CORE LAB STAFF MEETING October 2006 Agenda Computer Downtime Specimen Number Reports Strike Planning...
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CORE LAB STAFF MEETINGOctober 2006
AgendaComputer Downtime
Specimen Number ReportsStrike Planning
Employee AnniversariesBaker-King Recipient
Hematology LeadCore Laboratories Web Page
Chemistry AutomationPTO Policy
Safety – Copy Machine UseIV Draw Scenarios
United Way
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Computer Downtime
<15 min: Take No Action
(except Critical Care, ER, Lactic Acid,
Ammonia, SuperSTATs)
15 min -1 hour: Back-Up Manual Processing for STATs
`
>1 hour: Back-Up Manual Process for All
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Back-Up Labels• Specimen Processing
• Critical Care
• Emergency Room
• Oncology
• Flow Cytometry
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Call Back Results
• Critical Care Laboratory
• Emergency Room Laboratory
• Special Chemistry / Toxicology STATs
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Specimen Demand Print
Any Report Must Include:
* Name of the Laboratory
* Address of the Laboratory
* CLIA Number
JCAHO Compliant Report
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Select SYSTEM COMMAND OPTIONS Option: ^SPDE Demand Overlay by Specimen
Specimen(s) may be selected by specimen number inputif specimen is less than 30 days old.Multiple specimens may be selected.
Otherwise, patient encounter must be chosen first.Specimens will then be displayed for selection.Multiple encounters/specimens may be chosen.
Reports must be printed to an PDS Overlay device ormay be faxed by selecting FAX-OVERLAY at the device prompt.
Is this SPECIMEN < 30 days old? NO---------------------------------------------------------------------------------------------
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SPECIMEN PRINT -- ENCOUNTER SELECTION
----------------------------------------------------------------------------- Patient search will be among all 'active' cases (not yet fiched), unless ';date' limitation is appended to this entry. ['?' for more detail] -----------------------------------------------------------------------------
Enter History Number, or Name, or Partial-name (Partial-last,Partial-first)
==> 2398778 . Searching current encounters for '2398778' at all valid institutions ...
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MULTIPLE PATIENTS / ENCOUNTERS MATCH INPUT OF: 2398778 A D ADMIT/ NAME HNO T BIRTH LOC VISIT DISCH ---- --- - ----- --- ------ -----1 PAK, JONG K 2398778 11/20/38 107 08/18/06 08/18/062 PAK, JONG K 2398778 11/20/38 107 08/22/06 08/22/063 PAK, JONG K 2398778 11/20/38 107 06/07/06 06/07/064 PAK, JONG K 2398778 11/20/38 379 04/24/06 04/24/065 PAK, JONG K 2398778 11/20/38 107 02/23/06 02/25/066 PAK, JONG K 2398778 11/20/38 379CL 10/24/05 10/26/057 PAK, JONG K 2398778 11/20/38 379CL 04/25/05 04/27/058 PAK, JONG K 2398778 11/20/38 379CL 09/20/04 09/22/049 PAK, JONG K 2398778 11/20/38 379CL 03/31/04 04/02/04
Enter 1 to 9 to select a name,'D' to restart search with new first date of interest,'^' to restart search with new History # / Name,
[RETURN] to continue: => 1 . PAK, JONG K
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SPECIMEN PRINT -- SPECIMEN SELECTION
1).29-5C8750
OK to Select? Y => Y
Select Another Patient Encounter? N// NOThe following Specimens have been selected:
PAK, JONG K 239-87-78 08/18/200629-5C8750
Is this correct? YESDEVICE: HOME// CS1 1 CS1-CUM CUSTOMER SERVICE 2 CS1-DEF CUSTOMER SERVICE 3 CS1-JHH-OVERLAY CUSTOMER SERVICE 4 CS1-L16 CUSTOMER SERVICE 5 CS1-P10 CUSTOMER SERVICE 6 CS1-P10PL CUSTOMER SERVICE 7 CS1-P12 CUSTOMER SERVICE 8 CS1-P16 CUSTOMER SERVICE
Choose 1-8> 3 CS1-JHH-OVERLAY CUSTOMER SERVICE
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Strike Planning
• Contract ends Friday, December 1.
• Union must give 10 days notice.
• 12 hours availability requirement.
• 8-hour assignments likely.
• Vacations cancelled
(previously booked vacations – review with Al by Friday, October 20).
