Patient Data Evaluation and Recommendations患者数据评价及建议.pptVIP

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2017-03-08 发布于上海
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Patient Data Evaluation and Recommendations患者数据评价及建议.ppt

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Patient Data Evaluation and Recommendations患者数据评价及建议

Equipment Application and Cleanliness Perform Quality Control Procedures The quality of care you provide depends in part on the proper performance of the equipment you use to diagnose or treat your patients Quality control (QC) is a process designed to ensure that the devices you use on patients regularly perform as expected Ensures consistently accurate measurements with diagnostic equipment Ensures proper device function and patient safety with therapeutic equipment NBRC Expectations You are familiar with the basics of QC, as applied to common medical devices used in respiratory care Laboratory Blood Gas and Hemoximery Analyzers Quality control processes focus on eliminating errors in: Sample collection (pre-analytical phase) Sample measurement (post-analytical phase) Reporting (post analytical phase) Pre-Analytical Phase Blood collection and handling procedures prior to sample analysis Most common pre-analytical errors that affect measurements are: Air contamination Venous admixture Excess anticoagulant Continued blood metabolism Need to Be proficient in sampling techniques/equipment used to draw from various sites Strictly comply with applicable infection control procedures Avoid interpretation errors by documenting FiO2 Oxygen delivery device Mode of ventilation Results of related assessments made at time of sampling Always ensure that the blood sample is free of these common errors. Analytical Phase Involves four key elements Analyzer calibration and calibration verification Calibration is the process whereby the response of an instrument is compared and adjusted to a known standard Standards used to calibrate ABG machines include precision gases and buffer solutions with know values for pH, PCO2, and PO2 Standards used to calibrate hemoximeters are solutions with known values for total Hb, HbO2, carboxyhemoglobin (COHb), and methemoglobin (MetHb) Calibration involves adjusting the analyzer to ensure that its response is accurate and linear Two-point calibra