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Darren last won the day on November 20 2018

Darren had the most liked content!

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    Clinical Laboratory Scientist

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  1. My hospital was cyber attacked and we've been down for about two months now. The end is in sight and it is the opinion of my boss that we will be manually entering all results from those two months into the LIS. Everything. Lab, Micro, path, BB. Thoughts? My thoughts that it is horribly unsafe and that all results should be scanned in and manually charged has fallen on deaf ears.
  2. Does anyone have a policy to share on delta check intervals? In our system (meditech) we have the hours set pretty far back and it stops outpatients for ridiculous things like a1c% and differential values and various chemistries. Personally I think delta checking differentials at all is a bit worthless, particularly on an outpatient whose last value was a week or two ago. And nearly daily at least a few inpatients will have differential delta checks. I'd like to whittle down our delta checks to try to make them actually helpful and optimize our TAT with more autoreleased results.
  3. Darren

    Ortho Chem

    Anyone have a 7600 from ortho? Have they updated the software in them at all? Seems like all they did was change the color and put in the digital camera and dual test slides. The software of the 5600 is dated. Wants you to print everything rather than offering to save to usb or a network folder or have an email option. It would be nice to be able to use a network printer as well. I've heard that they have a hemoglobin A1C microslide coming out this year. That would be better than the supply 3 test. Hopefully. If it works well.
  4. No, we don't have to type in the period. The period is put as the auto result spot on page 3 of the test dictionary. Then on page 5 you put in a period as a result code with No History\FV as the result text. You have to have an Order Group built that you attach to this response to trigger the reflex type. If any other result appears like ABN or OP or whatever you have each built as a result code on page 5 and for the result text put History On File or whatever with the \FV after it. But that will not get any reflex order groups. I'll try to keep a better eye on checking this site if you have any other questions.
  5. I would love a national medical record so we could all have access to the type of anyone that walks through the door and has a history.
  6. Then a phlebotomist is in deep doo? We do a two person witness on BB collections. Something I guess.
  7. We run our panels on the Vision analyzer and result them all in the LIS. I do not scan the antigrams. I keep a network folder of PDFs of all of the lots we use for referencing back to. Which in years and years we've never had to do.
  8. I have a calculation built in Meditech that if the patient has no BB history then it will automatically add a second type to the order. Forward type only. Currently we just run it on the same tube.
  9. We use the Transfusion administration record in Meditech. Barcode scanning in the BB on issue and at bedside by nursing. Nursing brings a form with the patient account number to pick up the unit. We scan that to bring up the patient and then scan out the blood.
  10. We use the TimestripPlus BT-10s. We also have a tiny infrared thermometer and there's always the certified thermometer that we can wrap around a unit and take a reading. We don't often get returns or have to mess with coolers so it's not that big of an issue for us thankfully.
  11. We'll be migrating to Epic in the next year or two. Probably with Wellsky or whatever HCLL is called. I know it probably depends on the organization, but is there much building to do with Epic or does a lot come standard with no customizing? We're currently using Meditech 6.0.
  12. Hello all. Am I the only one that doesn't get hemocytometer controls. We run a liquid control when we do them, but it really seems that manual counts should be an issue of competency with a validated hemocytometer, not a qc issue. Even if you get a manufactured disposable hemocytometer with multiple counting areas you're only running qc on two areas that you don't even use for counting the patients. So it seems that QC is assessing the tech performance rather than the hemocytometer. Particularly if using an old glass one with the same coverslip over and over.
  13. Hello all. I have Vision and we have two of the Ortho Sera reagents that we use, the weak D and anti-K. The problem with doing antigen typing for us is that we don't do enough of it to get the Ortho antigen typing cards. If we got one sleeve of Anti-E cards we'd probably have to throw some away at the expiration date. Same with any of the other Rh cards they offer. What would be ideal for us and probably a lot of places is Ortho Sera for Rh antigens because the antisera has a much longer expiration date - 18 to 24 months I think. I asked our rep if they planned on producing those and he said that right now he didn't see anything on it. BUT if customers start putting in requests for it on the hotline they would consider it if they got enough requests. If enough of us Vision users flood them with requests then maybe we can get them moving on it. So the next time you have to call in to service for something request Ortho Sera for the Rh antigens! You can even call the service hotline just to make the suggestions. I think it'd be a great product for practically everyone that uses the Vision.
  14. Okay! Here's the deal. Cytotherm has gone under. A former employee has taken over the service parts and started his own business that hopefully lasts as long as the thawers do. We ordered 2 bladders from him and got them the next day! The website is called Cytosupplies. https://www.cytosupplies.com/ First purchase is via credit card and then after that you can get set up in his system for POs. So spread the word to get this guy some business so we don't have to fork out a bunch for all new thawers.
  15. Anyone else have a cytotherm thawer and find it impossible to get the replacement bladders? I've tried all of the numbers and email and gotten no response. Have they gone under? I even tried calling the fax number and a fax machine picked up. It's a mystery.
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