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About LG53

  • Birthday 10/26/1953

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  1. LG53


    Our lab director has just started the "we need to work on this" talk in Micro. I would love to talk about ideas. I'm thinking about starting with the Nanosphere Gram Positive and Gram Negative Blood Culture ID.
  2. Has anyone had much experience with this system? We are changing over from a BacTAlert3D because of inventory problems. My first impression is that the software with the VersaTrek is fairly simple without much flexibility.
  3. I've often thought that they do have way too much time on their hands!
  4. I'm in the process of updating our Hematology manual. We have what I feel is a rather strange requirement. If we perform a manual differential, we are supposed to compare it to the auto diff and it has to agree within certain criteria: Percentages of Neutrophils and Lymphs have to agree within 10 cells and all "other" cells have to agree within 5 cells. Furthermore, the manual diff has to be recorded on the instrument printout in case there is a question about the results. I understand the logic behind double checking your diff results - avoids errors when performing the diff (wrong key type errors), but I have a problem with writing everything down on the printout. Currently, we are drowning in paper. We save normal CBC printouts for a month, and those with manual slides for 5 months. I want to get away from the recording of the results on the printout to save time, but am encountering resistance because no one really knows exactly why we started. It may be some obscure Joint Commission rule, but I can't find it anywhere. I've asked friends who work at other hospitals if they do it and have always gotten "NO" for an answer. Any thoughts or recommendations on this would be greatly appreciated!
  5. JCAHO is not only more strict with the "each mode, every 8 hours", but they also want that QC to be done within a 30 minute time window. We set our QC to be done at 8am, 4pm, and midnight. That means that the days shift has to run their QC between 0745 and 0815. Sounds easy enough, but throw patient stats and phone calls into the mix and it gets to be a hassle on all shifts, expecially when the second and third shifts have fewer people!
  6. I ran across your message when I was doing a search for how to establish a delta check range. I found this link from aacc.org very helpful: http://www.aacc.org/resourcecenters/archivedprograms/expert_access/2011/March/Documents/Straseski_ExpertAccessMarch2011.pdf There's a page that tells you how to use a RCV to determine a delta check. At least it's a place to start. You can make adjustments once you put the delta check into practice.
  7. I have had good luck in the past with the Stanbio reagent. It is a liquid reagent that adapts well to an analyser with open channels (user defined chemistries). At my last job, we used it on a Vitros Fusion, and we are now about to try it with the Dimension XL. There may be other tests out there by now as this really is the way to go for monitoring DKA. I would caution you about the POC test by Abbott. We evaluated that one and it wasn't very accurate in patients with high levels of ketones. I think it was a linearity problem- it would be good for screening, but no diagnostic monitoring.
  8. Does anyone have a reference for the agreement percentage? From what I can tell, the 10% is a rule of thumb from the manual WBC, RBC, and Platelet counts. It is sometimes a bit tight when counting white cells on bloody pleural fluids. I would like to have ours set at 20% as well.
  9. Of all the Texas cities, San Antonio has the lowest pay scale. We think it's because of all the military and retired military techs that want to live there - lots of supply for the demand.
  10. We had a nurse come down once for FFP and then refused to accept the plasma because it was supposed to be FROZEN. The blood bank supervisor sent her back upstairs to talk to the nursing supervisor. A different nurse came down after that and accepted the thawed plasma. We laughed about that for a while - maybe they wanted a plasma popsicle!
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