2014 OREGON SPRING SEMINARasclsr9.org/Oregon/Oregon Spring Book Final1.pdf · · 2015-03-08is impossible to list all exciting sessions that we have planned for this year’s Oregon

Hallmark InnNewport, OR

May 16 - 17, 2014

2014 OREGON

SPRING SEMINAR

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Wave of the Future!

We are back again at the beautiful Oregon coast, where fun combines with science in its spe-cial way. This year, we decided on the theme “Wave of the Future”. Here is why: With many new regulations and requirements, we are moving into a newer era of clinical laboratory. It is impossible to list all exciting sessions that we have planned for this year’s Oregon Spring Seminar. They span almost all fields we can thing about: safety, chemistry, hematology, blood bank, coagulation, molecular diagnostics, microbiology, special session for educators, session about competency documentation, immunology, phlebotomy, and toxicology. We also offer one special session on Friday – CPR recertification session. Registration for this session includes lunch.

The formats for our sessions are also exciting. They include classical lectures with discussions at the end, very interactive sessions in form of workshops, as well as video sessions with life moderators and extra presentations. Plus, we have upgraded our registration options too – you will be able to register via snail mail, onsite or simply online. Registration fees are very friendly and include several different categories to make sure all of us can afford to come and have fun. Please, share our enthusiasm with your coworkers and friends, and invite them to the OSS 2014. The venue this year – Hallmark Inn, an oceanfront property, will not disappoint you at all. The OSS 2014 is structured so we can gain a lot of knowledge and receive many needed CE credits for our recertification but also have a lot of fun at the beach and get to know each other better (and maybe our families too).

See you all in Newport!

Maja Chloupkova Marilyn AlbertsenASCLS-OR ORSSAMT

Surfing images designed by

Joseph LeBardDaniel Martinek

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Frid

ay

May

16,

201

48:30 - 10:00 amGeneral Session

1

Safety Awakenings

10:20 - 11:50 am 3

Going Beyond the Cell Count

4

Testosterone Testing

5

Blood Gases Revisited

2

AHA BLS/HCP Instruction Course

1:00 - 2:30 pm 6

World of Flow Cytometry

7

Lab Evaluation of Kidney Function

8

Multiplex Syndromic Pathogen Panels

2:50 - 4:20 pm 9

Cytology of Body Cavity Fluids

10

Individualized Quality Control

Plan

11

Monitoring of Heparin Therapy with Anti-Xa

Satu

rday

May

17,

201

4

8:30 - 10:00 amGeneral Session

12

Occult Toxicologic Emergencies

10:20 - 11:50 am 13

ISBT 128: 101

14

Metal Poisoning

15

Phlebotomy Ps and Qs

1:00 - 2:30 pm 16

Hypotensive Transfusion Reactions

17

Phlebotomists Performing Point of Care Testing

18

Developing and Using a Training Plan

2:50 - 4:20 pm 19

Re-Engineering the Transfusion

Committee

20

Benchmarks for Medical Lab Preceptors

21

Education, Training, and Competency

Seminar Summary

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To Register by Mail: Complete the registration form. Mail both the registration form and check payable to Oregon Spring Seminar to: Oregon Spring Seminar Irina Peterson NE 1998 Brandon Ave Keizer, OR, 97303 If questions: Contact: [email protected] (email contact is preferred) Phone: (503) 393 0900 (leave message)

Registration by mail must be postmarked by May 1, 2014. This assures that your form will be delivered in time for us to provide you with the handout access information.

To Register Online: Go to www.ascls-or.org and click on the Events tab, then select Oregon Spring Seminar. Click on “Online Registration” to go to the online form. Credit cards can be used to pay for registration.

Registrants using the online form must have a completed registration by May 12 to receive lunch if eligible. Lunch is provided for those that register for four sessions on the same day or who register for the CPR session. Lunch is not provided for those that register for less than four sessions a day or for those that register onsite.

Handouts for all sessions will only be available online. Registrants will be sent the web address, username and password to access the handouts. Please print your email address clearly.

All sessions are approved for P.A.C.E. and AMTrax credits.

Hotel reservations: See the hotel page for more detailed information. Please call the hotel for reservations. Mention “Oregon Spring Seminar” to get the seminar rates. Rates will be available until April 15, 2014 after which the discount rate will depend upon availability.

No Oregon Spring Seminar Registration refunds will be issued.

Fees are by session or by day. To be eligible for the day rate, please register for four sessions for that day. Please register for the membership category that you qualify for. The CPR class (session 2) has a fixed rate and all attendees are eligible for lunch. If an attendee registers for the CPR class, they may also register for Session 1 for an additonal fee depending upon membership level.

