Body |
Thanks Doug, I agree, this will be unfamiliar territory for the OR staff. Athough many cardiac ORs have experience with performing ABGs and ACTs at the POC, in contrast, ROTEM requires reagents to be placed in a certain order, pipetting and reconstitution of reagents. My 2 cents: This test should not be performed POC in the ORs by OR staff. They are too distracted with other duties to be laboratorians as well. How many users will be trained, how will they remain competent? From a patient care and risk perspective, I advocate for the more expensive option of laboratory performed testing and output in the OR. (This can be complicated too depending on your LIS, distance from the OR, and how the data are transmitted eg. meeting HIPPA standards). Thanks for your post. Corinne Fantz
|