Everything posted by OneMore
- Cord Blood Gas
- GeneXpert
- Chronolog
- Sahara TSC for apheresis thawing
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Urine Epi Cells
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
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Amicus Apheresis Instrument Validation
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!
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LIS downtime validation
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).
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Sunquest/EPIC with BPAM
Hi @QCDan, this is an older post; were you able to find what you were looking for?
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POC.07540 QC CONFIRMATION OF ACCEPTABLITY
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.
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base line pretransfusion vitals
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.
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Paperless QC entry
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.
- PROVUE ERROR CODES
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IRL Flow Charts
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!
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Vision interface to Meditech 6.1
Hi @holly, were you able to get this resolved and if so, would you mind giving an update on the problem and solution? Thanks!
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Albumin and Blood TRansfsuion
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
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STAGO Compact Max
Hi @BPELZEL! This is an older post, but if you came up with a solution would you mind giving an update? Thanks!
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Water bath vs dry plasma thawing systems
This is an older topic: Currently, if I was looking to replace a plasma thawer, it would be with microwave systems. They are much faster and the maintenance is extremely low. It would be fantastic to have the ability to get two units of plasma out right on the heels of RBCs for MTP activations.
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Charging for washed, irradiated, leuko-reduced platelets
This is an older post: I have not seen a code for this and could not find one in the HCPCS lists, sorry!
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Contracted Services for Cell Saver in OR
This is a bit of an old post: Great question, I've never seen that setup. If you happened to find an answer, would you mind posting a followup just for educational purposes @ffriesen?
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Shot in the dark...Judy Tessel
@3cardmoe This is an older post, if you still need help, do you have any other information to help narrow the search? Location, maybe a scan of the paper?
- Anyone using RFID chips in hospital wristbands?
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stainer correlation
This is an older post; in the 4 hospitals I have worked where more than one stainer was in use, none of them were correlating their stainers. They all documented daily stain QC and of course stainer maintenance, and that was enough. Stain is a manual method, and I'm not sure how you would actually set up a correlation, much less figure out what you're actually correlating that isn't covered by daily QC. As long as you are covering your daily stain quality and following your procedure, there should be no reason to correlate.
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Risk of Misdiagnosis Due to Tissue Contamination - Free Report
This is an older post: I'm sure even more has changed and been updated since 2011 - contamination and associated effects can be difficult to assess and it's a never-ending process to suss them out.
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validation of Optiseal tube sealer
This is an old post; it looks like this product is no longer available from Baxter.
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Need beginner Antibody, Panel ID problem sets available?
This question is a little old; however, there are now quite a few online practice resources. Does anyone want a list or still want a scanned problem set?