Welcome to the 2014 Oregon Spring SeminarHere is some important information that you need to know!

Registration Hours 7:30 AM - 8:30 AM 12:30 PM - 1:00 PM

Scientific Session 8:30 AM - 10:00 AM (General Session)

10:20 - 11:50 am 1:00 PM - 2:30 PM

2:50 - 4:20 PM

Coffee Breaks 10:00 AM - 10:20 AM 2:30 PM - 2:50 PM

Lunch is from 11:50 AM - 1:00 PM each day.Individuals pre-registered by May 12 for four sessions on the same day or for the CPR session will be provided lunch. Lunch cannot be guaranteed for onsite registrants or those registered after May 12.

Name Badges are required for entrance to all sessions.

Smoking: There is no smoking during the sessions or in the hotel.

Dress: Casual business dress is appropriate.

Cell Phones/Pagers: As a courtesy to the speakers and registrants, all cell phones and pagers must be turned off during the sessions.

Meeting Room Assignments: The meeting room assign-ments will be printed on the session sheet in your registra-tion packet.

Session Accreditations

P.A.C.E.® and AMTrax credits have been approved for all appropriate sessions.

ASCLS-OR is approved as a provider of continuing educa-tion programs in the clinical laboratory sciences by the ASCLS P.A.C.E.® program. ASCLS-OR will be using CE Organizer for documentation of continuing education credits. Please make note of the P.A.C.E.® number and the session number that will be given to attendees in each session after the session break. Without this information, the attendee will not be able to obtain their electronic certificate.

ORSSAMT is the approved provider for AMTrax continuation credits and insures that these educational presentations conform to standards established by AMT.

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General Co-Chairs Maja Chloupkova, ASCLS-OR Marilyn Albertsen, ORSSAMT

ad-hoC advisor Heidi Smith, ASCLS-OR

ProGram Committee Sharon Laddusaw, ASCLS-OR, Chair Marilyn Albertsen, ORSSAMT Edna Anderson, ORSSAMT Susan Beard, ORSSAMT Rena Brown, ASCLS-OR Maja Chloupkova, ASCLS-OR Peregrina Roberson, ASCLS-OR Heidi Smith, ASCLS-OR Helen Wand, ASCLS-OR

sPonsors Marilyn Albertsen, ORSSAMT Susan Beard, ORSSAMT

FinanCe Rena Brown, ASCLS-OR, Chair

hosPitality Susan Potter, ORSSAMT Willie Richardson, ORSSAMT

P.a.C.e.®/amtrax Emily Barbur, ASCLS-OR Louise Isbell, ORSSAMT

reGistration Irina Peterson, ASCLS-OR, Chair Audrienne Whitley, ORSSAMT

audio visual Peregrina Roberson, ASCLS-OR, Chair Rena Brown, ASCLS-OR Louise Isbell, ORSSAMT

Webmaster Beth Zentzis, ASCLS-OR asCls-or oFFiCers

President Heidi SmithPresident-Elect Maja ChloupkovaSecretary Helen WandTreasurer Krista Moore First Year Prof Beth ZentzisStudent Rep Jordan Warmack

ASCLS-OR Board of Directors MeetingMay 16, Friday, 4:30pm Open to all membership

Officers and Business Meetings

Seminar Volunteers Sessions, Meals and Coffee Breaks

orssamt oFFiCers President Marilyn AlbertsenSecretary Audrienne WhitleyTreasurer Edna AndersonCo-Editors Susan Beard and William DettweylerEx-Official Louise Isbell

OSS General Committee MeetingMay 17, Saturday, 4:30pm

Hotel

Hallmark Inn

744 SW Elizabeth StreetNewport, OR 97365

http://www.hallmarkinns.com/

Hallmark Inn at Newport (541) 265-2600

Hallmark Inns and Resorts (toll free) (888) 448 4449

DIRECTIONS:

I-5: From south or north.

Take OR-34, exit 228, toward Lebanon/Corvallis.

Continue on US-20 toward Oregon Coast.

Turn left onto US 101/Oregon Coast Highway.

Turn right onto SW Case St and then left onto SW Elizabeth St.

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Interested in joining ASCLS?

You can get member rates for this meeting!

All new members have the opportunity to join ASCLS and receive 15 months for the price of 12. Please go to www.ascls.org and click on “Join ASCLS” in the box to the left. At that location is the New Member Applica-tion. If you join through the ASCLS website March 1, 2014 or later, you will get a membership through July 31, 2015. By joining through the ASCLS website, you will have your member number mailed to you immediately. No waiting for snail mail.

