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ADVANCE for Laboratory is thrilled to welcome you to DeLABerations: A Medium for Lab Professionals and Managers, part of the Healthcare POV: Blog and Forum Community from ADVANCE. Our blogs tackle timely questions, offer advice and opinions about the laboratory field and connect professionals nationwide. We have provided tags to assist in locating topics of interest, a profile page to make uniquely your own and a list of our most active posts to keep you abreast of the latest discussions. We look forward to hearing more about your field from your Point of View (POV).
LATEST POSTS FROM EACH BLOG
March 27, 2015 6:39 AM by Scott Warner of Stepwise Success

Are we seeing the last gasps of community hospital laboratories? Sometimes I wonder. A 2007 article in Clinical Chemistry states, "Many laboratories already outsource esoteric tests to other (reference) laboratories, but outsourcing should also be considered for non-esoteric tests (6). The motivation to outsource should be that a ...


 
March 24, 2015 12:21 PM by Irwin Rothenberg of CRI Lab Quality Advisor

The next thirty years comprise a perfect storm scenario for laboratory medicine in terms of meeting professional staffing needs:

-              Millions more people will be insured and able to access the healthcare system far more comprehensively ...


 

There are few things more exhilarating than walking through the U.S. Capitol complex. Wandering through the marble columned rotundas, passing by the thick wooden doors that lead into congressional offices and reading the embellished brass name plates is a truly humbling experience. Just thinking of the people that traverse these halls and the monumental decisions made ...


 
March 23, 2015 6:02 AM by Scott Warner of Stepwise Success

All the labs I've been in have a radio on. A surveyer once commented on this in a lab, saying in her experience they were usually by a sink. In our lab there is a radio directly outside my office, which is the only place we get reception. All day, every day it plays country western music. Not all the techs - myself included - prefer this genre, and most don't complain. But does it help? Can music at work improve ...


 

This is the time of year when the major medical laboratory organizations hold their national meetings. These gatherings are a great opportunity for laboratorians to get together with their professional colleagues from around the country and also to listen to major players in the profession and on the cutting edge of science.

 
March 18, 2015 6:01 AM by Scott Warner of Stepwise Success

The American Academy of Microbiology website states, "The human microbiome, the collection of trillions of microbes living in and on the human body, is not random, and scientists believe that it plays a role in many basic life processes." Our gut flora is increasingly being seen as communities of microbes that work ...


 
March 13, 2015 6:06 AM by Scott Warner of Stepwise Success

There's been a lot of paranoia about influenza, much of it justified. The 1918 pandemic killed as many as 30-50 million people worldwide, and 675,000 in the US. We don't know for sure. But in an average non-pandemic year influenza kills between ...


 
March 9, 2015 2:13 PM by Scott Warner of Stepwise Success

Your laboratory is probably a mix of old and new technology. You may have refrigerators decades old, small centrifuges that were purchased used and still run strong, a coagulation analyzer at the end of its five year contract, and a chemistry analyzer you just installed a month ago. Ideally, each new piece of hardware represents a new service, cheaper cost, or faster and better testing ability. When should you upgrade?

It's ...


 

Ever since the days of watching Bill Nye the Science Guy, I've had a passion for science -- specifically biology. In school, I loved looking through microscopes, learning about DNA, dissecting things and all the subtopics in-between. So, when it came time for me to start looking at colleges, I figured biology was going to be the major for me.

As I started attending college open houses and listening to biology ...


1 comments  
March 6, 2015 2:05 PM by Michael Jones of ADVANCE Discourse: Lab

As a kid, the concept of humans using nanotechnology was something I assumed was reserved for science fiction, but apparently clinical research has already proved me wrong. According to a recent


 
March 4, 2015 7:20 AM by Scott Warner of Stepwise Success

When I was a teenager a local businessman ran a company called ABC Rubbish, I suppose so it would be listed first in the telephone book. We always called it "Already Been Chewed." To this day that's the main reason I remember that company. Mnemonics (from the Greek word for "memory") are definitely handy.

A common "ABC" that you may not think about is one you see every day. It's in your workplace, grocery ...


 
March 2, 2015 10:30 AM by Irwin Rothenberg of CRI Lab Quality Advisor

We live in an age of increasing individualism facilitated by technology that allows immediate access to information in the format, the setting, and the time of our own choosing. This change is occurring as rapidly as we can adapt to it, accompanied by social media-facilitated feedback, commentary and communication. These are new manifestations of individual empowerment. All phases of our society ...


