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April 2024 Challenge

eric1980

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Everything posted by eric1980

  1. eric1980
    I just answered this question. My Score PASS  
  2. eric1980
    It's a bit late this, but my lab uses AK Calibrant with a Stago analyser and reagents for ISI calibration.
  3. eric1980
    I just answered this question. My Score PASS  
  4. eric1980
    My lab just signed a contract for 4 units of DxH and 2 units of SMS. They are currently evaluation, and already the field engineers have to come down for repairs. Not sure how the break-down rate will be like once we have their lab automation operational. My colleagues from other hospitals generally gave good feedbacks for XN. Just that we feel that their coagulation system is lacking as compared with that of Stago's.
  5. eric1980
    OMG... For all that has happened that I missed this reply all these years! But what you said deepens the topic. I was pondering the possibility of the second option being selected in such a context. I hope regardless school of thought BBers choose when they are faced with this situation, their decision will be a more informed one.
  6. eric1980
    Brenda, in coag, I'm using Statspin, which is a small centrifuge, that spins for 3mins at ?g. Running the plasma under our FBC analyser, I can get between 2-7x10^9/L which I think is very efficient considering the time we spin, and the result we get. For a high workload blood bank, this could be a godsend. It's just that the centrifuge seems filmsy and is very sensitive to balance... And I would avoid using rpm as much as possible unless I'm talking about cars. Personally I dismiss this unit as it do not mean anything considering the various length of rotors in the market. Scott, I understand what you mean. Thanks. I believe I made the right choice by moving on.
  7. eric1980
    Hi, Brenda. Back then, I was concerned that the spinning time is overly long and could be shortened at a higher speed to achieve platelet-poor plasma. Did the manufacturer also provide any guidelines on how the speed could be if the customer would like to shorten the spinning time?
  8. eric1980
    Hi, Brenda. Thanks for the suggestions. You are right in what you, and the people here, said. But I've since moved on to haematology, and things are rather smooth here. I still like the science of blood banking and requested for my lab manager to assign me blood banking CAP competency assessments to do on top of my haematology's. It's still as interesting to me as when I first found my interest in it. =) The main thing I brought back is that, when the time comes I have to lead a team, I will constantly ask for feedbacks from my subordinates and make sure my decisions are correct. I'll make sure communications will go both ways. Thanks again. =)
  9. eric1980
    Thanks all very much! I shall bear that in mind when I next do a BMA.
  10. eric1980
    So sorry for the late reply! Some of my seniors have ruled that as a possibility. How did you reach that conclusion? Or was it mentioned in textbooks about it?
  11. eric1980
    Hi, all. I was doing an MGG stain on a BMA specimen when I was alerted by the haematologists of unsatisfactory staining. This is a picture taken straight off an eyepiece of the microscope. It appears that for cells along the lymphoid and/or erythroid lineage, there is an artefactual precipitation of stain on the nuclear membrane. Therefore, the haematologists are unable to convince themselves of the identity of the cells in this picture. I didn't read up on staining and so I had to follow the staining procedures strictly. What do you guys think might have happened that led to this? I'll be experimenting if it is due to the slides drying very slowly before I fixed it with methanol. [ATTACH=CONFIG]617[/ATTACH]
  12. eric1980
    Smear cells, basket cells, smudge cells, etc... Where could we find the standard of the identity of these cells? =/
  13. eric1980
    Everytime I log into BBT or, now PLT, I learn something new. My lab is using LH750, and at very high WBC, we do get a "R" flag on all our RBC parameters. We usually do a 1:1 dilution and will get a good result after that. As long as the WBC result is within the linear range. But I am very interested in exactly how other labs correct the RBC parameters. What do you guys mean by subtracting the WBC value from the RBC value? Looks like I have to contact my local Beckman-Coulter representative soon.
  14. eric1980
    The LH750 in my lab reports both sets of parameters anyway. So we report them both. We report abs# for manual differential using the LIS. It's calculated automatically when we key in the %.
  15. eric1980
    We are all scientists here, and by posting in this forum, we should be all out for the science instead of legal and corporate opportunities... Hope the users here know the right thing to do, or not to do. Hi, Malcolm. Used to see you often in BBT. After a couple of years since I stopped posting, you are still around!
  16. eric1980
    My lab's policy is to count and report whatever is still intact. It is apparently not important to report the presence of smudge cells. I disagree with this... So I deviated by using the albumin method to make a blood film, and I do a manual differential count from that. I will grade the number of smudge cells in the original slide and report it as a 1+, 2+, 3+ or 4+.
  17. eric1980
    I wonder what are my chances of convincing my lab to bring in TEGs.
  18. eric1980
    I wouldn't report anything that can be interpreted from FBC. Unless a morphology is ordered, we will have to report hypochromia, microcytosis, etc... even if it can be seen straight from FBC.
  19. eric1980
    My lab uses D-dimer. Stopped using FDP since a decade ago...
  20. eric1980
    We have 2 LH750 and we are trained to do manual retic using brillant cresyl blue... This is just in case we have a flag stating "Abnormal retic pattern" after a rerun.
  21. eric1980
    Some institutions do that. Provided the work culture will not allow a unit of blood to be at room temperature for long periods of time, I guess it's okay.
  22. eric1980

    5s training

    eric1980 replied to RR1's topic in Quality

    Rashmi, although I'm now in haematology, 5S(or 6S as we call it in Singapore), covers the entire hospital. Due to our workload, 6S has originally been going as fast as a snail mail. So my lab had to roster a couple of staff off-bench so that we could get the 6S going. So while they can clock work hours, they actually are in the lab solely to do 6S. As the 6S crack troops had an idea beforehand, we started work immediately, and things moved like email. ; ) Now, most of the drawers are neat (Keyword: partition), and benchtops are clutter-free (Keyword: item space allocation), the folders on the shelves looked like they are for sale in bookshops (same colour group or colour code), etc. How long it will last - I have no idea, and I wouldn't bet on it. Although we have assigned one or two staff to maintain it, we (the 6S core group) aren't really sure...
  23. eric1980

    5s training

    eric1980 replied to RR1's topic in Quality

    It's been a few months. ; )
  24. eric1980
    Someone told me before, that if we need more and more protocols in order to make things right, it shows that we are not educated in the first place. And to add on to what he said, more protocols will end up with those uneducated relunctant to comply and do more wrong things instead.
  25. eric1980
    You do recognise that you are actually doing an internal check and not eliminating the chance of the ward mislabelling the specimen tube? And that if the re-test is not performed, any ABORH error can be picked up easily at the crossmatch? I believe that sending a second specimen (for patients without history) is more helpful than doing the same test on the same specimen...
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