Tests:Pregnancy (POCT): Difference between revisions

Tests:Pregnancy (POCT)
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{{DISPLAYTITLE: Pregnancy (POCT)}}  
{{DISPLAYTITLE: Pregnancy (POCT)}}
{| class="wikitable"
! colspan="2" |
== '''Overview''' ==
|-
|'''Department'''
|Point of Care Testing (POCT)
|-
|'''Test Code'''
|N/A
|-
|'''Synonyms'''
|BhCG Urine (POCT)
Urine hGC (POCT)
|-
|'''Availability'''
|Disposable Pregnancy Urine testing devices are available at both Taranaki Base and Hawera Hospital in select accredited departments (ED, Theatres, Day ward, endoscopy and surgical outpatients)
|-
|'''Turnaround Time'''
|5 minutes from the time the urine has been added to the testing well on the device
|-
|'''Stability – Add test'''
|N/A
|-
! colspan="2" |
== '''Specimen Requirements''' ==
|-
|'''Specimen'''
|Urine
|-
|'''Preferred'''
|Fresh urine collected in a clean dry pottle/container.
Random urine collected anytime during the day is suitable but a first morning urine will contain the highest concentration of hCG.
|-
|'''Acceptable'''
|Specimens that have been stored in the refrigerator (2-8°C ) for up to 48 hrs.
|-
|'''Minimum Volume'''
|1 ml
|-
|'''Specimen Collection and Transportation'''
|Urine collected in a clean dry pottle/container.
if being tested straight away sample can be ambient (8-24°C),
If longer than sample should be chilled (2-8°C) for up to 48 hrs.
|-
! colspan="2" |
== '''Test Information''' ==
|-
|'''Test Method'''
|Lateral flow immunoassay (TestPack +plus OBC hCG urine, Abbott)
|-
|'''Unit of Measurement'''
|mIU/L
|-
|'''Reference Intervals'''
|A positive result usually indicates urine hCG levels of >25 mIU/L
|-
|'''Uncertainty of measurement'''
|N/A
|-
|'''Additional Information'''
|A positive test indicates that there is detectable hCG in the urine specimen, most likely to be due to pregnancy. Tests usually become positive when the hCG concentration reaches 25IU/L.
If there is a high clinical suspicion of pregnancy but the urine test is negative, either send a blood sample to the lab for serum hCG measurement or repeat the urine pregnancy test in 2-3 days.
 
False positive urine pregnancy tests are rare, but the result can be confirmed with serum hCG measurement. If the urine/serum hCG is measurable but there is no evidence of pregnancy, consider whether there is an alternative source of hCG production (for example, from an hCG-secreting tumour).
|-
! colspan="2" |
== '''Comments''' ==
|-
| colspan="2" |Quick user guides for testing should be available near the testing kits.
All procedures, worksheets and competency checklist for sign-off are available on the intranet to all Health NZ Staff.
 
This test is IANZ accredited.
|}
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[[Category:Tests]]
[[Category:Tests]]
[[Category:Microbiology]]  
[[Category:Microbiology]]  
[[Category:POCT]]
[[Category:POCT]]