Transcript Core Lab Staff Meeting - Johns Hopkins Pathology

Core Lab Staff Meeting
January 2007
JCAHO 2007 Survey
• Unannounced Survey
• Surveyors Ushered to Supervisor or Administration
• Notify Supervisor or Director
• National Patient Safety Goals
• Blue Cards
Patient Identification
Always use Two Patient Identifiers:
Name
Date of Birth
History Number
Inpatients: Check Name and History Number on patient’s
wrist band with the label.
Outpatients: Patient states Name and Date of Birth while
you compare Labels and Requisition.
Always label containers (Blood, Urine, etc.) in the presence
of the patient.
Never use the patient’s room as a patient identifier.
Effective Communication
Critical Action Values
Write it down/ Read it Back
Back-Up Systems
One Hour Goal – QA Monitor
Communication Between Shifts
Logs
Verbal Hand Off’s
E-mail
Reduce Health Care Associated
Infections
Direct Patient Interaction
Natural nails less than 1/4-inch long.
Wash hands in the presence of the patient.
Laboratory
Wash hands after removing gloves and lab
coats.
Wash hands before eating.
Use alcohol-based hand rub.
Patient Involvement
Active patient identification
Encourage patients to ask questions
Refer patient to physician or nurse when
appropriate.
HopkinsOne
(SAP)
 Purchasing
.
.
.
.
Orders (reagents, supplies)
Approvals
Receipts
Payment
 Check Requests
 Work Orders
HopkinsOne
(Compensation)

PTO Usage
. PTO Accrual
. PTO <8 Hours
. Supplemental Pay – potentially delayed

Reimbursement
. Separate Check

New Paycheck Format
New Critical Action Values
1.
2.
3.
4.
5.
6.
CK-MB:
>4.0%
Troponin 1: >0.50 ng/mL
hCG, Urine: Positive
Pediatric Creatinine: Lower
Glucose, Newborn 0-7 Days: <35
WBC:
Inpatients: Call elevated every 3 days;
Outpatients: Every incident, call.
Cell Phones
• No work
• Two-minute rule
• Leads will address
• Supervisors will follow up
Web Use
Number One Function – Resource:
Pager Box
Procedures
Technical References
Vendor Information
Leisure Use Secondary
Post completion of team responsibilities
Avoid prolonged use
Leads will address
Supervisors will follow up
Splash Guards
• Use with open specimens
• Options:
In-place guards
Face guards
Goggles
• Report broken devices to Leads.
Weather Emergency
• Called by Hospital
• Area Emergency – Use back of I.D.
• Volunteers for Driving
Name
Driver’s License No.
What is wrong with
these pictures?
1. Lunch bag on cart.
2. Drink and snack on
workbench.
3. Phlebotomist failed to remove
gloves before returning to lab.
1. Lunch bag on workbench.
2. Drink on instrument.
3. Tech working without gloves.
4. Tech working without lab
coat.
1. Drink in Lab area.
2. Tech talking on phone
while working.
1. Lunch in work area.
2. Tech looking for save
specimen without a gown
on.
3. Drink on countertop.
Time Line - Agressive
•
•
•
•
•
•
•
•
•
•
October 2006 – New building delays – Automate in Meyer space.
November 14, 2006 – Tecan 5th year Birthday.
Dec 2006- Evaluation PO signed and approved.
Jan 25 – System Specifications Meeting – build configuration and
define test attributes in software.
Early February – Renovations, Renovations, Renovations!
Feb 2007 – MPA Training at Roche
Feb 2007 – DI box software configuration
Feb 2007 – HL7 – interface development
March 2007 – System testing and on-site training.
Live – April 2007 (maybe late March)!!!!
Proposed Floorplan – Option B
Vac. Tubes
Storage
6'-1"
5'-3 3/8"
Wall Counters
22'-6"
2'-9"
Rfg
Office
4'-0"
4'-0"
2'-3 1/2"
Accessioning
&
Labeling
10'-10"
PVC Drain
pipe
Existing counter
Rfg Storage
Remove
Electric
Panel
DI
Controller
TSM Controller
7'-0"
A/C #1
Modular
Controller
14'-0"
13'-6"
4'-8"
Modular
Controller
Primary Sorting
23'-2 1/4"
11'-4 13/16"
2'-10 1/2"
3'-0"
I
S
E
I
S
E
25'-10 13/16"
3'-9"
New Counter
Current
floor drain
2'-10"
Request for
relocated counters
5'-0"
Reach in
Refrigerator
3'-6 1/2"
A/C #3
7'-8"
1'-2"
5'-6 3/8"
2'-4 3/4"
A/C #2
5 23/32"
1800 TUL
1800 TUL
6'-6"
1500 TUL
22'-8"
Request for
moved floor
drain
A/C #4
3'-2"
6'-8"
3' - 6"
18'-6"
Existing Opening
7' - 0"
9'3" x 5'6"
Sysmex HST 430
SCALE: 1/4" = 1' 0"
0
3' 0"
5' 0"
10' 0"
New Opening
Johns Hopkins Medical Center
Drawn By: Ed Duning
Automation Laboratory
March 22, 2000
SIZE
FSCM NO
D
SCALE
DWG NO
REV
john-hopkins-0313d_ed.vsd
1/4" = 1'-0"
SHEET
1 OF 3
1.0
iq200
• PO December 1st
• Delivery Projected by January 31st
• Validation and Training in February
• Go Live March 1st
C E LE B RATE
NATIONAL
MEDICAL LABORATORY
PROFESSIONALS
WEEK
April 22-28, 2007
Quality Care from Quality Professionals
Looking for volunteers for the
Lab Week Committee!
Please see Renee Lazarony,
Carn. 418, or call 5-2671, [email protected]
2006 ZUNTA WINNERS
Melanie Agustines
Diane Banks
Shirley Fuller
Kathleen Gallasch
Cora Luna
Hemal Shah
Hadji Malacas
Amalia Stern
Royandra Blake-Taylor
Morgan Gaspara
Romulo Malacas
Ramatu Sule
Debbie Boblitz
Michael Garber
Ericka Minor
Rhonda Swain
Yelena Bogdanovski
Alberto Gregorio
Cindy Morgan-Righini
Arden Bongco
Helen Hair
Kevin Moseley
Karen Bowles
Carla Harvey
Mary Ann Ness
Keith Nguyen
Virgie Camarador
Chris Hostetter
Pam Camiel
Tess Carpina
Irene Chan
James Chiu
Valencia Coles
Christina Constantinou
Sondra Conway
Debbie Day
Caroline Howard
Jayesh Jani
Denice Jones
Kelly Jones
Veronica Kemp
Christina Kim
Stephen Kim
Anna Lao
Mark Swartz
Mary Jane Swearer
Gema Tirado
Peter Nicholls
Jane Tolentino
William Nsoesie
Normina Torres
Gloria Palmer
Merly Villanueva
Lina Patel
Geraldine Peaker
Mary Pippi
Frederica Schneidman
Patricia Williams