CONTROLLED DOCUMENT

Point Of Care Testing (POCT) Committee

Section: Medical Reference no: LLH/HC/012 Issuance Date:01/06/2011 Revision Date: 01/06/2011 Next Revision Date: 01/06/2013 Version Number:1 Page No: 1 of 3 Designation Head Of Laboratory Quality Manager Medical Director Hospital Director Signature Date

Name Prepared by: Reviewed by: Reviewed by: Approved by: 1. PURPOSE Dr. Krishnamurthy Mr. Lemuel Dr. Nabil Debouni Dr. Mohd Ezzat Agamy

The Point Of Care Testing (POCT) Committee is multi-disciplinary body acting on behalf of the hospital Management to ensure the POCT programme run according to approved professional standards, to advance knowledge about POCT practices and to promote communication and cooperation between professional groups directly and indirectly involved in the POCT systems and programs 2. TERMS OF REFERENCE: 2.1. To act as a resource to the Lifeline hospital staff on particular issues brought forward to the Committee as a whole, or to individual members of the Committee 2.2. To provide advice, guidance oversee and assist in the development of the standards for the POCT 2.3. Discusses the new equipment installation in POCT 2.4. Overview of competencies, ext. QC, correlations, etc and where appropriate to do so, recommend the appropriate credentialing, qualifications and requirements 2.5. Identify education and delivery of the same 2.6. Recommendations and follow up of the implementation of solutions and be ready for submission to the specialists at any time

CONTROLLED DOCUMENT

Point Of Care Testing (POCT) Committee

Section: Medical Reference no: LLH/HC/012 Issuance Date:01/06/2011 Revision Date: 01/06/2011 Next Revision Date: 01/06/2013 Version Number:1 Page No: 2 of 3

3. BASELINE AGENDA OF THE MEETING: 1. Call to order 2. Approval / Revision of previous minutes of meeting
3. Standing Items a. Equipment Register: maintain a record of all POCT instruments and kits covered by the hospital b. POCT policy (reviewed & circulated) c. Formal requests for use of POCT instrument and kits d. Recent pertinent publications / Health Circulars pertinent to POCT e. POCT Performance issues f. EQAS Performance g. Review POCT related incident report forms h. Receive report from each Specialty

4. Other Business 5. Adjournment 4. FREQUENCY OF THE MEETING: Once a month (3rd Sunday) in between 9.30 am to 11 am 5. COMMITTEE REPORTING The reports are submitted to the Medical executive Committee on improving the performance of POCT. Chairman of the Committee to report annually on the work of the unit to improve quality.

CONTROLLED DOCUMENT

Point Of Care Testing (POCT) Committee

Section: Medical Reference no: LLH/HC/012 Issuance Date:01/06/2011 Revision Date: 01/06/2011 Next Revision Date: 01/06/2013 Version Number:1 Page No: 3 of 3

6. COMMITTEE MEMBERS

Lab Director Lab Administrator

ICU ER IP SCBU Mez Phlebotomy

Chairman Co Chairman POCT-Coordinator POCT nursing in charge Member Member Member Member Member Member