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CORE LAB STAFF MEETING October 2006

CORE LAB STAFF MEETING October 2006. Agenda Computer Downtime Specimen Number Reports Strike Planning Employee Anniversaries Baker-King Recipient Hematology Lead Core Laboratories Web Page Chemistry Automation PTO Policy Safety – Copy Machine Use IV Draw Scenarios United Way.

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CORE LAB STAFF MEETING October 2006

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  1. CORE LAB STAFF MEETINGOctober 2006 Agenda Computer Downtime Specimen Number Reports Strike Planning Employee Anniversaries Baker-King Recipient Hematology Lead Core Laboratories Web Page Chemistry Automation PTO Policy Safety – Copy Machine Use IV Draw Scenarios United Way

  2. Computer Downtime <15 min: Take No Action (exceptCritical Care, ER, Lactic Acid, Ammonia, SuperSTATs) 15 min -1 hour: Back-Up Manual Processing for STATs ` >1 hour: Back-Up Manual Process for All

  3. Back-Up Labels • Specimen Processing • Critical Care • Emergency Room • Oncology • Flow Cytometry

  4. Call Back Results • Critical Care Laboratory • Emergency Room Laboratory • Special Chemistry / Toxicology STATs

  5. Specimen Demand Print Any Report Must Include: * Name of the Laboratory * Address of the Laboratory * CLIA Number JCAHO Compliant Report

  6. Select SYSTEM COMMAND OPTIONS Option: ^SPDE Demand Overlay by Specimen Specimen(s) may be selected by specimen number input if 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 or may be faxed by selecting FAX-OVERLAY at the device prompt. Is this SPECIMEN < 30 days old? NO ---------------------------------------------------------------------------------------------

  7. 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 ...

  8. 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 08/18/06 2 PAK, JONG K 2398778 11/20/38 107 08/22/06 08/22/06 3 PAK, JONG K 2398778 11/20/38 107 06/07/06 06/07/06 4 PAK, JONG K 2398778 11/20/38 379 04/24/06 04/24/06 5 PAK, JONG K 2398778 11/20/38 107 02/23/06 02/25/06 6 PAK, JONG K 2398778 11/20/38 379CL 10/24/05 10/26/05 7 PAK, JONG K 2398778 11/20/38 379CL 04/25/05 04/27/05 8 PAK, JONG K 2398778 11/20/38 379CL 09/20/04 09/22/04 9 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

  9. SPECIMEN PRINT -- SPECIMEN SELECTION 1).29-5C8750 OK to Select? Y => Y Select Another Patient Encounter? N// NO The following Specimens have been selected: PAK, JONG K 239-87-78 08/18/2006 29-5C8750 Is this correct? YES DEVICE: 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

  10. 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).

  11. Employee Anniversaries 30 Years Lois Tissue Phlebotomy Darlene Johnson Customer Service Gwendolyn Reese Customer Service

  12. Employee Anniversaries 20 Years Carolyn 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

  13. Employee Anniversaries 10 Years Ellen Taylor-Griffin Core Lab Evenings Valerie Moore Core Lab Nights Gerard Woodrum Core Lab Nights Jennifer Phelps Hematology

  14. Employee Anniversaries 5 Years Juanita Nelson BMS Danyelle Parrish Chemistry Gillian Gordon Core Lab Evenings Cedric Jones Core Lab Evenings Hadji Malacas Core Lab Evenings Mahmoud Mossallam Core Lab Evenings Charnestie Scrivens Core Lab Evenings Erin Hanson Core Lab Nights Mohamed Keita Core Lab Nights Brian Overton Core Lab Nights Tracey Sutton Core Lab Nights Lutrondar Lester Phlebotomy Angela Brown Processing Lakisha Davis Processing Latisha Edmonds Processing Carolyn McKaughan Hematology Adriana Saucedo Customer Service Tameka Cassel Howard Co. General Hosp.

  15. Baker King Winner - 2006 Sherrie Hicks-Rose

  16. 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.

  17. New Chemistry Automation

  18. Roche/Hitachi PREANALYTICAL

  19. Safety – Copy Machine Use • No Gloves • Clean / Not Biohazard • No Lab Coat

  20. 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.

  21. “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 .

  22. For the following situations, assume the right arm is listed as “No Procedures”.

  23. Above Below Either Never Where could I perform a Venipuncture?

  24. Answer Either Above or Below – there is no line attached.

  25. Above Below Either Never Where could I perform a Venipuncture?

  26. Answer Below - there is an infusion line attached to the device.

  27. Above Below Either Never Where could I perform a Venipuncture?

  28. 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.

  29. Above Below Either Never Where could I perform a Venipuncture?

  30. Answer Either Above or Below – there is no line attached so use a traditional venipuncture site.

  31. Where could I perform a Venipuncture? • Above • Below • Either • Never

  32. 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.

  33. Above Below Either Never Where could I perform a Venipuncture?

  34. Answer Above. There is no line attached.

  35. Devices used at Johns Hopkins

  36. Ellen Dumer Mary Jo Bill Bill Hartlove Latoshia Hicks Lois Tissue Katie Pronschinske Kathy Kowalewski Danna Anderson Wanda Smith Natanya Watson United Way Coordinators

  37. Vote!

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