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VUMC Clinical Pathology Laboratories. VUMC Clinical Pathology Laboratories. VUMC Diagnostic Laboratory. Excellence Through Automation!. Nursing Leadership Type and Size Conversion Information February 8,2007. Laboratory Automation Project. Change in Practice.

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VUMC Diagnostic Laboratory

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Vumc diagnostic laboratory

VUMC Clinical Pathology Laboratories

VUMC Clinical Pathology Laboratories

VUMC Diagnostic Laboratory

Excellence

Through

Automation!

Nursing Leadership

Type and Size Conversion Information

February 8,2007


Laboratory automation project

Laboratory Automation Project


Change in practice

Change in Practice

  • Change in the Size of the Tube

    • 13 X 100 (4.5  3.5 draw volume)

  • Change in the Color of the Tube

    • Light Green

    • Dark Green


Chemistry tube type conversion

Chemistry Tube Type Conversion

  • Old Gold SST

    13 X 100

    +

  • Old Red

    13 X 100

  • Light Green PST

    13 X 100


Chemistry microtainer tube conversion

Chemistry Microtainer Tube Conversion

  • Old Gold SST

    Mircotainer

    +

  • Old Red

    Mircotainer

  • Light-Green

    Microtainer


Tube size conversion

Tube Size Conversion

  • New 13 X 100 Tubes


Why change

Why Change ?

  • Diagnostic Laboratory Moving to Full Scale Automation

  • Reduction in Sample Process Time


No change

No Change

  • Lavender

  • Light Blue


Phlebotomy don ts

Phlebotomy Don’ts

  • Don’t Shake a Tube


Phlebotomy do s

Phlebotomy Do’s

  • Do Mix Tube by Inversion at Least 20 Times for Mircotainer Tubes

  • Do Mix Tube by Inversion at Least 10 Times for All Other Tube Types


Phlebotomy do s1

Phlebotomy Do’s

  • Do Label Specimen With Patient Name and Medical Record Number and Place Label to Match With Manufacturer Label.


Exception therapeutic drug monitoring

EXCEPTION Therapeutic Drug Monitoring

  • TDM Requests Can Not Be Collected in Light Green or Gold (Gel Barrier Tube) If a TDM Is Ordered and Submitted in a Light Green or Gold Tube It Can’t Be Processed. The Patient Will Need To Be Redrawn.

  • TDM Requests Require Dark Green or RedTubes


Phlebotomy don ts1

Phlebotomy Don’ts

  • Don’t Send Therapeutic Drug Monitoring Requests in Light Green or Gold (Gel Barrier Tubes) They Will Not Be Accepted


Phlebotomy do s2

Phlebotomy Do’s

  • Do Draw Therapeutic Drug Tests in Red or Dark Green Tubes


Phlebotomy do s3

Phlebotomy Do’s

  • Do Call the Diagnostic Laboratory for Any Questions or Concerns

    3-9155


Tube inventory

Tube Inventory


Operation clean sweep

Operation Clean Sweep

  • Check for Expired Tubes

  • Check for Hidden Tubes

    • Drawers

    • Cabinets

    • Closets


Label attachment

Label Attachment

  • Correct Label Attachment is:

    • 1. Not Crooked

    • 2. Not Over the Top

    • 3. Not Over the Bottom

    • 4. Not Crinkled

    • 5. Not Upside Down

    • 6. Not Swirled

Close to the cap

Numbers at

the top

Straight

YES! YES!


Tube additives

Tube Additives


Complete requisition

Complete Requisition

  • Required

    • Patient Name

    • Patient Medical Record Number

    • Collection Date

    • Collection Time

    • Physician Name

    • Physician Code

    • ICD-9 Code

    • Clinic Code


Keys to desired outcome

Keys to Desired Outcome

  • Key Points

    • Tube Size 13 X 100

    • Tube Color

    • Proper Inversions

    • Patient Identification

    • Specimen Labeling

    • Completed Requisition

    • Conversion Completed by 2/8/2007


Questions

Questions

  • 3-9155


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