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Articles by James H. Nichols
Showing articles by "James H. Nichols"
Article
January 2005
Twelve keys to effective competency programs
What does it take to ensure an effective competency
program? Acutecaretesting.org asked three point-of-care coordinators (POCC)
with solid programs what makes their competencies work. Their input
resulted in a list of 12 key recommendations.
Process optimization
Point-of-care testing
Quality assurance
Article
January 2005
Tips for developing training materials with the help of vendors
Is it a good idea to rely on vendors to help develop
training materials for point-of-care testing staff? According to
the lab group responsible for point-of-care (POC) testing at the
Malmö University Hospital in Sweden, vendor cooperation can help
you achieve a better result, faster.
However, the better prepared
you ...
Point-of-care testing
Quality assurance
Article
January 2005
Pneumatic tube transport of samples for blood gas analysis
The significance of good practice during the pretesting
phase of clinical laboratory investigation cannot be
overemphasized. The production of high-quality, accurate results,
which are clinically useful, depends as much on practice before the
patient’s sample reaches the laboratory as it does on the
analytical phase...
Blood gases/acid-base
Process optimization
Preanalytical phase
Lactate
Article
January 2005
Permissive Hypercapnia-Continuous Monitoring
Neonatology, perhaps more than any other field in medicine, has undergone dramatic improvements in care over the last several decades. One of the main areas of advancement is the ability to mechanically ventilate premature infants with a variety of neonatal lung conditions.
As survival of premature infants has...
Blood gases/acid-base
Article
October 2004
Permissive hypercapnea: Protecting the infant lung
Almost as soon as healthcare providers began ventilating neonates with respiratory distress syndrome, the problem of chronic lung disease began. How to manage these children in a way to promote lung growth and disease-free survival has been the question for those involved in the care of these infants since that time....
Neonatology
Hemoglobins
Article
August 2004
Diabetic ketoacidosis
Disturbance of the mechanisms which maintain normal
blood pH is a defining feature of diabetic ketoacidosis (DKA),
an acute and life-threatening complication of the chronic
metabolic disease, diabetes.
For this reason diagnosis and
monitoring of DKA invariably include measurement of arterial
blood gases. This...
Electrolytes
Blood gases/acid-base
Preanalytical phase
Glucose
Creatinine/urea
Kidneys/fluids
Point-of-care testing
Article
July 2004
Effective POCT: the need for a broader perspective
Optimizing all the steps in the testing cycle is as crucial to the success of point-of-care testing (POCT) as the measurement process itself. The complete POCT process or testing cycle is a complex series of events that involve many parties in any organization.
Consultation with all the people concerned is vital and ...
Point-of-care testing
Glucose
Article
July 2004
The heart of the matter
Blood gas analysis at the point of care plays an important role during and after an open-heart surgery. acutecaretesting.org recently talked to Prof. Knut Kleesiek, MD, Director of the Institute for Laboratory and Transfusion Medicine of the Heart and Diabetes Center North Rhine-Westphalia in Germany, to find out more ...
Point-of-care testing
Blood gases/acid-base
Glucose
Hemoglobins
Lactate
Article
June 2004
Accreditation of POCT facilities
Point-of-care testing (POCT) is one of the most rapidly
growing areas within laboratory medicine. The need for POCT has
developed because in many cases the central laboratory has been
unable to meet the expectations of clinical users, particularly
with respect to turnaround time.
It is widely recognized that...
Point-of-care testing
Quality assurance
Glucose
Article
June 2004
Transcutaneous carbon dioxide monitoring in the Pediatric Intensive Care Unit
Arterial blood gas analysis with the measurement of the partial pressure of carbon dioxide in arterial blood may be performed in the Pediatric ICU to evaluate the efficacy of ventilation or evaluate acid-base status.
Although the direct measurement of PaCO2 remains the gold standard, it provides only a single...
Neonatology
