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

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

Back-Up Labels• Specimen Processing

• Critical Care

• Emergency Room

• Oncology

• Flow Cytometry

Call Back Results

• Critical Care Laboratory

• Emergency Room Laboratory

• Special Chemistry / Toxicology STATs

Specimen Demand Print

Any Report Must Include:

* Name of the Laboratory

* Address of the Laboratory

* CLIA Number

JCAHO Compliant Report

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---------------------------------------------------------------------------------------------

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 ...

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

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

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).

Employee Anniversaries

30 Years

Lois Tissue Phlebotomy

Darlene Johnson Customer Service

Gwendolyn Reese Customer Service

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

Employee AnniversariesEmployee Anniversaries

10 Years

Ellen Taylor-Griffin Core Lab Evenings

Valerie Moore Core Lab Nights

Gerard Woodrum Core Lab Nights

Jennifer Phelps Hematology

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.

Baker King Winner - 2006

Sherrie Hicks-Rose

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.

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

Roche/Hitachi PREANALYTICAL

Safety – Copy Machine Use

• No Gloves

• Clean / Not Biohazard

• No Lab Coat

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.

“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 .

For the following situations, assume the right arm is listed as

“No Procedures”.

Where could I perform a Venipuncture?

• Above

• Below

• Either

• Never

Answer

Either Above or Below – there is no line attached.

Where could I perform a Venipuncture?

• Above

• Below

• Either

• Never

Answer

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

Where could I perform a Venipuncture?

• Above

• Below

• Either

• Never

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.

Where could I perform a Venipuncture?

• Above

• Below

• Either

• Never

Answer

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

Where could I perform a Venipuncture?

• Above

• Below

• Either

• Never

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.

Where could I perform a Venipuncture?

• Above

• Below

• Either

• Never

Answer

Above. There is no line attached.

Devices used at Johns Hopkins

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

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

United Way Coordinators