Jump to content
May 2024 Challenge

Deny Morlino

Members - Bounced Email
 View Profile  See their activity

  • Posts

    731

  • Joined

  • Last visited

  • Days Won

    3

  • Country

    United States

 Content Type 

Everything posted by Deny Morlino

  1. Deny Morlino
    Auntie-D, Thank-you for the link. I need some guidance as the registration information appears to be specific to the NHS employees. Is this the case? Some of the required information is related to the locale you would work in, and I do not see a choice that would fit for folks outside of the UK system. Let me know if I am missing something as I have a student who was very enthusiastic about the possibilities this site offers. Thanks again.
  2. Deny Morlino
    770 ft here and the same as Mabel states.
  3. Deny Morlino
    When attending the supplier meetings on this sort of subject the recommendation is always to cover your expenses by wrapping everything into the average price charged for a product. This includes such things as storage of the product and any manipulation necessary to prepare the unit for issue. I would likely divide my normal unit charge in half for a split as your use is colser to 2 than 3 and that would cover you 2.2 parts figure you have come up with. Don't leave anything on the table as blood bank is already a cost center anyway.
  4. Deny Morlino
    My best weapon is to point out any issue to my pathologist. If it is a cost issue he will ask for a gathering of supportive data and the issue will go to the appropriate committee and be addressed. Have had several issues adjusted by this method.
  5. Deny Morlino
    I have noticed a "margin" of empty tables around the lab group during meals now that you mention it!! Too funny.
  6. Deny Morlino
    I remember during training by the Ortho rep many years ago as we instituted gel a discussion to this effect. The rep did not however say that a lack of an air bubble was a reason to throw the test card out and repeat. Not sure of the official stance Ortho has at the moment.
  7. Deny Morlino
    Same process here as SMILLER
  8. Deny Morlino
    John and Malcolm you two are just not quite right! Thanks for the laugh on a Monday morning.
  9. Deny Morlino
    Malcolm, Thanks for this information. I am seriously considering switching to the Biorad reagents as my yearly contract order with Ortho is about finished. The information you have provided helps with that decision and will be useful once the Diamed system is available in the States.
  10. Deny Morlino
    I am not able to be of any help as far as the ISBT codes as we have not made the transition yet. As far as the splitting process goes, there will always be one more unit charge than there are charges for splitting. For example a pack cell unit is split twice into a total of 3 splits. This would incur two splitting charges and three unit charges. In the ISBT system the splitting charge is probably included in the description (a guess on my part). The same scenario above in ISBT would mean two units described to include the splitting process and one unit described that does not include the splitting process. This may not be very clear as I am describing it and hopefully others using ISBT will chime in. To answer the whole unit question I would say billing for the whole unit when a split is administered is inappropriate. ISBT users please fill in the blanks!!
  11. Deny Morlino
    Funny but I have had the same thought on more than one occasion!!
  12. Deny Morlino
    Nursing handles the clerical check for anything they touch; blood bank handles the clerical check for anything we touch. Causes some overlap which is a good thing in this situation.
  13. Deny Morlino
    To help this situation here the STAT policy has been changed. From the time of notification that a STAT has been ordered phlebotomy has 15 minutes to collect the specimen. This is normally not an issue for the phlebotomy team. The result of this is much better turn around from the ordering ward's perspective. All in the name of customer service after all. It has been very successful here.
  14. Deny Morlino
    Gel received to complete is the same as Bill.
  15. Deny Morlino
    A printed copy is provided early afternoon for the following day's schedule for the pathology secretary, the hisotologist, and for blood bank. It is invaluable to us as surgeries are canceled between pre admission testing and the day of surgery. Without the schedule many phone calls and wasted time for both departments would result. We are also responsible for obtaining repeat draws the day of surgery for appropriate surgical cases requiring a crossmatch. Knowing what the SOP for arival time for a given type of surgery is we can catch the patient upon admission without disrupting the final presurgical process. Just some thoughts. P.S. Blood bankers have enough surprises on a day to day basis. Eliminating a few is a huge help!!
  16. Deny Morlino
    Phil, Would you be willing to share what you have found thus far? Lab manager has just given us the preliminary heads up on this. Thanks for any help.
  17. Deny Morlino
    I must agree with David ... thanks Malcolm!
  18. Deny Morlino
    The comfort level of the OB delivering is my point. Smaller hospital here where the OB's know their (and our) limits. If the physician is concerned about a vaginal delivery they usually opt for the c-section. If the situation is more than they feel they can handle, they refer to a larger care facility. The OB physicians are more concerned with the bleed possibilities from the c-section than a vaginal delevery. If this is where their comfort zone exists then we accomodate them with the screen for the c-sections and reduce the number of screen performed in the process. I am not disagreeing with your statement on the frequency of the possible bleed being higher from a vaginal delivery. This system works for our situation.
  19. Deny Morlino
    Good to hear that. Looking forward to more than one player in the column agglutination arena.
  20. Deny Morlino
    Antenatal testing is normally performed around the 16th week of gestation here as part of a prenatal profile. If the patient is rh negative a RhIg workup is repeated at week 28. This includes an antibody screen. If the patient is determined to be a c-section delivery, a type and screen is performed prior to surgery. Other than these instances, a screen is not routinely performed. I do not see how the safety of the patient is compromised in these scenarios. It is a comfortable balance of safety and cost containment that works for our physicians and blood bank. OK off my soap box now
  21. Deny Morlino
    Biorad is due to enter that market in 2012 I believe. Ortho's lock on "gel" in the United States expires this year I believe. Will be interesting to see how this all plays out.
  22. Deny Morlino
    Seems like quite a bit of medical non-necessity. Part of our job is cost containment, and this is a perfect example of unnecessary waste in my opinion.
  23. Deny Morlino
    OB=Obstetric patient. We perform a type and screen only once the decision has been made for the patient to be taken to surgery for a C-section. Reduces the numbers significantly.
  24. Deny Morlino
    If you plan on dreaming, then dream big!!
  25. Deny Morlino
    That I know of there is not any sort of stipulation restricting the "job classification" . Here it just happens to fall to the lab office personnel. In a dream world, all of this would be handled by the registration staff and be sorted out prior to reaching phlebotomy.
×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.