A membership application is available at the following URL:

http://www.ascls.org

American Medical TechnologistsRequest for Certification and Membership

Yes, I want to become a member of the American Medical Technologists.Please mail me further information about AMT, along with a MembershipApplication Form. Name____________________________________ Telephone: Home ___________ Work________________ Address __________________________ City/State/Zipcode ________________________

Employer _____________________________

Students: name of Institution where enrolled: ______________________

Major or name of training program: __________________________ Mail to : Edna Anderson NW 1397 Redwood St Salem, Oregon 97304-1940

Friday, May 16, 2014

Session 1

8:30 - 10:00 am

Intermediate1.5 contact hours

Safety Awakenings: Practicing Laboratory Safety with Love and Compassion

What would life be like if, when you heard the words “laboratory safety,” you smiled instead of grimaced? This program will help you reach a state of love and compassion toward laboratory safety instead of anger and frustration. After a quick review of OSHA, Joint Commission, CAP, and CLIA laboratory safety regulations, we will discuss how to meet these regulations by engaging caregivers and creating a team approach to laboratory safety for everyone while softening your heart around it.

“You must be the change you want to see in the world.” Mahatma Gandhi.

Objectives:

✓ Identify safety regulations as it pertains to your laboratory and associated regulatory bodies. ✓ Describe lessons from real life inspections that can be incorporated in your own laboratory. ✓ Discuss how to change one’s attitude toward safety which will increase personal well being,

relationships, team building and laboratory safety.

lura Wilhelm, mtPoint of Care CoordinatorSt. Charles Health SystemBend, OR

General Session

2014 Oregon Spring Seminar

Please note the times for each session.

• Each day has a General session from 8:30 - 10:00 am• There are three sessions in each of the remaining time

blocks: 10:20 - 11:50 am 1:00 - 2:30 pm 2:50 - 4:20 pm. Please select only one of the three in each time block.• The CPR session (#2) is a 4.5 hour session on Friday.

The only other session that can be registered for is the general session (#1). All registrants for the CPR session will be eligible for lunch if they preregister.

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Special Notes


Session 2

10:20 am - 4:20 pm


AHA BLS/HCP Instruction Course (CPR Recertification)The CPR Healthcare Provider course is a renewal class for those who need it for employ-

ment or to renew for a current card expiring. This course is intended for participants who provide health care to patients in a wide variety of settings, including in-hospital and out-of-hospital set-tings. This includes Doctors, Nurses, Paramedics, EMT, clinical laboratory professionals (phle-botomists, medical technicians, medical technologists, managers), clinical laboratory educators, etc.

The course is designed to teach the skills of CPR for victims of all ages (including ventila-tion with barrier device, a bag-mask device, and oxygen), use of an automated external defibril-lator (AED) and relief of foreign body airway obstruction (FBAO).

Core Elements: • Adult/child/infant CPR • Barrier devices • Relief of foreign body airway obstruction (Choking) • Automated external defibrillator (AED)

This is a renewal class for those who need it for employment or to renew for a current card expiring.

• Any pre-registered participant will receive their card at the conclusion of the training, for those that are preregistered before the “postmark by” date

• Any additional or “walk-in” registrants will have their card mailed to them after we are able to collect their addresses etc. at the conclusion of the sessions.

This class is limited to 16 participants. Registrants will be priori-tized on the basis of when their registration is received.

Objectives:

✓ Perform prompt, high-quality CPR with C-A-B sequence as a single rescuer or part of a team (on adult/child/infant patients).

✓ Initiate early use of an AED (adult/child/infant). ✓ Relieve choking in an adult, child or infant.

Kevin bouCherCPR CoordinatorConcorde Career CollegePortland, OR

CliFton a. J. edWards, mha, bhsC, r. eeG t., r. eP t., rPsGt, CseProgram Director, Neurodiagnostics & PolysomnographyConcorde Career CollegePortland, OR

Sponsor: Concorde Career Colleges, Inc.

Note that this is a special 4.5 hour class designed specifically for those who need it for employment or to renew for a current card expiring. There is a single fee for all regis-trants. Those who are signed up for this session will receive lunch.

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Session 3

10:20 - 11:50 am


Science With a Purpose: Going Beyond the Cell Count to Solve Lab Problems

What is laboratory hematology made of? In this session we will discuss how BCI technology allows for automated hematological analysis of blood cells. We will cover why and how our techno-logical advances bring real solutions to real problems faced by labs and their clinicians and patients.

Topics include » Flagging important WBC and RBC morphologic abnormalities. » Reducing the false positive review rates and adjusting flag sensitivity and specificity to

individual needs of each lab. » Automated discrimination of various causes of cellular interference in WBC counting. » Improved reticulocyte and nRBC counting.

Objectives:

✓ Discuss how to use the instrument technology to make Decision Rules to flag important morphological changes in specimens.

