OneMore

Hi @BloodBankGuy, this is an older post - were you able to find the information you were looking for?

Hi @MARINA, it looks like this is an older post - were you able to get the answers you needed, and if so would you mind posting an update with the information? Thanks!

Hi, @amblanki, this is an older post - I haven't personally used a Chronolog but know a few people that have used aggregometers. If you are still looking for information, let me know and I can see whether anyone has used that brand.

Hi @federico.z, this is an older post - were you able to find the answers you were looking for? If yes, would you mind posting an update in case anyone else has the same questions? Thanks!

This is an older post; however, each facility sets the numerical range/semi-quantitative range for their urine microscopic constituents with the guidance and approval of the medical director. The majority of facilities I've worked with have used and reported numerical ranges, with only a couple reporting as few/moderate/many. Here are the ranges the hospital I'm currently with are using. The far right column is the actual result set that reports on the patient chart. These could easily be translated as normal/rare/few/moderate/many/TNTC (too numerous to count). EPITHELIAL CELLS Normal: 0-2 0-2, 2-5, 5-10, 10-25, 25-50, or greater than (>) 50/ HPF

Hi, this is an older post - were you able to find what you needed, and would you be willing to share your validation plan if so? Thanks!

This is a bit of an old post; we did not have any instrumentation that required a revalidation plan for scheduled LIS downtimes. IT handled any interface checks that were necessary. We simply retransmitted results directly from the analyzers (and hand entered anything that was a manual entry). If the retransmission didn't work, we knew there was an issue and we called IT immediately to have it fixed. All testing done during downtime was printed or the results written on a downtime form and tubed to the ordering department/floor. We saved all of the paperwork and printouts for the same amount of time as patient testing. Lead techs would double check to ensure the results went to the patient side of the LIS correctly (since lab checked to ensure the correct numbers were released).

Hi @QCDan, this is an older post; were you able to find what you were looking for?

Howdy! This is a bit of an old post, but we absolutely have these columns on anything that doesn't automatically transfer to the LIS (anything on paper or that we manually enter). For efficiency and error reduction, of course, we have moved everything possible to the LIS and have programmed acceptability criteria with overrides for anything out of range. In addition, for our main chem, hemo, and coag analyzers we have our LIS programmed to hold all results for any test that hasn't had acceptable QC cross or had the exception documented.

This is an older post, but our process for this has varied (just a little) from hospital to hospital. All of them had us hold the unit and contact the medical director for permission to release the unit, and this usually required a bit of a wait while they called the doctor to either refuse the release or to obtain enough information to feel comfortable with doing so. Vitals that are out of recommended limits can create a situation where a transfusion reaction is missed, and therefore all transfusions for these patients had to be accepted by the medical director. Your patient population may be such that this is not uncommon, and it should be addressed in your procedure regarding how to handle these cases.

Hi @Dkadrums, were you able to find the form you were needing? If so, would you be able to post an update on your solution? I've used Excel for this, but only to create the template since there has to be a way to ID the work back to the tech, and inspectors don't like typed initials as 'proof' an individual ran the testing (especially if it's something that can be edited). Dropping this into Adobe would be better if you can require the form be digitally signed.

Hi @CYGI, this is an older post - were you able to find a fix for the issue, and if so, would you mind giving an update on what the problem turned out to be and what the fix was? Thanks!

Hi @BBNC17, this was a bit of an older post - were you able to find what you needed and if so, would you be willing to share sources or flow charts? Thanks!

Hi @holly, were you able to get this resolved and if so, would you mind giving an update on the problem and solution? Thanks!

This is an older post, but in case anyone else happens to need the information: I couldn't find any data supporting 25% albumin administration concurrent with PRBC transfusion. However, the clinical staff may be diluting this product down to 4-5% at the bedside for transfusion - definitely something to check (or to pass along to the medical director/administration to investigate so you don't have to be in the middle). https://www.researchgate.net/publication/339182642_Blood_Transfusion_Intravenous_Medication