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In a medical office setting, the general office staff is
often part of the de facto laboratory operation due to their responsibilities
related to initially seeing and communicating with patients. This includes the
intake and update of patient information, test ordering, specimen acquisition,
labeling and initial handling, as well as ...
The impact of Millennials’ interpretations and expectations
of quality service from the healthcare profession in general—and laboratories
in particular—continues to grow with each passing year. Now the largest
generation demographically, Millennials are coming of age and gradually
assuming their rightful place as both mass consumers and ...
It is a well-known fact by now that most laboratory errors
occur in the pre- and post-analytic phases of testing and that these errors can
have a significant impact on patient care. Often, these activities do not occur
within the physical confines of the laboratory, but in other locations—often by
personnel not directly managed by the ...
It seems that experiences always occur in groups. Recently I had 3 separate but similar experiences that made me decide to write this blog.
Laboratorians on an online forum were discussing recent issues that their particular labs faced with nursing, such as specimen draws above an IV, many hemolyzed specimens, abuse of ...
In a recent article, Dr. Diane Shannon talked very poignantly of the reason she left the practice of medicine. Shannon said she was burnt out and wanted to be another addition to the statistic that suicide is higher among female physicians than among females in the general population.
That sounds like hyperbole until you hear how much this ...
The other day a physician ordered a platelet count to be recollected and repeated off lavender and blue top tubes. The patient platelet count had dropped from 229 thousand to 102 thousand in 24 hours, a sudden change. The tech performed the work but grumbled to me the next morning. “He doesn’t trust our lab results! I told him there was ...
In microbiology we learn to use the Gram stain results of a direct smear to check specimen quality (usually by a count of squamous epithelial cells) and any predominating organisms (e.g. lancet shaped Gram positive cocci on a sputum) that suggest what to work up.
All good micro techs use the Gram stain. Intracellular organisms are an immediate ...
One of the most frustrating issues for clinical laboratorians is that clinicians continue to misuse laboratory testing. Laboratory utilization is a hot potato because of increased concerns with cost (to the laboratory and payer), extended length of stay abnormal test gets worked up) and patient concerns (Am I sick? What does this ...
It would be great if we received cultures from only sites expected to be sterile: blood, deep wounds, body fluids. In areas where the immune system gobbles up microscopic critters, properly collected positive cultures are instructive. The physician is interested in the Gram stain result, waits for the culture, and speaks to the microbiologist ...
Traditionally, an inpatient medical record contains handwritten physician orders that are a mix of transcribed orders (e.g. a doctor telephones a nurse to request lab tests), free text orders written in a stream of consciousness style, and printed forms with orders for certain situations or care plans.
Should the laboratory design preprinted ...