayed in the Last Operator box. Repeated Operator ID input will not be required during a clinic.

slide16

Enter Operator ID

1

2

3

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

x

Y

Z

.

_

-

Enter

Type in your Operator ID using the onscreen keyboard.

slide17

Patient Information

Recall Patient

Last Operator:

Enter New Patient

Enter patient ID by either pressing Enter New Patient or Recall Patient to use the information input on that patient’s last result.

slide18

Enter Patient ID

1

2

3

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

x

Y

Z

.

_

-

Enter

If Enter New Patient was pressed type in your Patient ID using the onscreen keyboard.

slide19

Select Patient

SHEPPARD, ANDREW ……………………………

SMITH-MOORHOUSE, RUPERT…………………

COLEMAN, ROB…………………………………….

New Patient

Select

If Recall Patient was pressed use the up and down arrows on the right of the screen to highlight your patient from their last result and press Select.

slide20

Prepare Test

Multistix® 8 SG

Help

Adjust test table

insert for strip tests

Touch START

to begin

?

START

Place your test on the table, ensuring that the strip selection [shown in the black box at the top of the screen] matches that of the strips being used, and press START. The test will be analysed after an 8 second wait.

waste disposal
Waste Disposal

Urine samples should be discarded in the sluice and any containers as

are to be disposed of as clinical waste following Trust guidelines.

Multistix strips and cassettes should be disposed in a clinical waste bin.

slide22
Troubleshooting

& Maintenance

troubleshooting
Troubleshooting

The majority of the trouble shooting and

maintenance is carried out by Biochemistry

POCT, but there are a couple of things you

can do to help us out.

maintenance cleaning the table
Maintenance - Cleaning the table

It is recommended that you clean the test table at least once a week by

putting it under a running tap, ensuring that the whole table is wet.

Using a tissue thoroughly dry the table ensuring that you don’t touch

the white section with your bare hands as this may affect calibrations.

The test table should be wiped with a dry tissue between each patient.

Check that the calibration strip on the instrument is clean EVERY day.

If the calibration strip is not clean then it should be cleaned using a soft

cloth ensuring that you do not scratch it.

maintenance changing the paper roll
Maintenance - Changing the paper roll

From the back of the analyser, lift the white lid at the top up and lower the grey lid just

below it down.

Under the white lid there is a grey lever which needs turning upwards through 90° to

release the printer head, with the lever released remove the old roll from the grey section.

The ink is only on one side of the paper, not in the printer and installing the paper

incorrectly will result in nothing being printed.

To check which side of the paper the ink is on scratch it with your fingernail. If grey marks

are left behind then you’ve scratched the side with the ink on and this side needs to be

facing the front of the analyser.

Drop the new roll into the grey section of the analyser and with the loose end follow the

back of the analyser and push the paper through the slot at the top. After flicking the

lever back down feed the paper through the slot in the white lid and close everything up.

ordering details
Ordering details

Paper rolls for the urine machines are to be

ordered by individual wards and can be ordered by

ringing Protech Medical Ltd on 01457 852220.

The part number is PT 58/29.

The strips are ordered through Pharmacy.

contacting biochemistry poct
Contacting Biochemistry POCT

For any other problems regarding the Clinitek Status

please contact Biochemistry POCT on:

Ext 22338

Rob Coleman 80-2320

Andy Sheppard 80-2310

Rupert Smith-Moorhouse 80-2311

Lindsey Riley 80-1801

Or e-mail us using “Point of Care” on GroupWise.

quality control
Quality Control

Biochemistry POCT will run all QC and EQA samples and

ward staff are not expected to carry this out for

themselves.

QC is run on a 2 monthly basis, this consists of a Positive

and Negative solution being run through the analyser.

EQA is run on a 2 monthly basis and consists of a single

Sample being run through the analyser.

auditing
Auditing

Once every 2 months (at the same time as the QC and EQA) your analyser

will be audited for the following criteria:

Patient ID being correctly input

Strips being in date

Analysers settings being correct (time, date, strips, etc)

General cleanliness

Associated paperwork present (SOP, Flowchart, etc)

Training records kept up to date

A copy of the audit will be sent to matron and ward sister so that they

are aware of how the ward is doing.

An additional yearly audit will be carried out by Siemens.

key trainer responsibilities
Key Trainer Responsibilities

Your responsibilities as key trainers are to:

Ensure that every member of ward staff who needs to use the analyser

is trained to do so.

Send the details of all members of staff trained on your ward to the

email address “point of care” to be entered onto the database and the

electronic staff record (ESR) by POCT staff using the form provided.

teaching resources
Teaching Resources

All the information you may need (including this presentation) to train

your colleagues can be found on the trust website alongside the

Standard Operating Procedure.

http://www.pathology.leedsth.nhs.uk

On the website highlight Point of Care in the blue bar along the top of

the screen and scroll down to the sections headed Urine Testing and

Training Resouces for Key Trainers – Urinanalysis.