Friday, June 14, 2013

5690    Coagulation Simplified: From the Basics to Complex Testing
8:00am - 3:30pm   6.5 CMLE Credits

Steve Johnson, MT(ASCP)
Senior Technologist, Hematology Laboratory, Tufts Medical Center, Boston, MA

Advances in medical procedures and therapeutics and the need to reduce patient length of stay are compelling the coagulation department to expand its routine test menu. Attend this session to gain a thorough update in this important area and discover how your laboratory can contribute to the best patient care. You’ll begin with the basics: a review of hemostasis, including the synthesis and function of coagulation factors, followed by a discussion of current testing methodologies and instruments. Factor assays, von Willebrand testing, and platelet aggregation will be simplified to highlight the laboratory’s contribution to managing the bleeding patient. The focus will then shift to the thrombotic patient and a systematic approach to cost-effective testing for genetic and acquired disorders. You’ll participate in case studies that will reinforce the information presented and demonstrate how expanding the in-house coagulation menu can lower laboratory spending and reduce a patient’s length of stay. Additional case studies will illustrate the unexplained interferences that increasingly are affecting coagulation testing.

Following this workshop, you will be able to:

  • Describe the coagulation pathways and testing protocols for PT, PTT, Fibrinogen, D-Dimer and Anti-Xa.
  • Implement simple algorithms to help the clinician better manage the bleeding patient.
  • Discuss thrombophilia and identify cost-effective tests for your laboratory.
  • Explain how bringing special coagulation testing in house can reduce laboratory costs and patient length of stay.
  • Identify recently occurring pre-analytic interferences.

7829  Show Me the Diagnosis! Case Presentations in Clinical Microbiology
8:00 am - 3:30 pm   6.5 CMLE Credits

Joseph M. Campos, PhD
Director, Microbiology Laboratory and Laboratory Informatics, Children's National Medical Center; Professor, Departments of Pediatrics, Pathology and Microbiology/Immunology, George Washington University Medical Center, Washington, DC

A. Beth Prouse, MS, MT(ASCP)
Clinical Microbiologist, Peninsula Regional Medical Center, Salisbury, MD

Meet the daily challenges in microbiology: a patient with an infectious disease can be a challenging mystery. Specimen handling test selection, and specimen workup decisions are based on many scraps of clinical and laboratory information that, when considered alone, may be of little diagnostic value.  Clinical microbiologists, more so than other laboratorians, must function like detectives, gathering the evidence necessary for a correct etiologic diagnosis. 
Enhance your microbiology knowledge and sharpen your diagnostic abilities, as you resolve the infectious disease cases presented. Your interaction reinforces the information presented as unknown bacterial, mycobacterial, fungal, parasitic, and viral etiologies are assessed.  Following the case studies, hear a thorough discussion on the infectious agents involved.  Incorporating both clinical and laboratory standpoints, the workshop emphasizes accurate, cost-effective laboratory workup procedures.

Following this workshop, you will be able to

  • Recognize the clinical syndromes associated with common presentations of bacteremia, meningitis, pneumonia, urinary tract infection, sexually transmitted and other infectious diseases.
  • Cite the laboratory methods and procedures that are most appropriate for the accurate identification of the pathogens, stressing cost-effective approaches.

9399   Star Quality Phlebotomy 2013
8:00am – 4:00pm    7.0 CMLE Credits

Helen C. Ogden-Grable, MT(ASCP)PBT
Adjunct Instructor, Edison State College, Collier Campus; Consultant & Educator, Creative Phlebotomy & Laboratory Solutions, Naples, FL

Hospitals, laboratories, outpatient clinics, and nursing homes: no matter where they work, phlebotomists are VIPs – Very Important People! They are responsible for patient safety and satisfaction, positive patient outcomes, and test sample integrity. But, to provide the best possible patient care, phlebotomists need to be knowledgeable about the many aspects of their profession. This workshop, designed for phlebotomists and those who teach phlebotomy, will provide solid information on:

  • phlebotomy rules and tips for successful venipuncture and capillary collection for all patients
  • effective communication, including assessment and training
  • safety and infection prevention/control
  • avoiding preanalytical variables

Following this workshop, you will be able to:

  • Discuss the qualities necessary to be a good phlebotomist.
  • Appropriately apply the rules of correct blood collection.
  • Select appropriate equipment for both venipuncture and capillary blood collections.
  • Employ multiple skills to communicate effectively with supervisors, team members, and patients.