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BenchTech

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About BenchTech

  • Rank
    Junior Member
  • Birthday 02/07/1981

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  • Gender
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  • Location
    New Hampshire
  • Occupation
    Medical Technologist-Point of Care, Hematology, & Blood Bank

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  1. BenchTech

    Coag testing and ECMO

    I'm curious if anyone outs there have any specific procedures for troubleshooting ECMO patient's and their wonky Coag pictures? What tests do they typically use and what instrument do you run? Thanks
  2. BenchTech

    Automated body fluid q.c.

    We run 2 levels of body fluid controls every 24 hrs on the Sysmex XNs. It's a control specifically for body fluids as the XN treats body fluids differently than it does peripheral blood specimens. When we had the XE analyzers we did not run a specific QC but we also ran them specimens same way we ran whole blood specimens.
  3. BenchTech

    CBC's on Lipemic Patients

    We prefer doing a plasma blank as opposed to saline replacement. A lot of times we can correct for Lipemia with a 1:5 dilution when we can't we do the following. Plasma Blank: If severe lipemia is present, spin an aliquot of the patient’s blood at 3400 rpm for 10 minutes. Remove the plasma to a small glass tube and run this “plasma blank” in manual mode to obtain the Hgb value for the plasma. Calculate the corrected Hgb: Corrected Hgb = Whole blood Hgb - ((1-Spun Hct) X Plasma Hgb) Use the corrected Hgb and original RBC result to recalculate the MCH and MCHC as required.
  4. As we do our self inspection I have come across this new CAP requirement. **NEW** 08/17/2016 Alternative Control Procedures If the laboratory performs test procedures for which control materials are not commercially available, there are written procedures for an alternative mechanism to detect immediate errors and monitor test system performance over time. The performance of alternative control procedures must be recorded. NOTE: "Performance" includes elements of accuracy, precision, and clinical discriminating power. Examples of alternative procedures may include split sample testing with another method or with another laboratory, the testing of previously tested patient specimens in duplicate, testing of patient specimens in duplicate, or other defined processes approved by the laboratory director. I have a number of tests that do not have commercial QC, Gastrocult, Hansel Stain, Giemsa Stain, PFA, and HITs. My questions are: Does anyone know of any commercial QC for any these tests? Anytime we do a Wright or Giemsa stain we generally judge the quality as our QC. For Hansel we do stain a blood smear that has a high Eos count. Does anyone do anything different? Thanks!
  5. BenchTech

    Siemens Coag Instruments Question

    I've used the the CA1500 for about 13 years at multiple different facilities and although it is a work horse with very few issues, the technology is very antiquated. We've been trying to upgrade for a number of years to the 2500 but no luck securing the money yet. If you're looking, don't even look at the CA1500 definitely look at the 2500 or something else.
  6. BenchTech

    VIDAS for D-Dimers

    Does anyone use the VIDAS for DDimers? How's the ease of use? How long do tests generally take? Are your physicians happy with it? Is it easy to calibrate? What's the reliability of the QC? Any issues? We are currently using the CA1500's Thanks!
  7. BenchTech

    Urine Microscopic QC

    How many places spin their urine QC and perform a microscopic exam? Do you do it daily? weekly? monthly? My big question though is this a CAP requirement. I can't find anywhere where it states that it is a requirement. I recently took over as supervisor and I don't know if we are doing this every day because we always have or because it's required. Thanks
  8. BenchTech

    Urine Microscopic QC

    How many places spin their urine QC and perform a microscopic exam? Do you do it daily? weekly? monthly? My big question though is this a CAP requirement. I can't find anywhere where it states that it is a requirement. I recently took over as supervisor and I don't know if we are doing this every day because we always have or because it's required. Thanks
  9. Anyone out there reporting the XN automated differential for body fluids? If so how do the providers like it (do the insist on more than a 2 part diff)
  10. Does anyone out there require that staff wear a face shield when performing a CBG or doing any type of capillary puncture?
  11. Curious what people use. I'd love to get rid of the Hansel stain and make life easier on my Techs.
  12. BenchTech

    Anyone Have this LIS/Instrument Combo???

    Thank you for the responses. It took over 6 months but we were finally able to get everything to work with full auto verification. Thanks!
  13. Does anyone out there have the XN line, SP-10, and the DI60 Cellavision with SoftLab as their LIS? I'm looking to see what people's work flow and processing is. We're having trouble getting our interface built. Thanks!
  14. BenchTech

    Hematology Analyzers

    All of our flags on the Xe-2100 are interpreted in our LIS (we use Soft). I am not familiar enough with the computer interfaces of any of these machines to give you any insight. Sorry.
  15. BenchTech

    Hematology Analyzers

    I have used Advia's, Coulters and Sysmex machines and I would say Sysmex wins. They are easy to use, the online QC management program (insight) is great, I love getting an optical plt, %IG and automated NRBC count. We have 2 XE-2100's, a XS-1000i and a Poch-100i in our organization. We also have the XE-2100's set up on an automated line with a slide maker stainer that is wonderful!!!. Very easy to maintain, we have had almost no major issues with them. I dislike the Coulters because we always had problems with them ( I used the LH500 and LH750). I did not like the way they ran, and the software. The Advia's weren't bad but it always seemed like we were sucking clots into the guts of it and needing it replaced (a lot of that was user error I will admit). Hope this helps if you want more info just holler
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