✓ Describe how to program their instruments to perform a “Hematology Consultation on every sample”.

✓ Describe how to optimize patient care with review of significant morphologic abnormalities, and minimize unnecessary manual reviews (false positives).

Kathy davidson altiG, mt(asCP)Hematology Field Product SpecialistBeckman Coulter, IncWest Linn, OR

Sponsor: Beckman Coulter

Session 4

10:20 - 11:50 am


Testosterone Testing: Which Test(s) to Order?Testosterone testing is widely used in different patient populations. Multiple testosterone tests

(total testosterone, free testosterone, bioavailable testosterone) and methods (immunoassay and tandem mass spectrometry) are available, which can be confusing to providers. This session will review the testing options, methods, their appropriate use in females, males and children, and the clinical conditions where testosterone testing is useful.

Objectives:

✓ Indicate which testosterone method(s) provide appropriate accuracy and sensitivity for males, females and children.

✓ Describe the different testosterone test options and the difference between a free testosterone and bioavailable testosterone.

✓ Describe the affect of sex-hormone-binding-globulin (SHBG) concentration on free testosterone levels.

Stephen Erfurth, PhD, DABCCDirector for Science & TechnologyPeaceHealth LaboratoriesSpringfield, OR

Sponsor: PeaceHealth Laboratories

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Session 5

10:20 - 11:50 am


Blood Gases RevisitedToday’s blood gas analyzers offer greatly expanded menus that include CO-Oximetry, electrolyte

and metabolite measurement. This expanded capability offers challenges and opportunities for Medical Laboratory Personnel to extend their contribution to healthcare. This presentation will offer a revisit to the clinical importance of blood gases: acid-base balance, buffering and compensatory mechanisms and oxygenation. It will also examine the potential of CO-Oximetry in assessing oxygenation and in detecting the presence of life threatening dyshemoglobins. The importance and inter-relationship of electrolytes with acid-base balance will also be reviewed. Case studies will be used to illustrate the clinical utility of expanded menu in blood gases.

Objectives: ✓ Identify the clinical advantages of expanded blood gas menu. ✓ Recognize the importance of CO-Oximetry in assessing oxygenation. ✓ Describe the key acid-base electrolyte relationships.

John J. anCy, ma, rrtSenior Clinical ConsultantInstrumenation LaboratoryBonne Terre, MO

Sponsor: Instrumentation Laboratory

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Session 6

1:00 - 2:30 pm


The Colorful World of Flow CytometryIn this session we will review assorted applications of 10-color flow cytometry. Real patient cases

will be reviewed, including examples of leukemia/lymphomas, immunodeficiencies and PNH. Both the diagnostic power and technical complexity of multi-color analysis will be demonstrated.

Objectives:

✓ Describe the basic function of a flow cytometer. ✓ Describe flow concepts such as sequential gating, and identification of positive and negative

populations on histograms and scatterplots. ✓ Describe a number common uses of flow cytometry for clinical evaluation of hematologic

abnormalities.

miChael suter, mt, sh, iCCeSenior Clinical Scientist, HematologyPeaceHealth LaboratoriesSpringfield, OR

Sponsor: Beckman Coulter

Session 7

1:00 - 2:30 pm


Laboratory Evaluation of Kidney FunctionThere are currently over 26 million Americans living with chronic kidney disease, and the preva-

lence has been increasing steadily since the 1990’s. Since chronic kidney disease develops over many years, the laboratory plays an important role in evaluating individuals prior to the overt appearance of symptoms. One function that can be monitored through the progression of disease is the filtering capac-ity of the kidney. This presentation discusses laboratory tests commonly used to evaluate kidney function and reviews the current clinical practice guidelines for assessing chronic kidney disease. The session will be concluded by a short presentation on diabetes mellitus (DM) and reasons for testing kidney function in DM patients. This is a combined video/live speaker session.

Objectives:

✓ Diagram the functional unit of the kidney and List criteria for staging chronic kidney disease. ✓ Compare and contrast the markers used to evaluate glomerular filtration rate. ✓ Discuss the importance of kidney function testing in patients with diabetes mellitus.

sarah haCKenmueller, PhdClinical Chemistry FellowUniversity of Utah School of MedicineSalt Lake City, UT

maJa ChlouPKova, PhdChemistry Technical SpecialistLegacy Laboratory ServicesPortland, OR

Sponsor: ARUP Laboratories and University of Utah School of Medicine

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Session 8

1:00 - 2:30 pm


Promises/Challenges of Multiplex Syndromic Pathogen PanelsMultiplex molecular tests are increasingly being applied to the diagnosis of various infectious dis-

ease syndromes. Syndromic panels promise to consolidate and streamline testing for multiple types of pathogens, and often provide results faster than traditional methodologies. Challenges arise in determin-ing the appropriate composition of these panels and in incorporating the new test results into current clinical practice. Additional challenges are confronted when evaluating the performance of highly-multi-plexed panels for regulatory review.

