{"id":4505,"date":"2010-10-18T10:18:56","date_gmt":"2010-10-18T09:18:56","guid":{"rendered":"http:\/\/catai.net\/blog\/\/?p=4505"},"modified":"2010-10-18T10:30:52","modified_gmt":"2010-10-18T09:30:52","slug":"clsi-estandarizacion-poc","status":"publish","type":"post","link":"https:\/\/catai.net\/blog\/2010\/10\/clsi-estandarizacion-poc\/","title":{"rendered":"CLSI: Estandarizacion PoC"},"content":{"rendered":"

Por fin del instituo de Estandarizacion de Laboratorio Clinico <\/strong>se ha dedicado a la estandarizacion de los Puntos de Contacto (PoC)<\/strong> en los desastres de forma exhaustiva, incluyendo por supuesto la ANATOMIA PATOLOGICA<\/a> (a pesar de la\u00a0discusi\u00f3n<\/a> que genera en Espa\u00f1a) y en su totalidad se tiene en cuenta la TELEMEDICINA <\/strong>tal como nosotros indicamos en el a\u00f1o 1992 con el ITU- Telemedicine Support Center<\/a> <\/strong>y en el que se tiene que reconocer el estandar Plug & Play<\/a> (IEEE 11073). Aqui adjuntamos el listado de va a cubrir.<\/p>\n

<\/p>\n

1. Scope
\n2. Introduction
\n3. Standard Precautions
\n4. Terminology<\/p>\n

5. Quality Control and Quality Assurance Procedures
\n5.1 Device Maintenance and Calibration
\n5.2 Electronic and Automated Quality Control
\n5.3 Minimum Proficiency Requirements<\/p>\n

6. Regulatory Considerations
\n6.1 Altered Standard of Care
\n6.2 United States: The Joint Commission (TJC)
\n6.3 Food and Drug Administration and Clinical Laboratory Improvement
\nAmendments (CLIA) Waived Devices
\n6.4 College of American Pathologists (CAP) Accreditation<\/strong>
\n6.5 Health Insurance Portability and Accountability Act (HIPAA) Certification
\n6.6 Abroad: Joint Commission International (JCI)<\/p>\n

7. Uncontrolled Environments\u2019 Confounding Factors
\n7.1 Interferents
\n7.2 Inhibitors
\n7.3 Environmental Factors
\n7.4 Contamination
\n7.5 Reagent Expiration, Storage, and Handling<\/p>\n

8. Troubleshooting Point-of-Care Devices in the Field
\n8.1 Environmental Robustness
\n8.2 Calibration
\n8.3 Technical Support
\n8.4 Replacement Instruments<\/p>\n

9. Education (\u201cJust in Time\u201d Training)
\n9.1 Preanalytical Sample Processing
\n9.2 Specimen Processing and Handling
\n9.3 Postanalytical Processing
\n9.4 Reagent Expiration
\n9.5 Contamination
\n9.6 Quality Assurance
\n9.7 Proficiency Requirements<\/p>\n

10. Training (Simulation)
\n10.1 Good Laboratory Practice
\n10.2 Disaster-Specific Standard Operating Procedures<\/strong>
\n10.3 Device Maintenance
\n10.4 Confounding Factors
\n10.5 Workflow
\n10.6 Crossover Training
\n10.7 Outreach for Proficiency Before Disaster<\/p>\n

11. Strategic Testing Sites and Triage
\n11.1 Altered Standard of Care
\n11.2 Alternative Care Facilities
\n11.3 Regional and Community Hospitals and Clinics
\n11.4 Portable Intensive Care Units (POC-ICU)
\n11.5 Reagent Storage and Stability
\n11.6 Supplies Archiving and Cycling: Systematically Updating Resources<\/p>\n

12. Disaster Response Personnel Using POCT
\n12.1 Nurses
\n12.2 Point-of-Care Coordinator
\n12.3 Laboratory Director
\n12.4 Physicians
\n12.5 Medical Technologists
\n12.6 Firefighters
\n12.7 Emergency Medical Technicians (EMTs)
\n12.8 Disaster Medical Assistance Teams (DMAT)
\n12.9 Volunteers<\/p>\n

13. Transportation of Personnel and Supplies
\n13.1 Hospital, Community, and Federal Response
\n13.2 Air -, Land -, and Sea-Based Transport Considerations
\n13.3 Use of Pre-positioned Equipment
\n13.4 Supply Prioritization: Acute Care<\/p>\n

14. Responder Resources
\n14.1 Food, Water, Facilities, and Biohazard Disposal
\n14.2 Power (AC\/DC)
\n14.3 Area of Responsibility and Proximity to Other Teams
\n14.4 Sustainability
\n14.5 First-Responder Health Considerations
\n14.6 Human Resources Support
\n14.7 Translators<\/p>\n

15. Interoperability of Personnel and Equipment
\n15.1 Battery Interchangeability
\n15.2 Modular Laboratory Caches
\n15.3 System Lockout
\n15.4 Common Spare Parts<\/p>\n

16. Connectivity<\/strong>
\n16.1 Electronic Medical Records<\/strong>
\n16.2 Wireless Connectivity<\/strong>
\n16.3 Remote Imaging<\/strong>
\n16.4 Field Area Networks
\n16.5 Access to Digital References
\n16.6 Personal Communications Systems
\n16.7 Data Management
\n16.8 Computer Servers
\n16.9 Network Security<\/strong><\/p>\n

17. Positive Patient Identification
\n17.1 Established Patient Identification Protocols
\n17.2 Bar-coding<\/strong>
\n17.3 Access to Hospital Information Systems<\/strong>
\n17.4 Patient Tagging for Secondary Follow-up<\/p>\n

18. Security<\/strong>
\n18.1 Wireless<\/strong>
\n18.2 Logistical<\/p>\n

19. Public Health Considerations
\n19.1 Endemic Pathogens or Health Considerations
\n19.2 Patient Isolation
\n19.3 Critical Care Management<\/p>\n

20. Transitioning From Response to Recovery
\n20.1 Post-traumatic Stress Disorder
\n20.2 Management of Chronic Diseases
\n20.3 Follow-up Management of Acute Diseases
\n20.4 Counseling Services
\n20.5 Point-of-Care Testing Results Documentation
\n20.6 After Action Reporting<\/p>\n

21. Recommendations for Future Disasters<\/p>\n","protected":false},"excerpt":{"rendered":"

Por fin del instituo de Estandarizacion de Laboratorio Clinico se ha dedicado a la estandarizacion de los Puntos de Contacto (PoC) en los desastres de forma exhaustiva, incluyendo por supuesto la ANATOMIA PATOLOGICA (a pesar de la\u00a0discusi\u00f3n que genera en Espa\u00f1a) y en su totalidad se tiene en cuenta la TELEMEDICINA tal como nosotros indicamos […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[21,3,26,28,29,32,9],"tags":[],"class_list":["post-4505","post","type-post","status-publish","format-standard","hentry","category-educacion","category-informes","category-publicaciones","category-sanidad","category-seguridad","category-sociedad_red","category-unesco"],"yoast_head":"\nCLSI: 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