ISTAT (1)

1
ISTAT- Point of Care

• Blood Gas Testing

2
What Tool?

• The ISTAT machine allows for quick and easy
  4-step testing and can be helpful in life saving
  and emergency situations.
• The results can indicate quick and necessary
  treatment for a patient in critical condition.

3
Relevance To NP Practice

• A NP in a critical care setting can obtain the
  following data from the ISTAT machine within in
  seconds, allowing for a quick and accurate
  decision to be made as far as life saving
  treatment
• Blood Gases
• Electrolytes
• Blood Chemistry
• Hemostasis
• Cardiac Markers

4
Access and Reliability

• Purchased system can be accessed at the bedside
  and produces results within 2 minutes
• Reliablity
• Regression analysis of quality control (qc) was
  given a 1, indicating there is no need to run
  additional QC
• A linear study was completed between samples from
  the same patients, blood gasses were run through
  the lab and through the POC system, results were
  indicated no significant difference (no
  difference that would change course of treatment)

5
Pros?

• Real time lab results (bedside, no sending to the
  lab)
• Broad range of tests and values available
• Efficient and effective allowing for quicker
  diagnosis and treatment
• Supports patient centered approach

6
Cons?

• Requires a specific amount of blood (not too much
  or too little)
• It is a machine, sometimes may malfunction
• Some test cartridges are required to be kept in
  fridge and expire quickly

7
What is needed?

• What is needed?
• This system requires 3 easy things
• Istat machine
• Istat Cartridge
• Blood Sample
• Printer
• A docking station is required for uploading data,
  but does not require this to produce time
  sensitive results

8
Steps for Use
2. Close cartridge and insert into ISTAT
1. Insert 2-3 drops of blood in chamber

•   

4. Dock for data upload
3. View results and print