Objectives:

✓ Describe the process and challenges of designing a syndromic pathogen panel. ✓ Discuss the benefits and limitations of syndromic panels as compared to traditional diagnostic

methodologies and practices. ✓ Discuss the challenges associated with demonstrating clinical performance of

highly-multiplexed syndromic panels for regulatory review.

Kristen J. KanaCK, PhdDirector, Clinical StudiesBioFire DiagnosticsSalt Lake City, UT

Sponsor: BioFire Diagnostics

Session 9

2:50 - 4:20 pm


Cytology of Body Cavity FluidsWe will discuss basic principles of cytomorphology, and the characteristics of body cavities fluids.

Before we can examine body fluids we need to consider the requirement for cytologic evaluation of body cavity fluids, specifically volume, fixative and preparations. While examining body fluids, ancilliary stud-ies involve the differential Diagnosis of cytologic findings in body cavity fluids and Cerebro-Spinal fluid cytologic evaluation.

Objectives:

✓ Discuss basic principles of cytology: Individual cell features, cell populations and surroundings. ✓ Describe major diseases involving body cavity fluids (body cavity fluid is always abnormal!). ✓ Discuss requirements for body cavity fluids cytologic evaluation, and types of cytologic

preparations.

annette sabath, mdPathologistGroup Health PhysiciansSeattle, WA

Sponsor: Group Health Physicians

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Session 10

2:50 - 4:20 pm


Individualized Quality Control Plan- IQCPEQC is going away and being replaced by IQCP. All existing and new test systems must comply

with IQCP or “default” CLIA regulations by January 1, 2016. Participants will learn the three compo-nents that make up the IQCP: Risk Assessment (RA), Quality Control Plan (QCP) and Quality Assess-ment (QA). Participants will learn how the supporting documentation of the RA, QCP and QA actvities will establish the IQCP by implementing a quality control option based on risk management, customizing QC policies and procedures for each test system in use that does not have two levels of external quality control performed each day of testing.

Objectives: ✓ Discuss how EQC will no longer be an acceptable QC policy under CLIA after January 1, 2016. ✓ Describe three components IQCP is made up of: RA, QCP and QA. ✓ Describe what is RA and QCP, what must they include and how QA fits into IQCP.

stePhanie b rinGsaGeLaboratory Compliance Specialist 3OHA Oregon State Public Health Laboratory/CLIAHillsboro, OR

Sponsor: OHA Oregon State Public Health Laboratory/CLIA

Session 11

2:50 - 4:20 pm


Effective Monitoring of Heparin Therapy with Anti-XaThis lecture will cover the history and origins of Heparin and its use as an anticoagulant. The in-

teractions between Heparin and Antithrombin will be explained. The differences between unfractionated Heparin (UFH) and low molecular weight Heparin (LMWH) will be described in detail. Current guidelines for the laboratory monitoring of Heparin will be reviewed along with the procedures for establishing your lab’s Heparin Therapeutic APTT Range. Additionally, details on new advanced Liquid Heparin assays that make the direct monitoring of Heparin therapy safer for the patient and easier for the lab will be re-viewed. We will end with a review of the new anticoagulants such as synthetic anti-Xa, oral anti-Xa and the new Direct Thrombin Inhibitors (DTI’s).

Objectives:

✓ Describe thrombosis, the need for anticoagulation, and the role of heparin as an anticoagulant. ✓ Define regulatory requirements and laboratory methods for heparin monitoring. ✓ Discuss the benefits of using an anti-Xa method for heparin monitoring, the new oral

anticoagulants and their effect on laboratory assays.

melissa bethel, mls(asCP)Clinical Hemostasis SpecialistInstrumentation LaboratoryBedford, MA

Sponsor: Instrumentation Laboratory

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Saturday, May 17, 2014

Session 12

8:30 - 10:00 am


General Session

Occult Toxicologic EmergenciesIn this session we will examine several scenario’s where a patient may present with a toxicologic

problem that is easily overlooked/unrecognized. Once the toxic issue is discovered, we will discuss man-agement and disposition of these patients.

Objectives:

✓ Recognize the situations where/how a common toxic emergency may present. ✓ Discuss the management and disposition of several common toxicologic problems.

l. Keith FrenChOccult Toxicologic EmergenciesOregon Health & Science UniversityPortland, OR

Session 13

10:20 - 11:50 am


ISBT 128: 101ISBT 128: 101 will give an overview of the ISBT 128 labeling standard. Basic barcode structure and

the ISBT 128 Label on blood products will be explored. ISBT 128 Product codes will also be discussed along with a brief history of the origin of ISBT 128 labeling, and the benefits of a globalized standard for the labeling of blood and blood components.

