Re: [Sepsis Groups] Lactate levels and POCT

[Jayaraj Mymbilly Balakrishnan]

Dear Miss/ Mrs Carlson,

We make use of a POCT machine and we get the report in 3 minutes. We
periodically  calibrate it against the central lab values and are happy to
see that the results are pretty reliable. We find it pretty useful  to do
it that way

Kind regards



On Friday 16 September 2016, Carlson, Brenda L <
brenda_carl...@urmc.rochester.edu> wrote:

> What is the turnaround time for lactate levels at your hospital, from
> ordering to resulted time? Nearly all of our initial lactates are drawn by
> bedside nurses (approx. 70% in ED setting) and sent to the main lab for
> processing. We seem to be averaging about 1.5 hours from order to result
> and are looking for ways to improve.  Is anyone using POCT to obtain
> lactate levels, especially in the Emergency Department?
>
>
>
> Thank you for your help.
>
>
>
> *Brenda L. Carlson MS, BSN, RN*
>
> *Assistant Quality Officer*
>
> *Office of Clinical Practice Evaluation*
>
> *University of Rochester Medical Center*
>
> *265 Crittenden Blvd., Saunders Research Building, 3.205*
>
> *585-273-4721*
>
> *This message may contain information which is confidential and
> privileged. Unless you are the addressee (or authorized to receive for the
> addressee), you may not use, copy or disclose to anyone the message or any
> information contained in the message (including attachments). If you have
> received the message in error, please advise sender by reply email, and
> delete the message. Thank you!*
>
>
>
>
>


-- 
Dr Jayaraj Mymbilly Balakrishnan MD
Associate Professor
Department of Emergency Medicine and Critical Care
Jubilee Mission Medical College and Research Institute
Thrissur, Kerala, INDIA PIN:680005 Mob:+919895063580
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Re: [Sepsis Groups] Lactate levels and POCT

[Seckel, Maureen M]

Brenda,

We have POCT in both the EDs and ICUs for lactate and have been using for many 
years.  There was an initial learning curve convincing folks that the POCT LA 
was valid and we collected some initial data to change the culture.  When sent 
to the lab, lactate has a turn around time of about 45 minutes.

We are a 2  hospital, 3 ED healthcare system with 1100 beds.


Maureen A. Seckel, APRN, ACNS-BC, CCNS, CCRN, FCCM
CNS Medical Pulmonary Critical Care and Sepsis Leader
Christiana Care Health System
4755 Ogletown-Stanton Road
3E29
Newark, DE 19718
Office 302 733-6023
msec...@christianacare.org<mailto:msec...@christianacare.org>



From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Carlson, Brenda L
Sent: Thursday, September 15, 2016 3:31 PM
To: 'sepsisgroups@lists.sepsisgroups.org'
Subject: [Sepsis Groups] Lactate levels and POCT

What is the turnaround time for lactate levels at your hospital, from ordering 
to resulted time? Nearly all of our initial lactates are drawn by bedside 
nurses (approx. 70% in ED setting) and sent to the main lab for processing. We 
seem to be averaging about 1.5 hours from order to result and are looking for 
ways to improve.  Is anyone using POCT to obtain lactate levels, especially in 
the Emergency Department?

Thank you for your help.

Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
This message may contain information which is confidential and privileged. 
Unless you are the addressee (or authorized to receive for the addressee), you 
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message in error, please advise sender by reply email, and delete the message. 
Thank you!


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Re: [Sepsis Groups] Lactate levels and POCT

[Mary Draper]

We use POC istat lactate and a whole lactate in the ED. The whole blood lactate 
is run off of the ABG machine and may either a venous or arterial sample. The 
turnaround time for POC istat lactate is about 5 mins and the whole blood 
sample is about 20 mins.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
Quality Management JMH
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com<mailto:mary.dra...@johnmuirhealth.com>
[cid:image001.png@01D21258.26A75C10]

"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top...
  For then we will always strive for greater things and will not be content  
with merely climbing hills." Ardath Rodale


From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Carlson, Brenda L
Sent: Thursday, September 15, 2016 12:31 PM
To: 'sepsisgroups@lists.sepsisgroups.org' 
Subject: [Sepsis Groups] Lactate levels and POCT

What is the turnaround time for lactate levels at your hospital, from ordering 
to resulted time? Nearly all of our initial lactates are drawn by bedside 
nurses (approx. 70% in ED setting) and sent to the main lab for processing. We 
seem to be averaging about 1.5 hours from order to result and are looking for 
ways to improve.  Is anyone using POCT to obtain lactate levels, especially in 
the Emergency Department?

Thank you for your help.

Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
This message may contain information which is confidential and privileged. 
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message in error, please advise sender by reply email, and delete the message. 
Thank you!


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Re: [Sepsis Groups] Lactate levels and POCT

[Greg Stanford]

We use POCT.  Our turnaround is approximately 5 minutes.  An hour and a half is 
unacceptable.  Our POCT technicians are skilled at drawing a venous lactate 
without a tourniquet.  We are extending that capability to ED Triage.

