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
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Essential criteria for assessment:
Present for training session
Practical Assessment – 1 supervised test
Show knowledge and understanding of:
Urine dipping technique
Changing the paper
Understand own continuous development responsibilities to
obtain from urine ?
Urinary Tract Infection
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.
First voided morning urine is best for routine analysis as it is the most
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.
All strips and cassettes should be ordered from pharmacy stores
and be stored on the ward based on the following criteria:
Multistix 10SG & 8SG
securely after each test.
hCG test cartridges
Stale specimen, Poor technique, Improper recording, Unclean
containers, Incorrect storage, No routine Quality Control or Interfering
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Use out of date strips.
All urine samples should be checked before being analysed
and the flow diagram on the following slide should be
Samples should be:
Labelled [3 unique identifiers/addressograph].
Freshly expelled from the body.
Room temperature [Do not refrigerate].
Samples should not be:
Heavily blood stained [<1g/dl Hb]
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
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.
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.
Ready 11:36AM 07/09/09
To begin testing select the type of test you wish to carry out from the two selections available.
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.
Type in your Operator ID using the onscreen keyboard.
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.
If Enter New Patient was pressed type in your Patient ID using the onscreen keyboard.
SHEPPARD, ANDREW ……………………………
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.
Multistix® 8 SG
Adjust test table
insert for strip tests
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.
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.
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.
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.
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.
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.
For any other problems regarding the Clinitek Status
please contact Biochemistry POCT on:
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.
Biochemistry POCT will run all QC and EQA samples and
ward staff are not expected to carry this out for
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.
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)
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.
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.
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.
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.