CORE LAB STAFF MEETING October 2006

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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

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Computer Downtime

• lt15 min Take No Action
• (except Critical Care, ER, Lactic Acid,
• Ammonia, SuperSTATs)
• 15 min -1 hour Back-Up Manual Processing
  for STATs
• gt1 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 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 lt 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) gt 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 08/18/06 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
gt 1 . PAK, JONG K
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SPECIMEN PRINT -- SPECIMEN SELECTION
1).29-5C8750 OK to Select? Y gt 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 1-8gt 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 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

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Employee 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 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.

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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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New Chemistry Automation
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Safety Copy Machine Use

• Clean / Not Biohazard

• No Gloves

• 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 theres 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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United Way Coordinators

• Ellen Dumer
• Mary Jo Bill
• Bill Hartlove
• Latoshia Hicks
• Lois Tissue

• Katie Pronschinske
• Kathy Kowalewski
• Danna Anderson
• Wanda Smith
• Natanya Watson

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Vote!