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May 2024 Challenge

Bill

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Everything posted by Bill

  1. Bill
    Thank you Elizabeth--you stated my thoughts better than I.
  2. Bill
    Since there is no FDA or AABB approved test at the temperature stated for the surgery area, would this then become a "home brew" test as defined by the FDA and require all the bull s**t associated with using the test? That would be far more than just validating the test.
  3. Bill
    The info that I have read states that if the BB software has "electronic crossmatch" function, then it needs FDA approval. The hand-held barcode readers that go with phlebotomy to ABO/Rh/AbScr to transfusion also need FDA approval. A medication administration record system that also allows for transfusion does not need FDA approval. I will try to find that article (maybe letter) stating this.
  4. Bill
    We use New York State with little change.
  5. Bill
    In my previous life as a manager, I used a spreadsheet for each lab section that had items on it like: run controls, run proficiency samples, direct observation, etc. As I do my job I would just document some of these items over time. As I was in the lab for any reason--I was always aware (observing) of what the techs were doing. You probably already track proficiency tests for each area so just transpose the info to the spreadsheet (better yet, tie the sheets to one another). Observation, about once a month I would complete the spreadsheet for who was working in each section--over the course of a year, it was complete.
  6. Bill
    Keep It Simple--if the end result is negative, report negative. This is what we do--however, we keep comments (so floors do not see) with all the pertinent info for the next guy to see.
  7. Bill
    We do initial motility and morphology on slide/coverslip and then let it sit at room temp undisturbed for several hours (even up to the 6 or 8 hour motility time) for the sample to liquify enough to perform the count. This has always worked for me.
  8. Bill
    We have 2 LH750 analyzers and do NOT have manual retic method.
  9. Bill
    We are at about 1000 ft and we use 8 & 24 as triggers, our normal ranges are essentially the same as Mabel's.
  10. Bill

    Dry Labs!

    Bill replied to QJULI's topic in Transfusion Services

    Did you ask your direct supervisor if there was any discipline? Without the answer to that, you are really putting yourself in a bad situation with your actions. The other thing to remember is that your "proof" may not be so according to Human Resources or Legal departments. Also, the employee is afforded "due process" before any action can be taken. Unfortunately, these items can take time--even frustrating the supervisor.
  11. Bill
    One lab I worked with Meditech and the only Blood Bank items we printed were reports for Transfusion Committee and Unit Final Disposition for units recalled or lookback. Anything else we looked up in Meditech--if someone wanted a particular report, we printed it. One word of caution, be sure the Meditech dictionaries are set to save items for length of time that you need, ie. QC is not set to save for three years that TJC wants to see. Check others.
  12. Bill
    I have use Abbott Axsym and Abbott Ci8200 with no particular problems. Run from 0-5000 in about 15-17 minutes and can program for autodilution above that in another 15-17 minutes. Cal curves are approx 3 months. Sample volume about 100 ul.
  13. Bill
    Is your hemoglobin "normal" range different than us flatlanders? This difference could give you additional information about hemoglobin requirements.
  14. Bill
    It is no longer a TJC requirement to confirm all positives--just change you P&P to show if you are confirming any positives. If not, there should be info available as to the limitations of the "screening" test.
  15. Bill
    Sorry about that, can't get any simpler in technology or use. Maybe that's why it is considered moderate complex.
  16. Bill
    TS meter works fine, but I am not sure if it is CLIA waived.
  17. Bill
    Why repeat it--don't you trust your system to do the job right? Personally, unless you have good reason to disbelieve the result you are taking longer to report the most urgent test results. In answer to your question, we do not repeat unless there are reason to repeat.
  18. Bill
    Manual Gel, Avg for STAT 43min. Rec'd in lab to result in LIS.
  19. Bill
    Many years ago I had discussions with several opthomologists about this exact situation. ALL stated that eye cultures collected by opthomologists or optomotrists (as opposed to MD's or RN's) should have all organisms fully ID'd and susceptibility testing. They stated that the eye is sterile and if collected by an eye specialist, the lab can be assured that it was collected correctly under direct exam by aseptic technique. Samples collected by others are usually swabs run across the bottom of the eyelid and therefore not from a sterile area.
  20. Bill
    By posting this info on a website, by US standards, you have made ALL the mentioned laboratory information, and discussions with clinicians discoverable. That is, any private conversations and lab tests are now public and can be used against you or the clinician or the institution. Again--By US standards.
  21. Bill
    This comes under the same regulations that limit ED's from "dispensing" drugs for off-site use. At least that is what our lawyer told us when one of our OB docs wanted us to issue RhIg for use in his office. I do know others do it, but we did not because our lawyer advised us not to.
  22. Bill
    It is also in Meditech C/S 5.64
  23. Bill
    John Lemonaide (hot or cold) is good for anything and everything!!
  24. Bill
    The regulations state that QC must be performed "...each day of use." So when you state that you only do manual QC if Provue is down--are you stating that manual gel testing is NOT done if Provue is working? If that is the case, you are compliant but remember that if the Provue goes down, QC on manual gel must be done before you do any patient testing.
  25. Bill
    Mine are essentially same as David's. Good Luck
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