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Sunday, January 27, 2019

Emergency Department Poc Immunoassay Testing Essay

Introductioncardiovascular illness is a substantial concern and has emerged as one of the lede health issues. In examining cardiovascular disease, its incidence is astounding. Each year almost one million men and women die, averaging one death every thirty three seconds (Heart, 2013).The death rate for cardiovascular issues much(prenominal) as myocardial infarction and CHF claim more lives than peckcer and Aids combined. Heart disease will be the number one cause of death by the year 2020 worldwide (Heart, 2013). Notably affectionateness disease is a fundamental health problem that not lone(prenominal) costs lives but is a significant economic burden with costs relate to doctors visits, medications, rehabilitation and additive contributors such as loss of work and long-suffering rehabilitations. It is estimated at n primordial 485 billion dollars annually can be associated to the treatment of boldness related issues such as heart attack and CHF, early diagnosis is inst ant (Heart,2013). The intention of this project is to introduce the function of Point of care (POC) interrogatory in the compulsion part for immunoassay levels and educate on the benefits of early detection of Troponin and Brain naturietic peptide levels which are cardiovascular disease markers. This proposal outlines the purpose, targeted existence, costs, and benefits as well as the process of evaluation. Furthermore, acquiring approval of the want segment manager as well as the director is the intention of this proposal and it is hoped that the program once approved can be launched in June of 2015. usance of the ProgramThe purpose of the program is to promote is to acquire funding for the procure of an immunoassay point of care testing machine in the Emergency Department(ED). Heart disease effects millions of people worldwide, often patients present to the Emergency Department in need of testing for heart related issues. often times the chest pain and symptoms people are experiencing are benign, in utilizing the POC testing patients people can be quickly assessed for cardiac markers and if negative will result surplus precautionary medication utilization, decrease in unnecessary overnight observation, shortened length of stay in the ED as well as drop-off in patient anxiousness waiting for lengthy lab results (Noyan, 2013). Target PopulationThe target population includes men and women greater than age 18. Although heart related issues such as cardiovascular disease and CHF most commonly affect persons greater than 65 and estimated 1% of the population can be stricken with disease as early as age 18. Often times drugs may be a factor as well as genetics (Heart, 2013). It is unequivocal all persons presenting to the ER with chest pain or other heart related issues be cleared for any possible life threating cardiac events. There are an estimated 250,000 sudden cardiac deaths occurring each year in the united states, that translates into 680 p er day, half of this is in persons younger than 65 and in plus half of these have no prior warning symptoms (Heart,2013). Looking at these statistics it is imperative that having POC testing to rule out benign conditions and reserve resources for dependable life threating cardiac issues. CostsOnce the bargain for of the device is do its annual costs are slim. With the cost of health care insurrection and less insurance reimbursement saving money for the hospital is vital. The purchase set for the POC device is roughly 6,000 dollars which based on a study translated into approximately 9.00 to per person to perform the test which is very inexpensive( Mainor,2002).BenefitsBenefits of this program is receiving funding for the purchase of the POC testing equipment, resulting in the ability to rapidly evaluate patients presenting with cardiovascular symptoms, such as suspected acute myocardial infarction or heart failure. Utilizing POC testing into an emergency department results i n quicker diagnosis, treatment, improved patient outcomes, improves ER flow through by weeding out non acute patients, decreases unnecessary use of resources such as medication and hospital admissions. evaluationIn order to assess if this program will be successful we can survey a control group to divulge if the statements that are do are accurate. In surveying 100 patients that present with cardiovascular symptoms such as chest pain. POC testing can be completed to see how many of the 100 patients were non acute chest pain resulting in the reduction of resources and admissions. In addition, research from other facilities is widely available and research has already been completed ensure the success of this program. Conclusion POC testing is an easy, quick interjection that leads to quicker diagnosis and the savings of vital resources need for life morose emergencies. This department needs to have this machine, the improvement of ER flow by reducing non acute patient wait t imes would be only one of many invaluable reasons to approve and fund this program.ReferencesHeart unhealthiness and Stroke Statistics2013. (2013). Journal of the American Heart Association, 127(6), 1-245. Mainor, B., Hardwick, W., & King, W. (January,2002). Evaluation of a Portable Clinical Analyzer in the Pediatric Emergency Department Analysis of Cost and Turnaround Time. Southern Medical Journal, 95(6), 4-5. Retrieved October 6, 2014. Noyan, T., Gozlukaya, O., & Cankaya, S. (2013). The Evaluation of Cardiac TroponinI Assays Measured Radiometer AQT90 Flex and ReLIA Analyzers. Journal of Medicine and Medical Research, 1(4), 16-22.

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