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    tbostock

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Popular Content

Showing content with the highest reputation on 01/15/2018 in all areas

  1. Early in my career we had a tech working in chemistry who was, shall we say, a tad bit arrogant! I figured he had measured 5 mls while making up reagents enough times he could do it without a graduated cylinder. He just "eyeballed" it. It was requested he seek employment else where as one set of CAP Proficiency testing was failed miserably and his reagent prep was determined to be the cause.
    2 points
  2. I would agree with mollyredone, but would go further, Not only do you need to record everything you say to him (and get him to counter-sign the record), you need to record everything you tell your own seniors, and get THEM to counter-sign what you have told them. THIS PERSON IS DANGEROUS. You, as a conscientious employee, should not have to take responsibility for this person, but, if the worst happens (and it well could), you want to make certain that you are not held responsible in law, but that the finger is pointed in the right direction. If you get your own seniors to counter-sign your written concerns, you will, not only be protecting your own future, but will also cause them sleepless nights until they do something about the situation.
    1 point
  3. 1 point
  4. I just answered this question. My Score PASS
    1 point
  5. I just answered this question. My Score PASS
    1 point
  6. I just answered this question. My Score PASS
    1 point
  7. I just answered this question. My Score PASS
    1 point
  8. I just answered this question. My Score PASS
    1 point
  9. I just answered this question. My Score PASS
    1 point
  10. I agree with Kate. Sure it's hard to toss a sample but would YOU put your initials on a tube that you did not witness who it came from?? If there were to be an incident where the wrong pt. was drawn or a tube was labeled wrong, the phlebotomist is liable. Not to mention that the patient may receive the wrong blood type. I have no doubt that if you have worked in a lab that receives nurse collected specimens, then you have experienced mislabeled specimens and/or wrong blood in tubes. Set your policy and stick to it, report all those who do not follow it. Have meetings with the ER or L&D managers that you will no longer accept specimens that did not have 2 people witness. If you sometimes let it slide, then they will sometimes not follow the rules. It's like 'tough love' .. not easy at all .. but in time they will learn. Been there, done that where the ER and Lab worked against each other and not as a Team like it should be. It's 99.9% better now due to great managers and team work. Good luck!
    1 point
  11. Scandalous, Scott !!!!!
    1 point
  12. Or you can just eyeball it! Scott
    1 point
  13. tbostock

    To BB (ASCP) or Not

    Very, very, very short term only. A day after the test, most of it went from my brain directly back into that book. LOL.
    1 point
  14. Good Lord! Is this possible for anyone?????????!!!!!!!!!!!!!!!!!
    1 point
  15. Do you mean, like: how much packed RBCs do you add to how much saline to get a 3% suspension? (I am determined to find the question to this answer) Scott
    1 point
  16. As stated above, we use IS XM for ABO compatibility check only when the computer is down. We have passed several TJC and AABB inspections since starting this. Here is a quote from my crossmatch procedure: Whereas: Sensitivity: Immediate Spin crossmatch will not detect 100% of ABO incompatible units due to low titer of antibodies or weak expression of the antigens. Specificity: Immediate Spin crossmatch gives some false positive results (cold agglutinins, rouleaux etc.). Cold antibodies can cause false positives with immediate spin crossmatches, presenting a quandary on how to manage a unit that is incompatible at IS and compatible at AHG. Warming the sample to avoid the cold antibody might reduce the reactivity of the ABO antibodies as well. This false positive could happen even with an O unit when ABO incompatibility is not even possible. The BBIS contains algorithms that verify the ABO compatibility of all products selected and our validation shows this to have 100% sensitivity for detecting ABO incompatible units and 100% specificity for avoiding false positive results—both an improvement over immediate spin testing.
    1 point
  17. Our phlebotomist are trained to never accept a tube and/or put their ID on it if they did not witness the draw. If we determine that has happened, there will be discipline for not following policy. They are very good about ratting out the nurses who try to get them to do that.
    1 point
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