Objectives:

✓ Outline the basic data structures of ISBT128 Donation Identification Numbers, and product codes.

✓ Discuss basic barcode technology in relation to the benefits that ISBT 128 offers in contrast to the ABC Codabar system.

✓ Identify the components of the ISBT 128 label for blood products, and state where various types of information may be found on the ISBT 128 label.

niColas ohsWaldt mt(asCP) sbbCm

Reference TechnologistAmerican Red CrossPortland, OR

Sponsor: American Red Cross

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Session 14

10:20 - 11:50 am


Metal Poisoning - From Mad Hatters to Thimerosal: The Truth about Mercury Poisoning

This lecture provides a historical perspective on mercury poisoning, some of the different com-mercial uses of mercury, and sources for human exposure to mercury. It also summarizes signs and symptoms of chronic and acute mercury poisoning, treatment, and laboratory tests to diagnose mercury poisoning. The attendee should be able to understand environmental and commercial exposure to mer-cury and the different myths and controversies regarding mercury found in common household appli-ances such as thermometers, light bulbs and exposure from dental amalgam, vaccines and food such as fish. This is part 1 of the video session on Metal Poisoning.

Objectives:

✓ Describe common exposure sources of mercury. ✓ Describe some clinical features of acute and chronic mercury poisoning. ✓ Discuss the different tests available for mercury and treatments available for acute and

chronic toxicity.

brian hall, mdPathology ResidentUniversity of UtahSalt Lake City, UT

Metal Poisoning - Clinical Testing for Metal-on-Metal Prosthetics

There is an increased interest in the determination of chromium and cobalt blood concentrations in patients receiving metal-on-metal prosthetics. This presentation will highlight key issues surrounding the increased interest in testing and current regulations and guidelines. In addition, the pros and cons of several available specimen types will be discussed. Lastly, current literature regarding the use of blood samples to monitor metal-on-metal prosthetic wear will be presented. This is part 2 of the video session on Metal Poisoning.

Objectives:

✓ List common health concerns associated with elevated cobalt or chromium blood levels. ✓ Compare heavy metal analysis in synovial fluid with venous sampling for monitoring metal-on-

metal joint failure. ✓ Explain the relationship between the degree of metal-on-metal wear in joint replacements and

heavy metal blood and serum concentrations.

FrederiCK strathmann, Phd, dabCC (CC,tC)Medical Director, Toxicology LaboratoryARUP LaboratoriesAssistant Professor of Pathology University of Utah School of MedicineSalt Lake City UT

Sponsors: University of Utah School of Medicine and ARUP Laboratories

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Session 15

10:20 - 11:50 am


Phlebotomy Ps and Qs: Problems and Quandaries in Speci-men Collection

Phlebotomists routinely encounter dangerous conditions, problem patients, and other issues during blood collection. This session will suggest techniques that can help you avoid or safely manage these difficulties. Areas to be discussed encompass:

• risks associated with venous blood collection, such as improper vein selection and needlestick exposure -unusual patient situations that impact phlebotomy practice, including the cancer and bariatric patient, • communication barriers and methods to improve patient interactions, like developing good listening

skills and effective communication approaches with the elderly, and • legal issues and the standard of patient care, to include types of liability and how to minimize risk.

Designed for phlebotomists and phlebotomy students who have comprehension of the basics of the venipuncture technique, this session will enhance your skills, build your knowledge base, and help you deliver the highest quality in patient care.

Objectives:

✓ Discuss advantages, disadvantages, and challenges associated with the collection of blood specimens from various anatomic sites and in special patient conditions.

✓ Identify precautionary measures and actions that promote safe use of phlebotomy equipment. ✓ List barriers to effectively communicating with patients, and discuss legal issues that affect

quality patient care in the phlebotomy setting.

Karen a. broWn, ms, mls(asCP)Cm

Professor and Program DirectorUniversity of Utah and ARUP LaboratoriesSalt Lake City, UT

Sponsor: University of Utah and ARUP Laboratories

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Session 16

1:00 - 2:30 pm


Hypotensive Transfusion ReactionsThis session will discuss Hypotensive transfusion reactions which are becoming progressively

more common and are thought to be underreported. We will focus on recognizing, treating and pre-centing these reactions.

Objectives:

✓ Recognize the symptoms of hypotensive transfusion reactions and be able to identify probable cause, treatment and prevention strategies.