 
February 27, 2015 4:29 PM by Michael Jones of ADVANCE Discourse: Lab

Thanks to the quick evolution of improved genetic sequencing capabilities, the concept personalized medicine has changed the way clinicians and physicians are thinking about patient treatment. Traditionally, the trial and testing period for clinical drugs going through the FDA approval process can be challenging, lengthy and exhausting for all parties involved - especially the patients. A recent ...


 
February 27, 2015 6:01 AM by Scott Warner of Stepwise Success

Healthcare is hazardous to your health. A 2010 Bureau of Labor Statistics report lists the highest number of workplace injuries in healthcare (176,380), followed by manufacturing (127,410) and construction (74,950). Nearly half of lost workdays caused by injury happen in the healthcare sector, four ...


 
February 23, 2015 5:44 AM by Scott Warner of Stepwise Success

Interviewing for a job is stressful, especially if you don't have a job and need one. It's easy to forget that you're not just buying what an employer is selling - working conditions, pay rate, benefits, culture, etc. - but shopping. What should you be shopping for?

Like most shopping, we want value.

The ...


 

Kidney disease is one of the most significant chronic ailments affecting Americans. Renal disease is often a sequela of one of several maladies that plague Americans: diabetes, hypertension, glomerulonephritis, ...


 
February 18, 2015 9:40 AM by Scott Warner of Stepwise Success

Hospital acquired anemia can be an issue if multiple tubes are collected several times a day. Over time, small amounts of blood (5 mL is a teaspoon) add up. I've developed a "short draw" protocol to use low volume tubes and chart the amount drawn for patients if a physician has a concern.

However, it's common to draw a rainbow - one of every color - when time is a factor. This has been common practice in ...


 
February 17, 2015 3:35 PM by Michael Jones of ADVANCE Discourse: Lab

A combination of the continued national debate over the connection between autism and vaccines -- despite the hypothesized link having long-since been disproved -- and events like the measles outbreak spawning from Disneyland have ...


 
February 16, 2015 12:23 PM by Irwin Rothenberg of CRI Lab Quality Advisor

We are most accustomed to using (root) cause analysis in the context of incident management investigations -- that, by tracing the sequence of events backwards, and asking the what, how and why questions, we can determine the true cause of these events. This allows us to respond in the most effective manner not only to correct the damage already done, but to put changes in place to prevent a ...


 

 

I  was speaking to a group of laboratorians including a pathologist, and the conversation turned to laboratory inspections. At first everyone was on the same page: inspections are ...


6 comments  
February 13, 2015 6:56 AM by Scott Warner of Stepwise Success

Working for a micromanager is demoralizing, and what's even worse is when you can't leave. Maybe you're a new graduate and it's your first job, you really like your coworkers, you need the money because you have kids that just started college, or there just are no other jobs in the area. Feeling stuck can be a nightmare that never ends.

The Harvard Business ...


 
February 9, 2015 5:11 AM by Scott Warner of Stepwise Success

Merriam Webster defines micromanage as "to try to control or manage all the small parts of (something, such as an activity) in a way that is usually not wanted or that causes problems." While managers are sometimes labeled as such, micromanagement is really a style of management. It can be taught, mentored, and embedded in a culture. Sometimes ...


 
February 4, 2015 5:45 AM by Scott Warner of Stepwise Success

When I blogged about looking at inpatient charts in 2012, we had implemented CPOE (Computerized Physician Order Entry) to a limited degree. Now that it's commonplace and there are few written physician orders, it's still useful to look at charts.

Each morning we take 15-30 minutes to ...


 

 

The mantra of most laboratorians is, "We get no respect." The wrenching truth about that is that it is a self-fulfilling prophesy. We provide the majority of empirical data used to make clinical decisions, we are among the ...


9 comments  
January 30, 2015 6:00 AM by Scott Warner of Stepwise Success

There's a misconception in management circles that people need to know each other socially to get along. If I hang out with you in a non-stress environment where we can avoid talking about work I'll find out that you're really a great person and not just a boss, charge nurse, or other demanding coworker.

I've always found these events painful, to say the least. Nothing seems more forced to me than the boss ...


 

ABOUT OUR BLOGS

Glen McDaniel, MS, MBA, MT, CLS will encourage dialogue among clinical laboratorians, with the ultimate goal of not simply to commiserate, but to empower readers into full, rewarding practice; not simply to survive, but to thrive.

Join Scott Warner, MLT(ASCP), in exploring and sharing solutions. Scott's goal is to not just save time and effort but to also develop a team that discovers its own laboratory success.

The ADVANCE for Administrators of the Laboratory editorial staff will offer personal perspectives on issues in the clinical laboratory field and current healthcare environment.

COLA experts share their field experiences, insights and suggested resources to assist laboratories achieve a culture of quality patient care.

Perspectives from young medical laboratory professionals