1. S A Terrington Peterborough & Stamford Hospitals NHS Foundation Trust

2. Why point of care? What would the likely hurdles be? What was out there? – was there anything out there that we felt was suitable? How was it implemented?

3. Why point of care? The service we were providing was…… - Immuno Fluorescence - Same day testing available only 9am to 1pm, Mon to Friday The Clinicians wanted it ! but…….what did the Laboratory want?

4. First and foremost it must be a workable solution!

5. Improved service to users - improved turnaround times Properly funded - Estimated cost from historical data No loss of data - Epidemiological (reporting through Cosurv) - Laboratory Database\PAS Convenient ( or not too Inconvenient )

6. Which test? Quick View Now RSV (Binax)

8. What would the likely hurdles be? Funding Data Capture Quality issues - CPA Standards A2,A9,C4,D3,F2,F3,H4 - and probably a few more! Examination Audit? - Kit Data and QC - Staff training and competencies

9. How was it implemented? Funding

10. How was it implemented? Funding Meet with Ward Staff Our Proposal: We would train and sign off all staff and retain competency records. Only trained staff would be permitted to perform testing. Once the RSV testing is completed, the NPA plus the used RSV panel, plus a request form must be sent to Microbiology Lab. The request form must have the RSV test result recorded on it, plus the date and time of testing, plus the signature of the tester (for comparison against our records) Our Terms and Conditions: Failure to comply would result in withdrawal of the facility No replacement kit if we hadn’t received all of the used palettes …. we used CPA as a COSHH

11. How was it implemented? Funding SOP produced Meet with Ward Staff

13. How was it implemented? Funding SOP produced Kit data and QC - handled and recorded, records retained by the lab Meet with Ward Staff

15. How was it implemented? Funding SOP produced Kit data and QC - handled and recorded, records retained by the lab Training – Provided & Recorded, records retained by the lab. Meet with Ward Staff Terms and Conditions: Failure to comply would result in withdrawal of the facility No replacement kit if we hadn’t received all of the used palettes ….and We used CPA as a COSHH

17. How was it implemented? Funding SOP produced Kit data and QC - Training. Data Capture Met with Ward Staff

18. What next? CPA – Storage of kit on the ward and Ambient temperature measurement? – Examination Audit? Other Point of Care testing?