Core Lab Staff Meeting January 2007 JCAHO 2007

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-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.

Hopkins. One (SAP) Ø Purchasing. . Orders (reagents, supplies) Approvals Receipts Payment Ø Check Requests Ø Work Orders

Hopkins. One (Compensation) Ø PTO Usage. PTO Accrual. PTO <8 Hours. Supplemental Pay – potentially delayed Ø Reimbursement. Separate Check Ø New Paycheck Format

New Critical Action Values 1. 2. 3. 4. 5. 6. CK-MB: >4. 0% Troponin 1: >0. 50 ng/m. L h. CG, 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 5 th 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! Feb 2007 – MPA Training at Roche Feb 2007 – DI box software configuration Feb 2007 – HL 7 – interface development March 2007 – System testing and on-site training. Live – April 2007 (maybe late March)!!!!

Proposed Floorplan – Option B

iq 200 • PO December 1 st • Delivery Projected by January 31 st • Validation and Training in February • Go Live March 1 st

CELEBRATE 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, rlazaro@jhmi. edu

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 Carla Harvey Mary Ann Ness Karen Bowles Virgie Camarador Pam Camiel Tess Carpina Irene Chan James Chiu Valencia Coles Christina Constantinou Sondra Conway Debbie Day Chris Hostetter Caroline Howard Jayesh Jani Denice Jones Kelly Jones Veronica Kemp Christina Kim Stephen Kim Anna Lao Keith Nguyen Mark Swartz Mary Jane Swearer Gema Tirado Peter Nicholls Jane Tolentino William Nsoesie Normina Torres Gloria Palmer Lina Patel Geraldine Peaker Mary Pippi Frederica Schneidman Merly Villanueva Patricia Williams