✓ Discuss laboratory findings in hyptensive transfusion reactions and make recommendationsfor follow-up testing.

riChard m. sCanlan, md FCaPVice Chair of Laboratory MedicineOregon Health and Science UniversityPortland, OR

Sponsor: Rufus Scanlan

Session 17

1:00 - 2:30 pm


To Care or Not to Care...Phlebotomists Performing Point of Care Testing

Working in healthcare our top priority and focus is caring for the patient. Providing fast, reliable and accurate tests at the bedside seems like the logical “caring” choice but in which settings and by whom? Phlebotomists may be the right answer for your healthcare setting. We will discuss the many advantages of incorporating point of care testing into the phlebotomy skill set and enhancing their role in the patient-focused team.

Objectives:

✓ Discuss currently available point of care tests and determine if they would be beneficial toimplement in your healthcare setting.

✓ Describe the regulations associated with phlebotomists performing point of care testing. ✓ Describe the potential downfalls and limitations of point of care testing.

lura Wilhelm, mtPoint of Care CoordinatorSt. Charles Healthcare SystemBend, OR

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Session 18

1:00 - 2:30 pm


Developing and Using a Training PlanThis session is intended for staff who develop and deliver training. The benefits and the ele-

ments of a training plan will be discussed. Participants will have the opportunity to apply their knowl-edge through a case study.

Objectives:

✓ Identify the benefits of a training plan. ✓ Identify the basic elements of a training plan. ✓ Write clear and measurable training objectives.

Gene heresa, maed, mt(asCP)sbbDirector - Organizational Training and RecordsOregon and Southwest Washington Blood Program/Puget Sound Blood CenterSeattle, WA

Sponsor: Oregon and Southwest Washington Blood Program / Puget Sound Blood Center

Session 19

2:50 - 4:20 pm


Re-Engineering the Transfusion CommitteeThis session will focus on the financial pressures hospitals face with large budgets in a time of

falling reimbursement. Session will discuss practical solutions that can be implemented to reduce the cost of transfusions in the hospital.

Objectives:

✓ List three strategies that could be implemented in your facility that will result in better bloodmanagement and improvements in cost of providing transfusion support.

riChard m. sCanlan, md FCaPVice Chair of Laboratory MedicineOregon Health and Science UniversityPortland, OR

Sponsor: Rufus Scanlan

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Session 20

2:50 - 4:20 pm


Making the Grade: Benchmarks for Medical Lab PreceptorsMedical laboratory science is continually undergoing change, transformed by scientific dis-

covery, technological innovation, and increased regulatory control. Driven by 21st century global socioeconomic realities, medical labs continue to adapt practice improvements centered on stan-dardization of all phases of laboratory testing and improved quality patient care. Similarly, the clinical training of medical laboratorians is dynamic, changing as the need for well educated and highly skilled laboratorians increases and educational modalities evolve. This session is designed for those who are new medical lab preceptors, those who have many years experience ‘training students at the bench’, and those who may be interested in a future role as a medical lab preceptor. Through lecture, discussion, and game playing, attendees will explore what it takes to be a success-ful medical laboratory preceptor and learn what to expect from students training at the bench.

Objectives:

✓ Identify factors and discuss common challenges that impact clinical laboratory training sites’abilities to provide effective training experiences for medical laboratory students.

✓ After reviewing standards of medical laboratory education, adapt the common attributes ofa successful Medical Lab Preceptor.

✓ Devise effective strategies to ensure medical lab students are able to achieve career-entrylevel competencies at the conclusion of their clinical training.

Cara Calvo, ms, mt(asCP)shDepart. Chair & Program Director

daWn taylor, bs, mt(asCP)Assist. Professor & Clinical Externship CoordinatorOregon Tech-OHSUWilsonville, OR

Sponsor: Oregon Tech-OHSU

Session 21

2:50 - 4:20 pm


Education, Training, and Competency: On a Quest for the Holy Grail

This session is intended for the Laboratory Director, Technical Supervisor, and General Su-pervisor to explore the requirements for Competency Assessment (CLIA Brochure #10) and strate-gies for successful implementation. Participants will have an opportunity to apply their knowledge through a case study.

Objectives:

✓ Discuss today’s adult learner and strategies for adoption. ✓ Compare the goals of education, training, and competency assessment. ✓ Apply CLIA Brochure #10 in diverse environments.

linda s. barnesChief Quality OfficerOregon and Southwest Washington Blood Program/Puget Sound Blood CenterSeattle, WA

Sponsor: Oregon and Southwest Washington Blood Program/Puget Sound Blood Center

Sponsors

The 2014 Oregon Spring Seminar would like to extend its sincere thanks for the following companies and organizations for their support.

