sbennett

We do manual plt counts when there is a flag of giant plts and the slide estimate does not agree. The Platelet count also has to be low for us to review the slide. The DxHs have helped reduced the manual plt counts we do since they count up to 25 fl. For QC we do a patient comparison with the DxH count and a manual count. The Leukocheck are almost exactly like the unipettes and we have not had any problems with them. The platelets are really easy to see. We also use them for WBC counts on body fluids if we need a 1:100 dilution. Hope this helps

We have had some issue with this. When it first happened we needed to recalibrate the instruments as we had just moved them. What we see now is intermitant and we have not been able to determine what the cause is. Like you, if we redraw the patient we do not get the delta check but we also see this delta failure correlate with delta failures on MCH and/or MCHC. If you find an answer please share it.

Hello all, Our Chemistry Team Lead is investigating reference ranges for Serum Total Protein. The instrumentation we use is the DxC 800s. We are just trying to see how we compare with other facilites and gather some data for our pathologist. Thanks in advance for you comments.

The Mixing Study is specifically ordered by the doctor and we will perform it if the PTT or Protime is above normal range. ( 36.0 is our cut off for normal PTTs). If the results are normal we order a regular PTT or Protime and note that mixing study was not indicated.

Do have criteria set up for when you perform manual differentials or review slides for RBC morphology? If you could send this to me I would greatly appreciate it. We are the only one in our region using the DxHs right now and I know my pathologists are going to ask what other hospitals are doing. my email is sbennett3@iuhealth.org

We have the DxC 800s which have been up and going for about a year. We also just went live on the DxH 800 yesterday. From the Hematology point of view the DxH 800 are going to be a great fit for our lab and will help stream line our process.

We are going to be changing out our LH 750s for new DxH 800s. Is there anyone else that are using the DxH 800s and do you have any helpful hints or insight about these instruments. So far everything looks really good but we have yet to do a large patient run on them. Thanks in advance for you comments.

We also ended up calibrating our LH 750s after a string of MCV deltas so instrument calibration can also be a factor. Our instruments are old and soon to be replaced but it is still a possibility.

If the person has not had a recent transfusion I am asking my techs to have thespecimen redrawn. We have seen a recent increase in delta checks on our MCVs and most of them I think are due to IV contamination.