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Employee Anniversaries
30 Years
Lois Tissue Phlebotomy
Darlene Johnson Customer Service
Gwendolyn Reese Customer Service
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Employee AnniversariesEmployee Anniversaries
20 Years20 YearsCarolyn Howard Chemistry Lab
Ernestine McDaniel Phlebotomy
Valencia Coles Hematology
Kathy Cowan Hematology
Mary Ann Ness Hematology
Debbie Day JH White Marsh
Christina Constantinou JH Green Spring
Denise Norman JH Green Spring
Cindy Morgan Righini Special Chemistry
Norma Nicolas Special Chemistry
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Employee AnniversariesEmployee Anniversaries
10 Years
Ellen Taylor-Griffin Core Lab Evenings
Valerie Moore Core Lab Nights
Gerard Woodrum Core Lab Nights
Jennifer Phelps Hematology
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Employee AnniversariesEmployee Anniversaries 5 YearsJuanita Nelson BMS Danyelle Parrish ChemistryGillian Gordon Core Lab EveningsCedric Jones Core Lab EveningsHadji Malacas Core Lab EveningsMahmoud MossallamCore Lab EveningsCharnestie Scrivens Core Lab EveningsErin Hanson Core Lab NightsMohamed Keita Core Lab NightsBrian Overton Core Lab NightsTracey Sutton Core Lab NightsLutrondar Lester PhlebotomyAngela Brown ProcessingLakisha Davis ProcessingLatisha Edmonds ProcessingCarolyn McKaughan HematologyAdriana Saucedo Customer ServiceTameka Cassel Howard Co. General Hosp.
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Baker King Winner - 2006
Sherrie Hicks-Rose
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Heidi Kincaid Nicewander Lead Technologist, Hematology
B.S., Medical Technology, Slippery Rock University of Pennsylvania, Slippery Rock, PA, 1994.
12 years M.T. experience, including University of North Carolina Hospital in Chapel Hill, NC, and Northeast Medical Center in Concord, NC.
Hematology Core Lab M.T. since 1994.
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TSM Controller
1500 TUL
Rfg Office
Vac. Tubes
Accessioning&
Labeling
Existing counterNew Counter
Primary Sorting
Reach inRefrigerator
A/C #2
A/C #1RemoveElectricPanel
Wall Counters
A/C #3
5 23
/32"
ModularController
DIController
Mod
ular
Con
trol
ler
I S E
1800 TUL
I S E
5'-3
3/8
"
6'-1
"
2'-4
3/4
"
5'-6
3/8
"
6'-6
3/8
"
25'
-10
13/
16"
2'-9"
22'-6"
4'-0"
5'-0
"
4'-8
"
2'-10"
22'-8"
2'-3
1/2
"
Storage
2'-1
0 1
/2"
3'-6 1/2"
13'
-6"
14'-0"
10'-10"
3'-0"
18'-6"7'-8" 3'-2"
1'-2
"
6'-8"
23'-2 1/4"
3'-9
"
4'-0"
11'
-4 1
3/1
6"
A/C #4
1800 TUL
7'-0
"
Currentfloor drain
Request formoved floor
drain
Request forrelocated counters
PVC Drainpipe
New Chemistry Automation
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Roche/Hitachi PREANALYTICAL
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Safety – Copy Machine Use
• No Gloves
• Clean / Not Biohazard
• No Lab Coat
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PTO Policy
• Must Have PTO to Use PTO.• Zero PTO Balance – No Scheduled PTO.• Advance Planning of PTO Using Future
Accruals.• Unscheduled Time Off Without PTO –
Occurrence.
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“This is something you should know…
if there’s a line, draw below. If no veins below the line,
inform the nurse you must decline.”
Never draw above an IV line (turned on or off ). Hickman, PICC, or Heplock with no line attached, you may draw above or below .
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For the following situations, assume the right arm is listed as
“No Procedures”.
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Where could I perform a Venipuncture?
• Above
• Below
• Either
• Never
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Answer
Either Above or Below – there is no line attached.
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Where could I perform a Venipuncture?
• Above
• Below
• Either
• Never
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Answer
Below - there is an infusion line attached to the device.
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Where could I perform a Venipuncture?
• Above
• Below
• Either
• Never
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Answer
Below / Neither – assuming a tourniquet can be safely applied and prominent veins are in the hand. This device is almost too low to apply a tourniquet.
There is an infusion line attached to the device so you must go BELOW.
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Where could I perform a Venipuncture?
• Above
• Below
• Either
• Never
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Answer
Either Above or Below – there is no line attached so use a traditional venipuncture site.
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Where could I perform a Venipuncture?
• Above
• Below
• Either
• Never
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Answer
Below - there is an infusion line attached to the device.Even though Blood is being infused, the Lab has no
written policy to exclude phlebotomy during a blood infusion. We would never refuse a draw because blood is actively infusing.
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Where could I perform a Venipuncture?
• Above
• Below
• Either
• Never
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Answer
Above. There is no line attached.
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Devices used at Johns Hopkins
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• Ellen Dumer• Mary Jo Bill• Bill Hartlove• Latoshia Hicks• Lois Tissue
• Katie Pronschinske• Kathy Kowalewski• Danna Anderson• Wanda Smith• Natanya Watson
United Way Coordinators
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