American Red Cross

ARUP Laboratories and University of Utah School of Medicine

Beckman Coulter

BioFire Diagnostics

Concorde Career Colleges, Inc.

Group Health Physicians

Instrumentation Laboratory

OHA Oregon State Public Health Laboratory/CLIA

Oregon and Southwest Washington Blood Program / Puget Sound Blood Center

Oregon Tech-OHSU

PeaceHealth Laboratories

Rufus Scanlan

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To Register by Mail: Complete the registration form. Mail both the registration form and check payable to Oregon Spring Seminar to: Oregon Spring Seminar Irina Peterson NE 1998 Brandon Ave Keizer, OR, 97303 If questions: Contact: [email protected] (email contact is preferred) Phone: (503) 393 0900 (leave message)

Registration by mail must be postmarked by May 1, 2014. This assures that your form will be delivered in time for us to provide you with the handout access information.

To Register Online: Go to www.ascls-or.org and click on the Events tab, then select Oregon Spring Seminar. Click on “Online Registration” to go to the online form. Credit cards can be used to pay for registration.

Registrants using the online form must have a completed registration by May 12 to receive lunch if eligible. Lunch is provided for those that register for four sessions on the same day or who register for the CPR session. Lunch is not provided for those that register for less than four sessions a day or for those that register onsite.

Handouts for all sessions will only be available online. Registrants will be sent the web address, username and password to access the handouts. Please print your email address clearly.

All sessions are approved for P.A.C.E. and AMTrax credits.

Hotel reservations: See the hotel page for more detailed information. Please call the hotel for reservations. Mention “Oregon Spring Seminar” to get the seminar rates. Rates will be available until April 15, 2014 after which the discount rate will depend upon availability.

No Oregon Spring Seminar Registration refunds will be issued.

Fees are by session or by day. To be eligible for the day rate, please register for four sessions for that day. Please register for the membership category that you qualify for. The CPR class (session 2) has a fixed rate and all attendees are eligible for lunch. If an attendee registers for the CPR class, they may also register for Session 1 for an additonal fee depending upon membership level.

Please note the times for each session.

• Each day has a General session from 8:30 - 10:00 am• There are three sessions in each of the remaining time blocks:

10:20 - 11:50 am 1:00 - 2:30 pm 2:50 - 4:20 pm. Please select only one of the three in each time block.• The CPR session (#2) is a 4.5 hour session that runs from 10:20 am - 4:20 pm on Friday. The only other session these

attendees can register for on Friday is the general session (#1). All registrants for the CPR session will be eligible for lunch if they preregister.

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Registration General Information

First Name ______________________________________ Last Name _____________________________________

Address _________________________________________________________________________________________

City/State/Zip _____________________________________________________________________________________

Day Phone ______________________________________ Evening Phone __________________________________

Institution ________________________________________________________________________________________

City/State ________________________________________________________________________________________

Email Address ____________________________________________________________________________________

2014 Oregon Spring SeminarMay 16 - 17, 2014

Newport, OR

Online registration and credit card payment is available at www.ascls-or.org

or Mail this form with a check.

Are you willing to serve as a session moderator? Yes No

Circle the sessions you will be attending.

Category #

Sessions

Fee per

session

# Days Fee per

Day

Total Fee

ASCLS/AMT Members. . . . . . . . . . . . $25.00 $80.00 $ ASCLS # AMT #

NonMember. . . . . . . . . . . . . . . . . . . . . . . $40.00 $155.00 $ RMA, Phlebotomists and CMAS members $10.00 $35.00 Student Member . . . . . . . . . . . . . . . . . . $10.00 $35.00 $ Phlebotomist, MA NonMember .. . . . . $20.00 $65.00 $ Student NonMember . . . . . . . . . . . . . . $25.00 $CPR Course (Session 2) $50.00

Total Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

Mail with check to

Oregon Spring SeminarIrina PetersonNE 1998 Brandon AveKeizer, OR, 97303

Full payment in U.S. Dollars must accompany each mailed in

registration. Make check payable to Oregon Spring Seminar

Mail by May 1 to assure timely arrivalOR

Online registration with credit card payment is available at

www.ascls-or.org

Registration Form

FridayMay 16

8:30 - 10:00 110:20 - 11:50

23 4 5

1:00 - 2:30 6 7 82:50 - 4:20 9 10 11

SaturdayMay 17

8:30 - 10:00 1210:20 - 11:50 13 14 151:00 - 2:30 16 17 182:50 - 4:20 19 20 21

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Documents

2014 OREGON SPRING SEMINARasclsr9.org/Oregon/Oregon Spring Book Final1.pdf · · 2015-03-08is impossible to list all exciting sessions that we have planned for this year’s Oregon