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SMILLER

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SMILLER last won the day on July 23

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About SMILLER

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    Has been around for a while
  • Birthday 08/10/1958

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    Medical Laboratory Scientist
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    Saginaw, MI, USA
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    Generalist, mid-sized level 2 trauma center

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  1. On the other hand, if those 15% are in another emergent situation in the future... Scott
  2. We used to get them from time to time. We just use a generic body fluid cell count and diff order. Scott
  3. You would want to check the Ortho Instructions For Use (all Ortho IFUs are online) for stuff like this. I believe the MTS diluent is listed as being usable until its label expiration date (opened or not). The notes about QC are there also. I am pretty sure our Ortho customer rep went over all this stuff with us when we switched from tube to gel years ago. Scott
  4. Oh, yeah. That's true! I think Ortho wants to make sure that you do not respin and try to re-read used cells. And still, you would not want to try to "fix" a bad card (liquid off the gel) by re-spinning before use I think. Scott
  5. I think you need to worry about the quality of the cards before they are used. We also have had some bad cards shipped to us earlier this year (we do manual gel). Bad as in no liquid on top of the gel. According to Ortho, the gel goes bad in situations like this, so "fixing" them by re spinning doesn't seem like a good idea. They should just be rejected. Scott
  6. We use diluent to make up the negative and positive control solutions for checking the screening cells. That seems adequate. Scott
  7. The only use of Rh immune globulin that I have seen is for neutralizing the tiny amount of fetal RBCs that may enter the mother's bloodstream. I also would be interested in how this could work for large amounts of D+ RBCs being transfused in an emergent situation, such as a massive transfusion. Scott
  8. There are a few ideas in this article;: https://www.mlo-online.com/home/article/13008689/lipemia-and-hyperleukocytosis-can-lead-to-cbc-errors It seems like manually removing the buffy coat is a bit crude compared to some of these other ideas, like subtracting the auto-WBC from the auto-RBC to get an accurate RBC. Scott
  9. Whatever centrifuge or cell washer you use, you need to check it at different times for each speed. What you want to see is how long it takes to get a clearly delineated cell button for both a positive and negative reactions, in addition to a negative that dissolves easily. We check ours yearly, (I think it's regulated by our inspector-JCAHO). And sometimes we find we have to adjust a time for -- say -- an IS -- from 15 to 20 secs or whatever. Scott
  10. When we got our DxH 800s a few years ago, we tried to correlate several types of body fluids, and decided that it was not worth the trouble. The linearity was not very precise (or accurate compared to manual counts) at lower levels, like those found in CSF. You will have to do a manual diff anyway, as no hematology analyzer is going to report out mesothelial or malignant cells. Scott
  11. Same as Dave, above. Scott
  12. A and B. Depending on whether or not the director determines that the supervisor or staff members are breaking any rules, they may want to consult with HR or any union reps as well. Scott
  13. Remote as in down in the ER or the OR? At an outpatient facility? At another of your system's hospitals? Scott
  14. While the patient is in the OR, they collect specimens. However, most surgical patients have blood drawn by the associates working in the pre-operative holding unit before they go to the OR. Scott
  15. My idea was just a guess. If you come across any clinical reasons for this testing in the future, I would be interested in seeing them here. Thanks, Scott
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