Deny Morlino
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Everything posted by Deny Morlino
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After reading this thread I need to look at our SOP's to check the terminology. We have in place a release that must be signed by the attending physician before issuing incompatible units. Might need to change the mind set a bit for some of the techs here.
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Agreed. We are all generalists to a greater or lesser degree. The technical specialists are scheduled in the departments they are held responsible for most often.
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We are a 110 bed facility. During the week there is a dedicated tech in blood bank. Most of the kit immunology testing is part of this responsibility as well. Additionally reference test processing is part of the mix as well as quality assurance verification for completion. During second and third shifts there is not an assigned tech in blood bank (falls to whoever is available). During the weekend dayshift the blood bank tech also picks up hematology and urinalysis duties. The chemistry tech on the dayshift weekends works to help cover the workload in heme and urines as these are physically located away from blood bank and difficult to cover concurrently. Hope this helps answer the question. Deny
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About 2 years ago the lab dropped JCAHO due to inconsistancies and large "gray" areas. We transitioned to COLA and the requirements are more stringent but also more "black and white". The hospital stayed with JCAHO up until last year and began the transition to NIAHO and ISO 9001. The fact that the regs were subject to wide and varied interpretation depending upon the inspection team was frustrating to say the least. Time is better streamlined now that we know what to expect as we constantly work to remain prepared for an inspection.
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Hi there. My name is Deny and am located in northwestern Ohio. Stumbled upon this group while looking for some answers to a problem in our Blood Bank related to Ortho MTS testing. Having lurked here for several days this group seems to be willing to share from a vast wealth of knowledge available. Thanks for the time and attention to questions in advance as I will certainly have several to post soon.
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An advantage to purchasing the 3% solutions and diluting to 0.8% daily ... avoid contaminating the primary source of screening cells. Our usage was so close to using up a set of 0.8% reagents each month we ran the risk of running out of reagent cells before the next standing order shipment arrived. We also had some contamination issues of the primary bottles of reagent. Switching to the 3% solutions allowed us the breathing room we needed, provides a ready 3% solution for our tube backup method, and allows the primary reagent vials to be placed back into the refrigerator instead of remaining on the bench for extended periods. If the daily suspension becomes suspect, pitch it and dilute a fresh set, perform QC, and continue. Many advantages to starting with a 3% solution for our facility.