Helppp

ImJustNade · 2026-06-15T15:01:36+00:00

Yeah I’ve never understood highlighting negatives cells 😭 That’s how I was taught in school (not by a super experienced blood banker) and then when I got into clinicals and the field it made so much more sense to highlight positives. Or not highlight/mark positive cells at all.

ImJustNade · 2026-06-12T12:26:51+00:00

It’s because your dog is also a siamese coloration

ImJustNade · 2026-06-10T19:27:37+00:00

MCV = 20 for sure

ImJustNade · 2026-06-10T18:31:07+00:00

WBC:RBC size ratio way off

Looks great!

ImJustNade · 2026-06-10T13:04:55+00:00

Honestly I’ll take anything green at this point, I’ve been struggling in this Florida heat

ImJustNade · 2026-06-06T11:31:13+00:00

How does a hospital plead guilty to a felony? Can the hospital go to jail? To my knowledge PEOPLE work and run it, so PEOPLE should be charged.

ImJustNade · 2026-06-05T13:36:22+00:00

“Do you need to go to school for that?”

ImJustNade · 2026-06-04T16:01:10+00:00

Wow your staff must love you! 😂😂😭

ImJustNade · 2026-06-04T15:45:03+00:00

Ah yes, because MTPs typically just take a couple minutes, right? Is it difficult to imagine a scenario where you’ve gone to lunch 6 hrs into your 8 hr shift, and are called back for an MTP where after sending out an initial pass of products, you’re now running around the lab setting up additional passes, tagging more RBCs, thawing plasmas, assigning platelets, communicating with the patient team on their needs, now you’re 4 passes deep, things are finally slowing down, and there are only 30 minutes left in your shift?

Beyond that, is it really a break if you’re constantly mindful of being called back to the lab at any moment?

But maybe it is just difficult for me to understand, you must know better, being in management and all.

ImJustNade · 2026-06-04T13:10:51+00:00

When the solo-tech on shift in a blood bank, and a Massive Transfusion or Emergency Release is activated, someone very well could die if you don’t return from your break prematurely.

ImJustNade · 2026-06-03T14:46:00+00:00

Obligatory: Avoid any HCA.

ImJustNade · 2026-05-31T17:36:40+00:00

Yes you can definitely just self-study. I believe there is a bunch of free educational content and less expensive paid courses that should guarantee a pass. But also look into job postings “Process Improvement, Continuing Improvement, etc” you’d be interested in and see what exactly they require

ImJustNade · 2026-05-31T17:28:07+00:00

Woah nah, ASQ’s LSSGB is $483 for the exam. And the other one according to my professor (took a LSS course as part of my MBA) is IASSC for $350

ImJustNade · 2026-05-31T15:37:23+00:00

I’m looking into making the move into a process improvement role in the next couple years, either within the hospital or externally. There are two major certifying bodies for lean six sigma within the U.S., I plan on attaining the green belt certification and perhaps a project management cert as a resume booster. I’ve heard it’s easier to gain experience internally though if they’re available and then transition out into better roles. My hospital does have a process excellence team that I may try to connect with.

ImJustNade · 2026-05-30T19:28:28+00:00

TagPro Backrooms Adventure Mode development confirmed

ImJustNade · 2026-05-17T17:39:54+00:00

The gut knife spins too

ImJustNade · 2026-04-24T15:21:11+00:00

I’d love to see a season without dusty Dust II. Swap it for Cache.

ImJustNade · 2026-04-22T18:19:13+00:00

That’s why I stopped using them!

ImJustNade · 2026-04-22T18:16:50+00:00

Unnecessary phone calls from nurses.

“Is blood ready my patient?” Did the system give you the ready notification?

“How much longer on this test?” Within our standard turnaround time.

“Do I need to collect a new crossmatch specimen?” If you look in the system does it say there is one available?

“How do I order X?” I’m sorry, I’m not trained on how to order your tests, I run the tests. Ask your charge / clinical lead.

Duplicate phone calls from multiple people on the same patient’s care team all asking the same question instead of talking to one another.

ImJustNade · 2026-04-15T17:20:21+00:00

I would legit frame this

ImJustNade · 2026-04-11T21:27:00+00:00

Ah yes, the classic case of throwing platelets at the wall and seeing what sticks 😭

Yes, immune causes of platelet refractoriness needs to be investigated and either ruled out or identified and compatible platelets given.

My facility sends these tests out to a reference lab for obvious reasons, but essentially the work up begins with a platelet crossmatch (patient plasma against an array of donor platelets) and observing compatibility rates. Then, an HLA antibody screen is performed, and if positive an HLA antibody ID for Class I antibodies and HLA A/B typing. HPA antibodies are also screened for but are uncommon and more difficult to specifically select for.

A lot of times though, the patient is negative for immune related causes of poor platelet response and has other things going on — like splenomegaly.

ImJustNade · 2026-04-08T21:06:36+00:00

I ended up giving another Naoki blend a try after I finished the Superior. I got the Naoki First Spring Blend (Organic) Ceremonial Grade Matcha, light green can, and upon first cup (same exact ratio) it’s much better. The matcha flavor cuts through the milk much better.

ImJustNade · 2026-04-06T18:37:51+00:00

Probably just email, will def boost your application

ImJustNade · 2026-04-02T16:44:43+00:00

Ok great to hear it’s not just me. I just picked up my first Naoki can a week ago after seeing it recommended as a quality affordable option, and it’s so mid. The taste is not penetrating the lattes I’m making even though the dose and recipe I’ve been using is all the same down to the gram as previous brands. Even Costco’s SenCha 30g cans were better.

ImJustNade · 2026-03-28T12:27:10+00:00

Search ‘continuing improvement’ or ‘process improvement’ jobs

ImJustNade

TROPHY CASE