kholshoe

Thank you Rravkin for your input! It is quite helpful!

Hi everyone, We have recently been tasked with trying to standardize all our system's subsidiaries in terms of criteria to send peripheral slides back to a pathologist for review. The overall goal, of course, is to cut down on unnecessary slide reviews being sent back (normals, etc). Our subsidiary has historically used a very detailed set of guidelines (for example: not just any new anemic patient - but one with a hemoglobin of <6) with values within the rules to drive the criteria. Most of our sister subsidiaries are using a much more trimmed down set of criteria (for example: anemia, pancytopenia, etc.) without any values present. It is our lab's feeling that this is very subjective and would likely lead to even MORE slides being sent to a pathologist. I'd be interested in hearing what other labs do as trying to search for references online has been completely unsuccessful. I'm thinking perhaps there isn't consensus because it's all really driven by the medical director/pathologist to begin with. Any thoughts would be appreciated!

Hi everyone! Please take a few moments and read my latest blog article on marketing to the younger crowd for lab! Would love to hear your thoughts https://www.staffready.com/marketing-laboratory-career-millennials/

Hey there! Sorry, we use the XN analyzers for body fluids, but we don't report out the two-part differential. Our providers like more detail at our site, but that isn't to say it won't work at other sites. We do manual body fluid differentials and report percentages of neutrophils, lymphs, monos/macros, mesothelials, and any "other" cell types that don't fit those categories.

Thanks everyone for your responses! I know alot of other sites in our hospital system that use the Sedimat 15 Plus are are moderately pleased with it. I have been interested in the iSED for awhile now and actually have a rep coming to demo it tomorrow. I've heard that people love using it and it's easy, but some literature online is citing limitations with it. Has anyone else heard anything about it?

Hi everyone! Looking for some opinions on sed rate analyzers. We currently use a Streck ESR Auto Plus that may need to be replaced soon. Not sure I want to stick with Streck as it seems there are more efficient options out there now. Any thoughts?

Thank you so much! I'm happy to hear you could relate. Please share this with your fellow lab colleagues. We are such an important part of healthcare.

Hi everyone, I would really encourage you to take a moment to read a blog article I wrote regarding a lab scientist's connection to their patients from "behind the scenes". This subject is very near and dear to my heart and I hope others find that it resonates with them as well. Please feel free to share any thoughts below the article in the comments section. Thank you for taking the time to click! And as always, thank you for being an integral part of our healthcare system. https://www.staffready.com/patient-behind-scenes/

Hi everyone, I would really encourage you to take a moment to read a blog article I wrote regarding a lab scientist's connection to their patients from "behind the scenes". This subject is very near and dear to my heart and I hope others find that it resonates with them as well. Please feel free to share any thoughts below the article in the comments section. Thank you for taking the time to click! And as always, thank you for being an integral part of our healthcare system. https://www.staffready.com/patient-behind-scenes/

Hi everyone, I would really encourage you to take a moment to read a blog article I wrote regarding a lab scientist's connection to their patients from "behind the scenes". This subject is very near and dear to my heart and I hope others find that it resonates with them as well. Please feel free to share any thoughts below the article in the comments section. Thank you for taking the time to click! And as always, thank you for being an integral part of our healthcare system. https://www.staffready.com/patient-behind-scenes/

Hi everyone, I would really encourage you to take a moment to read a blog article I wrote regarding a lab scientist's connection to their patients from "behind the scenes". This subject is very near and dear to my heart and I hope others find that it resonates with them as well. Please feel free to share any thoughts below the article in the comments section. Thank you for taking the time to click! And as always, thank you for being an integral part of our healthcare system. https://www.staffready.com/patient-behind-scenes/

Hello! Our lab has two Sysmex XN analyzers, the XN line, and the SP-10 slidemaker/stainer. We do not have the Cellavision nor do we have SoftLab (we use Cerner for our LIS). I can't speak for the Cellavision or the LIS software - but if you need any help with the XN series analyzers or stainer, let me know!

I vote Sysmex all the way! We switched from Beckman Coulter LH 750/LH 500 analyzers a year ago and went with the Sysmex XN model series. Super minimal maintenance and very "forward-thinking" in their quality control process and software.

Does anyone out there perform this type of testing? If so - is there any way I could look at a CAP Participant Data Summary for one of these surveys? We are looking at this and are curious about setting appropriate grading ranges. Any help you could provide would be very much appreciated. Thanks!

Hi Joseph! Our Sysmex XN series analyzers do, in fact, differentiate between nucleated cells and WBCs. It will give both a total nucleated cell count AND a WBC count. We had planned to simply report the WBC and continue counting all nucleated cells in our diffs (neutrophils, lymphs, monos, macrophages, mesothelial cells, etc). Some of our techs are thinking that, if we provide a differential that includes non-WBCs, then we need to report the total never of nucleated cells (not just the WBC count). On the other hand, if you look at all results as an evaluation of the fluid as a whole ("here's my diff on the fluid as a whole" instead of "here's my diff on the WBCS I reported"), I'm not sure how important the actual TNC number really is. Our medical director feels the providers will be more interested in the separated WBC count. Any other thoughts?