Lamb L S
Division of Transplantation Medicine, Richland Memorial Hospital, Columbia, SC 29203, USA.
Arch Pathol Lab Med. 1995 Oct;119(10):886-9.
The development of "user-friendly" laboratory analyzers, combined with the need for rapid assessment of critical care patients, has led to the performance of in vitro diagnostic testing at the point of care. This strategy has been well received by most physicians who desire rapid turnaround times for laboratory tests, especially in the critical care areas. Since the primary care-giver in most critical care units is the registered nurse, much point-of-care testing has been delegated to nursing personnel. This has resulted in questions of authority, responsibility, regulation, and conflict resolution. These areas are discussed along with alternative strategies, such as vacuum transport, stat and/or satellite laboratories, unit-based phelebotomists, or "super techs," designed to achieve the goals of bedside or near-bedside testing in the critical care setting.
“用户友好型”实验室分析仪的发展，再加上对危重症患者进行快速评估的需求，促使即时检验得以开展。这一策略受到了大多数希望缩短实验室检测周转时间的医生的欢迎，尤其是在危重症领域。由于大多数重症监护病房的主要护理人员是注册护士，许多即时检验工作已委托给护理人员。这引发了有关权限、责任、监管及冲突解决等方面的问题。文中将对这些领域进行讨论，并探讨一些替代策略，如真空传输、急诊和/或卫星实验室、科室专职采血员或“超级技术员”，旨在实现危重症环境下床边或接近床边检测的目标。
