Near-Patient Testing
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Define near-patient testing (NPT).
Analytical patient testing activities that are provided within the institution, but performed outside the physical facilities of the clinical laboratories
By what synonym is near-patient testing known?
Point-of-care testing
List two staff members who may perform NPT.
Nurse and GP
List six advantages of NPT.
Faster access to results Quicker turnaround time Improved patient care Improved morbidity and mortality rates Reduced risk of errors Reduction in associated administrative work
List five NPT analyses which may be offered.
Blood glucose Albumin in urine hCG in urine Alcohol in saliva Blood gases
List four disadvantages of NPT.
Staff may require substantial training Results may not be comparable to those generated by a laboratory No economy of scale Insufficient or poor recording of data
List three features of NPT to which regulation applies.
Training of staff Record keeping QC and QA systems
List four facets of the NPT committee’s role.
Determination if NPT is justified Establishment of system for continuous assessment of performance Provision of adequate training to staff Maintenance of QA and QC systems
Give three supports that should bolster the NPT committee.
Adequate co-ordination Training of non-laboratory staff QA assistance
List three facets of the role of the NPT co-ordinator.
Maintenance of QA Creation of SOP Incident reporting
List the steps of NPT implementation.
Assessment of the clinical need Detailed specification Decisions regarding performance of equipment Procurement and installation Training IQC, EQA, audits, and connectivity Accreditation Forging of professional relationships
_____ ________ incorporates POCT/NPT in ‘Annex A’ of the standard.
ISO 15189:2022
True or false: an increased role of NPT is included in the ‘modernisation’ plan for Pathology Services of the HSE.
True
Why is connectivity important in NPT?
Allows the medical scientist staff to monitor instruments