[Cerner millennium test transfer]

Your workflow doesn't seem the same as ours.

We utilize the Specimen Log-In app, by accession. 
Scan all barcodes and press the log-in button to our general lab location. This automatically pulls all specimens into general lab, it doesn't require us to reroute the samples.

After everything is logged into lab we utilize the Transfer Specimens app.
Click new at the bottom of the app
Select location to transfer to and the appropriate temp then click retrieve
After that it shows all of our specimens waiting to be transferred in list view, we can choose the select all button then the move button, click save, and click transfer.

[Cerner millennium test transfer]

I'm not visualizing this well, can you give a longer explanation of what you're trying to do? Are you talking about the transfer specimens app?

[MLS]

2 hours ago, John C. Staley said:

Personally, I find this quite disturbing!  

I'm assuming they meant a bachelors that isn't in Medical Technology/Laboratory Sciences.

[Rotating departments]

On 1/25/2019 at 10:26 AM, John C. Staley said:

The smaller the facility the more likely this is.  Even in the very small facilities some one is responsible (read supervisor) for each department and it not unusual for some one to be responsible for more than one such as blood bank and hematology which would require them to be proficient in both and possibly more.  Personally, I always preferred being very good in one department instead of competent in many but that's just me.

:Raises hand:

Yep, I'm the Blood Bank and Coag supervisor at my facility, assist with POC and charge entry, plus spend ~50% of my time in Chemistry. The reality is I'm less knowledgeable than a Blood Bank bench tech at a medium sized facility just due to the lack of volumes we see. The majority of my 'supervisor' time is spent making sure we're CAP compliant and trying to put out the small fires that arise from having a staff that just doesn't do blood banking very often. At a small facility you end up with your hand in as many pies as you want, but there's just no way to be as proficient at each as you could if you were able to devote 40 hours per week to one thing.

 

For reference we transfuse about 300 units yearly, don't do any antibody ID's, and a simple cold agglutinin was enough to upend one of our Tech's whole routine for a day. It's just the reality when your entire staff is 7 or 8 people, half of whom are MLT's that graduated in the last few years.

[Temperature Indicator for RBC Units]

On 12/20/2018 at 11:51 AM, ChrisH said:

I also would like to know if anyone is validating each shipment/lot.  I am currently doing my initial validation.  Just trying to plan what else I need to do and how often.

I spoke to our sales rep and while I got the standard "you'll have to follow your facility's policies and procedures," she did say she didn't believe any of her other customers were validating beyond the initial shipment.

[Critical Thinking education]

On 4/14/2016 at 3:10 AM, Auntie-D said:

I try to scare them a bit...

Does it work? In my experience our recent hires have been like yelling at a dog, it knows it was bad but it doesn't quite understand what it did wrong no matter how slowly you explain it.

[Temperature Indicator for RBC Units]

On 11/8/2018 at 10:30 AM, Sonya Martinez said:

We switched from Safe-T-Vues to BT10s earlier this year and they are much better.  With the safe-t-vues we had problems with both nursing and blood bank staff placing their thumb or finger over the indicator and making it turn when in actuality the blood temp didn't change.  The BT10s are room temp storage, stick better, and don't have the issue with activating if someone puts there finger over it.  We've also found during our validation the BT10s are a lot more accurate and turn right at 10C where the safe-t-vues were activating at 11 or 12C.  Plus the BT10s are cheaper for us.

Are you doing that validation annually, with each shipment/lot, or is it one time?