<p> Mercy Hospital, Iowa City, IA 500 E. Market St POINT –OF –CARE TESTING </p><p>SUMMARY OF POINT-OF-CARE TESTING PLAN</p><p>Approved Personnel AUTHORIZED USE TEST Complexity / PCT / Competency QC Frequency+ Oversight CONFIRMATION SITES Instrumentation Nurse Other Assessment* Screen Treat Diagnosis TESTING</p><p>Blood Waived New Strip Lot; Monthly-POCT Coord YES YES NO Repeat required for ‘LO’, Main Glucose NOVA stat strip system YES YES YES Daily-meter Daily--Nurse ‘HI’, and >399 mg/dL. Campus Lab confirmation suggested for ‘LO’, ‘HI’ Urine hCG Waived EQC-Every Monthly-POCT Coord YES YES NO Lab quantitative serum ECU only Poly stat hCG test YES YES YES new box; Daily--Nurse hCG required if neg and IQC: with every early pregnancy is test possible. Suggest same if not first morning void and result is neg. Urine Waived EQC: Within 24 Monthly-POCT Coord YES YES NO The clinical situation and ECU only Dipstick, Bayer Multistix 10 SG YES YES YES hours of any Daily--Nurse judgment of the Clinitek 50 patient test physician may require machine IQC: with every additional testing to test confirm results. Throat: Rapid Waived YES YES YES EQC: Every 25 Monthly-POCT Coord A negative result should ECU only Strep A Poly stat Strep A Strip tests &/or new Daily--Nurse be confirmed by throat Test box of tests culture in main IQC: with every laboratory. test Occult blood Waived YES YES YES IQC: every test Monthly-POCT Coord YES YES NO The clinical situation and Main in fecal Hemoccult Daily--Nurse judgment of the Campus specimen physician may require additional testing to confirm results. Occult blood Waived YES YES YES IQC: every test Monthly-POCT Coord YES YES NO The clinical situation and ECU and in gastric Gastroccult Daily--Nurse judgment of the ICU specimen physician may require additional testing to confirm results. Vaginal Fern Moderate Complexity NO L & D Test Direct Monitor Whole blood Moderate Complexity ICU, Telem, ACT iSTAT CVL Phlebotomy; Specimen collection *Competency Assessment: (1)Direct Observation, quiz, skills checklist completed upon initial training, every 6 months during the first year of testing, and annually, (2) Continuous direct observation and review of documentation by nurse educator during daily operation, (3)Retraining of operators needing or requesting additional training, (4) Glucose operators must perform 2 levels of controls annually. +EQC= external quality control. IQC= internal quality control</p>