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January 2014 - Posts

Stepwise Success

All The Other Labs Do It
January 31, 2014 6:07 AM by Scott Warner
We report an estimated GFR using the MDRD (Modification of Diet in Renal Disease) equation. Sometime last year we stopped reporting the value in patients over seventy, because it hasn’t been validated for that subset of patients. It can still be useful, Read More...
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The Skinny on Fats
January 27, 2014 6:07 AM by Scott Warner
I knew an old country doctor who ordered lab tests to confirm what he already suspected. Dewey would say it’s more important to treat the whole patient. He used cholesterol as an example. “I refuse to treat a lab test!” he would exclaim. He had dozens Read More...
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Is Turnaround Time Important?
January 22, 2014 6:04 AM by Scott Warner
As the people who best know the variables that affect turnaround time, we exploit them to explain away variation. I hear this almost every day. “That culture took a long time because it was subbed again,” or “I knew the ED didn’t want that result finalized Read More...
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Three or Four Steps
January 17, 2014 6:13 AM by Scott Warner
When we went paperless in order entry, it meant much more than just dumping paper, binders, index cards, labels, and hand-carried requisitions. Since all staff needed this information, each person had to have the right computer skills to use Access, search Read More...
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Do You Follow Procedures?
January 13, 2014 6:05 AM by Scott Warner
Procedures are the core of every laboratory, but are they followed? Watching people work, I wonder. Most techs have workarounds for the trivial and the critical, from organizing an instrument run to blood bank serology to reading culture plates. It isn’t Read More...
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Last Year’s Resolutions
January 8, 2014 6:13 AM by Scott Warner
With all the talk of resolutions inevitably failing or succeeding, it’s easy to forget how we’ve failed or succeeded. I haven’t made resolutions since 2012, but last year blogged about goals. Here is how 2012 and 2013 shaped up: Here’s how I did for 2012: Read More...
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Be SMART This Year
January 3, 2014 6:00 AM by Scott Warner
A University of Scranton study lists the top three New Year’s resolutions: losing weight, getting organized, and spending less. Only 8% of the 45% of Americans who make resolutions achieve their goals. An article in The Wall Street Journal cites a British Read More...
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About this Blog


    Scott Warner, MLT(ASCP)
    Occupation: Laboratory Manager
    Setting: Critical Access Hospital
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