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BenchTech

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    31
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    United States

About BenchTech

  • Rank
    Junior Member
  • Birthday 02/07/1981

Profile Information

  • Gender
    Not Telling
  • Location
    New Hampshire
  • Occupation
    Medical Technologist-Point of Care, Hematology, & Blood Bank

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  1. I'm currently looking for anyone who maybe able to give me some feedback about CLIA regulations and the donor world. To explain I'm working for a research company that is setting up a laboratory with a Certificate of Compliance to perform CBC's on donors prior to the collection of MNC's. All my experience is clinical and I have never worked in the donor world before. I'm wondering how some of the CLIA regulations apply. For example having a physician order for the CBC. I have reached out to our state CLIA inspector multiple times with no response, which is frustrating enough and I'm looking for some guidance. Thanks
  2. For those of you out there running TEG 6s instruments, since Haemonetics does not have 2 levels of commercial QC available how do you satisfy this requirement: HEM.20090 Alternative Control Procedures Phase II 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. Evidence of Compliance: ✓ Written procedures for alternative quality control AND ✓ Records of alternative control procedures Thanks!!!
  3. 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
  4. 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.
  5. 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.
  6. 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!
  7. 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.
  8. 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!
  9. 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
  10. 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
  11. 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)
  12. Does anyone out there require that staff wear a face shield when performing a CBG or doing any type of capillary puncture?
  13. Curious what people use. I'd love to get rid of the Hansel stain and make life easier on my Techs.
  14. 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!
  15. 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!
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