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Blood gas accreditation

By Amy DeYoung MBA, RRT posted 08-31-2010 09:07

  
There are a few accrediting agencies out there to say the least. What gets confusing is that the state agencies grant us a lab license under the premise that we have been inspected by another accrediting agency (i.e. Joint Commission or CAP). When the state grants you THEIR license, its with the understanding ( that the outside accrediting agency has upheld that state's requirements.

I'm curious about a specific regulation; Method comparison/ Correlation studies. Many agencies "recommend" whole blood be integrated into the sample pool while CLIA "Requires" that whole blood is used for some of the sampling. What does a hospital with more than 2 ABG machines do when the machines are so spread out that sample degradation is a concern? Any thoughts?
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08-31-2010 18:05

A CAP audioconference Q & A section addressed this challange. The answer was that it is not necessary to correlate all of the instruments. You can do subsets: A to B, B to C, C to D or compare three instruments to the same one (if A = B and A = C the B = C).

08-31-2010 14:23

Hey Amy,
In our facility the blood gas analyzers are on wire rolling shelves so we can actually move them to another machine to do side by side correlations.