Number of Point of Care Blood Gas (epoc) devices

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How do you determine how many point of care devices are needed for each unit?  Our Cardiovascular ICU is requesting one device per patient.  The unit has 25 beds and currently have 9 epoc devices with a test volume of approximately 2,500 test per month.  We are trying to determine if the number of devices they have is sufficient if we should provide more.  

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The way I would break this down would be: 2500 tests per month /30 days= an average 83 test perday. Those 83 tests per day are then further divided up by 9 analyzers giving 9.26 tests per analyzer per day. Now if the nurses are using the maximum amount of time to perform those tests, 10 minutes, then each analyzer is used: 9.26 tests * 10 minutes= 92.59 minutes per day. 
Another way you could look at it is that you run 2500 tests per month/ 25 beds= 100 tests per room. So in a month each room is technically only using: 100 tests per room/ 30 days= 3.33 tests per room per day.
I think this is less a "not enough equipment" problem and more a poorly scheduled patient testing problem, such as all the patients needing blood gasses at the same time. 
Hope that helps!

I see it the same as Amelia. 3 tests per room per day. 9 EPOCs can be shared (1 EPOC per 3 rooms) more or less. That would mean 1 EPOC for 3 rooms would run about 9 tests daily. I think this is an opportunity for a workflow process improvement. Buying that amount of EPOCs is costly as well as maintenance, contracts, supplies, etc. 

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Shea Woodward
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