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  • A Better Marker for DKA

    The nitroprusside test typically performed with a Bayer Acetest tablet is a laboratory classic. It’s one of the first tests I learned. In the nitroprusside reaction, acetoacetic acid, a serum or urine ketone, reacts with sodium nitroferricyanide and glycine to produce a purple color. I’ve been in labs where two-fold serial dilutions are common. ...
    Posted to Stepwise Success (Weblog) on June 25, 2014
  • Preserve the HIM Workforce During the ICD-10 Delay

    [Editor's note: the following blog post was written by Bonnie Cassidy, senior director of health information management (HIM) innovation, Nuance] With the ICD-10 transition date now at least 16 months away, we must think about the impact this has on the workforce that was hired or educated with the original date in mind The American Health ...
    Posted to The Politics of Health Care (Weblog) on June 23, 2014
  • Better Counting

    We do a lot of counting in the laboratory: white blood cells, abnormal red cells, urine formed elements, and microbiology colony counts. I’ve worked in labs where these are precise, for example, reporting urine microscopic red cells as rare, few, 0-1, 5-10, 11-15, 11-20, etc. Theoretically, if techs count so many fields to achieve an average ...
    Posted to Stepwise Success (Weblog) on June 20, 2014
  • Keeping Kids Safe Over the Summer: Social Media & Smart Phones!

    I have been thinking a lot about social media use in typically developing adolescents and adolescents with language impairments and disorders such as ADHD and autism. You might wonder what it has to do with us as SLPs, but in many schools appropriate use of social media and the Internet is part of the curriculum. I have been fortunate to work ...
    Posted to Speech in the Schools (Weblog) on June 11, 2014
  • A Better Blood Bank History

    Blood bank is a dangerous department. Giving a patient the wrong unit of red cells can be fatal, something all techs who work in blood bank worry about. I’ve seen this happen once in my career. Truth is we don’t know how often this really happens, since two thirds of the time units will be ABO-compatible. Scary, huh? Good blood bank practice ...
    Posted to Stepwise Success (Weblog) on June 2, 2014
  • Computer Scheduling

    Artificial intelligence is everywhere. Ray Kurzweil, inventor and author of The Singularity is Near, has commented that we don’t realize it because it just becomes something mundane that computers do. We expect a virtual analog of ourselves like HAL in 2001, while computers everywhere analyze, filter, translate, decide on, feed us information, ...
    Posted to Stepwise Success (Weblog) on May 23, 2014
  • Faster Scheduling

    Scheduling is the bane of every manager’s existence. Those who delegate “self-scheduling” are only kidding themselves. Not only is creating a schedule time consuming, time spent making it “fair” is unrewarding. Managers can explain themselves blue to staff who have already decided they’ve been stiffed. Management should spend time team ...
    Posted to Stepwise Success (Weblog) on May 19, 2014
  • My Favorite Apps

    Apple trademarked “There’s an app for that” in 2010, although Google has edged ahead with its Android operating system. An app (short for application) is a program that runs on a smartphone, tablet, or other mobile device. Apple and Google each have well over half a million apps to download. I have an Android smartphone, but they all have apps ...
    Posted to Stepwise Success (Weblog) on May 9, 2014
  • World Wide Records

    One of the key activities of a laboratory is maintaining complete and comprehensive documentation of all activities carried out. Every step of the testing process -- from requisitioning tests; to specimen acquisition, labeling, handling, and storage; to specimen testing; to reporting test results -- must be documented. In addition, ...
    Posted to CRI Lab Quality Advisor (Weblog) on April 17, 2014
  • Do Cell Phones Belong in the OR?

    If there’s any question about our collective dependence on cell phone, Peter J. Papadakos, MD, FCCM, FAARC, anesthesiologist and director of critical care medicine at University of Rochester Medical Center in New York, created a symptom checklist. You may recognize the questions, as they’re adapted fror the screener for ...
    Posted to ADVANCE Perspective: Nurses (Weblog) on April 3, 2014
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