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POCT equipment in response to covid 19 to prevent hospital admissions
1. POCT equipment in response to Covid-19 to
prevent Hospital admissions
Simon Ward
Medical Devices Manager
Hertfordshire Community NHS Trust
10th June 2020
simon.ward5@nhs.net
2. Background:
⢠Community NHS Trust covering Hertfordshire (1642 km2)
⢠1.2 million population
⢠Providing adult and children's services
⢠Limited adoption of POCT equipment pre Covid-19
⢠Previously investigating Prevention Of Admission (POA) in
response to the NHS Long Term Plan
3. Expected Benefits:
⢠Prevent unnecessary admissions
⢠Increased information to support clinical judgement
⢠Improved patient outcomes â faster treatment
⢠Prevent unnecessary treatment while awaiting test results
⢠Provide patient reassurance that they can stay at home
⢠Allows develop of additional pathways
4. Chosen POCT Tests:
⢠C-reactive protein â CRP
⢠D-dimer
⢠Urea and Electrolytes â U&Es
⢠White Blood Cell (WBC) Count & Differentials
5. Equipment Selection Criteria:
⢠Portability
⢠Purchase cost and running costs
⢠Ease of use
⢠Reliability
⢠Customer support
⢠External Quality Assurance
11. Findings so far:
⢠Training, training, training
⢠High staff confidence - good correlation with
laboratory results
⢠Staff very supportive of project
⢠Delivering better patient outcomes
⢠Preventing admissions
12. What next?
⢠External Quality Assurance (EQA)
⢠Additional pathways being explored
⢠Exploring additional tests and equipment
⢠Expanding locations