Greg Stanford, MD
Medical Director
Clinical Documentation Improvement and Outcomes

1840 Amherst Street | Winchester, Va 22601  
Phone: (540) 596 4999   Cell: 540 664 5736  | |gstan...@valleyhealthlink.com 




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> On Sep 15, 2016, at 3:30 PM, Carlson, Brenda L 
>  wrote:
> 
> What is the turnaround time for lactate levels at your hospital, from 
> ordering to resulted time? Nearly all of our initial lactates are drawn by 
> bedside nurses (approx. 70% in ED setting) and sent to the main lab for 
> processing. We seem to be averaging about 1.5 hours from order to result and 
> are looking for ways to improve.  Is anyone using POCT to obtain lactate 
> levels, especially in the Emergency Department?
>  
> Thank you for your help. 
>  
> Brenda L. Carlson MS, BSN, RN
> Assistant Quality Officer
> Office of Clinical Practice Evaluation
> University of Rochester Medical Center
> 265 Crittenden Blvd., Saunders Research Building, 3.205
> 585-273-4721
> This message may contain information which is confidential and privileged. 
> Unless you are the addressee (or authorized to receive for the addressee), 
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> contained in the message (including attachments). If you have received the 
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> message. Thank you!
>  
>  
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> 
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Re: [Sepsis Groups] Lactate levels and POCT

[Maupin, Christina]

We are currently running around 20-30 minutes but new testing process will 
bring it down to 10 minutes this month. We do not use any POC in ED.



Christina Maupin, MN, RN, CCNS

Clinical Outcomes Specialist

Bakersfield Heart Hospital

3001 Sillect Avenue

Bakersfield, CA 93308



"Courage is the most important of all the virtues, because without courage you 
can't practice any other virtue consistently."

Maya Angelou



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From: Sepsisgroups [sepsisgroups-boun...@lists.sepsisgroups.org] on behalf of 
Carlson, Brenda L [brenda_carl...@urmc.rochester.edu]
Sent: Thursday, September 15, 2016 12:30 PM
To: 'sepsisgroups@lists.sepsisgroups.org'
Subject: [Sepsis Groups] Lactate levels and POCT

What is the turnaround time for lactate levels at your hospital, from ordering 
to resulted time? Nearly all of our initial lactates are drawn by bedside 
nurses (approx. 70% in ED setting) and sent to the main lab for processing. We 
seem to be averaging about 1.5 hours from order to result and are looking for 
ways to improve.  Is anyone using POCT to obtain lactate levels, especially in 
the Emergency Department?

Thank you for your help.

Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
This message may contain information which is confidential and privileged. 
Unless you are the addressee (or authorized to receive for the addressee), you 
may not use, copy or disclose to anyone the message or any information 
contained in the message (including attachments). If you have received the 
message in error, please advise sender by reply email, and delete the message. 
Thank you!




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Re: [Sepsis Groups] Lactate levels and POCT

[Anita.SiscoeHapshie]

We use POCT in the ED and the Rapid Response Team does them for Code Sepsis 
in-house. That does seem like a long turnaround time for a Lactate level.

Anita Siscoe-Hapshie

Anita Siscoe-Hapshie, RN, MSN, CCRN
Sepsis Coordinator
anita.siscoehaps...@hcahealthcare.com<mailto:anita.siscoehaps...@hcahealthcare.com>
Citrus Memorial Hospital
502 W. Highlands Blvd.
Inverness, FL 34452
Office 352.560.6214
Fax 352.726.9119

Nurses are true
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Carlson, Brenda L
Sent: Thursday, September 15, 2016 3:31 PM
To: 'sepsisgroups@lists.sepsisgroups.org' 
Subject: [EXTERNAL] [Sepsis Groups] Lactate levels and POCT

What is the turnaround time for lactate levels at your hospital, from ordering 
to resulted time? Nearly all of our initial lactates are drawn by bedside 
nurses (approx. 70% in ED setting) and sent to the main lab for processing. We 
seem to be averaging about 1.5 hours from order to result and are looking for 
ways to improve.  Is anyone using POCT to obtain lactate levels, especially in 
the Emergency Department?

Thank you for your help.

Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
This message may contain information which is confidential and privileged. 
Unless you are the addressee (or authorized to receive for the addressee), you 
may not use, copy or disclose to anyone the message or any information 
contained in the message (including attachments). If you have received the 
message in error, please advise sender by reply email, and delete the message. 
Thank you!


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[Sepsis Groups] Lactate levels and POCT

[Carlson, Brenda L]

What is the turnaround time for lactate levels at your hospital, from ordering 
to resulted time? Nearly all of our initial lactates are drawn by bedside 
nurses (approx. 70% in ED setting) and sent to the main lab for processing. We 
seem to be averaging about 1.5 hours from order to result and are looking for 
ways to improve.  Is anyone using POCT to obtain lactate levels, especially in 
the Emergency Department?

Thank you for your help.

Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
This message may contain information which is confidential and privileged. 
Unless you are the addressee (or authorized to receive for the addressee), you 
may not use, copy or disclose to anyone the message or any information 
contained in the message (including attachments). If you have received the 
message in error, please advise sender by reply email, and delete the message. 
Thank you!


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