Core Lab Staff MeetingJanuary 2007

JCAHO 2007 Survey

• Unannounced Survey

• Surveyors Ushered to Supervisor or Administration

• Notify Supervisor or Director

• National Patient Safety Goals

• Blue Cards

Patient Identification

Always use Two Patient Identifiers:NameDate of BirthHistory Number

Inpatients: Check Name and History Number on patient’s wrist band with the label.

Outpatients: Patient states Name and Date of Birth while you compare Labels and Requisition.

Always label containers (Blood, Urine, etc.) in the presence of the patient.

Never use the patient’s room as a patient identifier.

Critical Action Values Write it down/ Read it Back Back-Up Systems One Hour Goal – QA Monitor

Communication Between ShiftsLogsVerbal Hand Off’sE-mail

Effective Communication

Reduce Health Care Associated Infections

Direct Patient Interaction Natural nails less than 1/4-inch long. Wash hands in the presence of the patient.

Laboratory Wash hands after removing gloves and lab coats.

Wash hands before eating. Use alcohol-based hand rub.

Patient Involvement

Active patient identification

Encourage patients to ask questions

Refer patient to physician or nurse when appropriate.

HopkinsOne (SAP)

Purchasing . Orders (reagents, supplies)

. Approvals

. Receipts

. Payment

Check Requests Work Orders

PTO Usage. PTO Accrual

. PTO <8 Hours

. Supplemental Pay – potentially delayed

Reimbursement

. Separate Check

New Paycheck Format

HopkinsOne(Compensation)

New Critical Action Values

1. CK-MB: >4.0%

2. Troponin 1: >0.50 ng/mL

3. hCG, Urine: Positive

4. Pediatric Creatinine: Lower

5. Glucose, Newborn 0-7 Days: <35

6. WBC:

Inpatients: Call elevated every 3 days;

Outpatients: Every incident, call.

Cell Phones

• No work

• Two-minute rule

• Leads will address

• Supervisors will follow up

Web Use

Number One Function – Resource: Pager Box Procedures Technical References Vendor Information

Leisure Use Secondary Post completion of team responsibilities Avoid prolonged use

Leads will addressSupervisors will follow up

Splash Guards

• Use with open specimens

• Options:

In-place guards

Face guards

Goggles

• Report broken devices to Leads.

Weather Emergency

• Called by Hospital

• Area Emergency – Use back of I.D.

• Volunteers for Driving

Name

Driver’s License No.

What is wrong with these pictures?

1. Lunch bag on cart.2. Drink and snack on workbench.3. Phlebotomist failed to remove gloves before returning to lab.

1. Lunch bag on workbench.2. Drink on instrument.3. Tech working without gloves.4. Tech working without lab coat.

1. Drink in Lab area.2. Tech talking on phone while working.

1. Lunch in work area.2. Tech looking for save specimen without a gown on.3. Drink on countertop.

Time Line - Agressive

• October 2006 – New building delays – Automate in Meyer space.• November 14, 2006 – Tecan 5th year Birthday. • Dec 2006- Evaluation PO signed and approved.• Jan 25 – System Specifications Meeting – build configuration and

define test attributes in software.• Early February – Renovations, Renovations, Renovations!• Feb 2007 – MPA Training at Roche• Feb 2007 – DI box software configuration• Feb 2007 – HL7 – interface development• March 2007 – System testing and on-site training.• Live – April 2007 (maybe late March)!!!!

Proposed Floorplan – Option B

7' -

0"

3' -

6"

SCALE: 1/4" = 1' 0"

0 3' 0" 10' 0"5' 0"

Existing Opening

New Opening Drawn By: Ed Duning

March 22, 2000

Johns Hopkins Medical Center

Automation Laboratory

SIZE FSCM NO DWG NO REV

D john-hopkins-0313d_ed.vsd 1.0

SCALE 1/4" = 1'-0" SHEET 1 OF 3

9'3"

x 5

'6"

Sysmex HST 430

TSM Controller

1500 TUL

Rfg Office

Rfg

Sto

rage

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

DI Controller

Mod

ular

Con

trolle

r

I S E

1800 TUL

I S E

5'-3

3/8

"

6'-1

"

2'-4

3/4

"

5'-6

3/8

"

25'-1

0 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

13/

16"

A/C #4

1800 TUL

7'-0

"

Current floor drain

Request for moved floor

drain

Request for relocated counters

PVC Drain pipe

6'-6

"

iq200

• PO December 1st• Delivery Projected by January 31st

• Validation and Training in February• Go Live March 1st

C E L E B R A T E NATIONAL

MEDICAL LABORATORYPROFESSIONALS

WEEKApril 22-28, 2007

Quality Care from Quality Professionals

Looking for volunteers for the

Lab Week Committee!Please see Renee Lazarony,

Carn. 418, or call 5-2671, rlazaro@jhmi.edu

Melanie Agustines

Diane Banks

Royandra Blake-Taylor

Debbie Boblitz

Yelena Bogdanovski

Arden Bongco

Karen Bowles

Virgie Camarador

Pam Camiel

Tess Carpina

Irene Chan

James Chiu

Valencia Coles

Christina Constantinou

Sondra Conway

Debbie Day

Shirley Fuller

Kathleen Gallasch

Morgan Gaspara

Michael Garber

Alberto Gregorio

Helen Hair

Carla Harvey

Chris Hostetter

Caroline Howard

Jayesh Jani

Denice Jones

Kelly Jones

Veronica Kemp

Christina Kim

Stephen Kim

Anna Lao

Cora Luna

Hadji Malacas

Romulo Malacas

Ericka Minor

Cindy Morgan-Righini

Kevin Moseley

Mary Ann Ness

Keith Nguyen

Peter Nicholls

William Nsoesie

Gloria Palmer

Lina Patel

Geraldine Peaker

Mary Pippi

Frederica Schneidman

Hemal Shah

Amalia Stern

Ramatu Sule

Rhonda Swain

Mark Swartz

Mary Jane Swearer

Gema Tirado

Jane Tolentino

Normina Torres

Merly Villanueva

Patricia Williams

2006 ZUNTA WINNERS