Nothing derails good results faster than problems with the collection phase of testing. We are going to look at some of the most common problems and their solutions.
Hemolyzed specimens – This usually happens when you have inadequate blood flow during collection. If the blood is not flowing freely, stop collection and re-stick the patient.
Lipemic specimens – Usually causes elevated results for lipids. Usually is caused by lack of fasting prior to collection. Patients should fast for at least 12 hours prior to collect of lipid profiles and liver enzymes.
False positive occult blood test – This can be caused by improper preparation of the patient. For the regular occult blood tests (guiac paper), the patient should follow a special diet and precautions for a few days prior to collect.
For any tests that require preparation on the part of the patient, always provide written instructions. This will facilitate a successful collection and great, usable results for the physicians.
My paper records are driving me crazy! I have to find a place to store two years worth of lab data. Do you have any suggestions to tame my paper beast?
We are quickly moving away form a world run by paper records. A lot of new physician office startups are “paperless” and use only EMRs. (Electronic Medical Records)
One of the easiest things that you can do is to use Excel or other spreadsheet programs to convert your paper records to spreadsheets. For example, your temperature logs, maintenance logs, etc. can be converted to electronic logs that can have all twelve months tabbed within the spreadsheet. You can enter the data daily with just a few clicks, then have the Lab Director or Lab Manager sign the sheets electronically for review.
Also, even if your lab only has one automated instrument, I would look into an LIS (Laboratory Information System). These newer systems allow your instruments to download results to the patient’s EMR directly, keep up with QC electronically, and to retrieve the data in a split second. You can sort your data by day, patient, work lists, etc. These systems have consistently shown that they pay for themselves in time saved by the user.
I know of an office that had their CLIA inspection, and it was done entirely with the inspector sitting in front of their LIS system! This is so much better than digging for paper records.
Most LIS systems are point and click, easy to learn, and have a smooth integration with your existing instrumentation. Always shop around for the system that meets your needs and refrain from buying into options your site does not need such as billing and coding extras if you already have an EMR that performs these functions.
Special Note
I live in the southern area that was struck by the devastating tornadoes. I have seen the terrible destruction first hand. If you are able to give, please contact the Red Cross, the Salvation Army, or the Southern Baptist Association and make a donation today. I know families that lost everything but their lives and are literally starting over with nothing but the clothes on their backs. Thank you in advance.