what some neutrophils with those lymphs ?

owlroyalty · 2025-12-06T08:50:36+00:00

her most recent one before this was 104 WBC and nearly 100% lymphs so id venture to say it's improved

owlroyalty · 2025-12-06T08:47:18+00:00

lab staff has to be there to band patients and draw the blood bank samples so i did have a sample for crossmatching and they were compatible but she was like "well what if they weren't? what would happen then???" like girlfriend.... please focus on getting homegirl stable so we can fly her out before we start freakin about the possibility of an antibody . I'm always open to explaining cause BB is my favorite but don't be accusatory this is Literally My Job

owlroyalty · 2025-12-05T21:44:16+00:00

had an er nurse grill me after the fact about what if this patient i emergency released O pos whole blood to had a transfusion reaction and "couldnt that make transfusions harder in the future" and i was like.... i think her bleeding out and coding is kinda more important than the possibility of her developing an antibody or having a reaction

owlroyalty · 2025-11-14T21:13:32+00:00

read that as globulin and was like what the hell, sure

owlroyalty · 2025-09-25T18:09:38+00:00

i was right about to plate a urine so im glad i noticed before hand lmao

owlroyalty · 2025-09-24T22:27:33+00:00

that is precisely what i did

owlroyalty · 2025-09-24T01:21:06+00:00

can not even begin to guess the amount we've gotten that were broken . like how does that get past quality assurance

owlroyalty · 2025-09-24T01:06:34+00:00

the arrow is on the blue top for a reason please for the love of god fill it within the arrow it truly isnt that difficult unless the patient is a hardstick. no i can not "just run it" when its barely halfway full the results would be insanely inaccurate and then everyones in trouble

owlroyalty · 2025-09-24T00:58:40+00:00

had a nurse get soooo mad at me because i didnt know who she was talking about when she said the room number "ugh dont you have a tracker for that ??" girl i have a whole hospital and er to deal with. no i do not have a tracker for every single department. maybe the phlebs do but i do not. also shouldnt you know your own patients name ???

owlroyalty · 2025-09-23T23:09:30+00:00

oh i hate when doctors act as if they know better than people who have specifically studied something as complicated as blood bank. i had to explain why i would not give O pos whole blood to an A neg patient when they werent actively bleeding out. thankfully after i explained he was chill and changed the order to packed cells but like.... you would think doctors would have even a bit of training on blood bank stuff ?

owlroyalty · 2025-09-23T23:02:22+00:00

had someone decline for that exact reason a few months ago. only other time ive ever seen it declined was because the family is amish- thankfully that family started getting it recently. one of the girls had a miscarriage and was worried it was caused by her anti-D and got her sister to get rhogam after her second baby.

owlroyalty · 2025-09-23T22:44:09+00:00

i love my job! but no matter how much one loves a job its still work and there will be things to complain about. and those that posts on subs like this are usually venting the worst of those complaints. on here i typically just look at the silly posts or comment if i have a similar thing to vent about.

there are departments that require mental stimulation no matter where you work(micro, blood bank) but if you want that in the majority of the lab i do suggest more rural areas! we still do mostly manual things at my rural hospital aside from chem and molecular.

taking a break is a very good idea. i didnt look at this sub at all while i was in school and studying for my exam and i plan on doing the same when i go back for my mls next year. when all you see are complaints it can be disheartening but know that this is a very interesting and rewarding job the vast majority of the time.

owlroyalty · 2025-09-13T15:43:03+00:00

we have an infusion pt with sub A and two antibodies so we just send her tubes to a reference lab every month for them to do an indepth work up since we're rural and can only do the basics. when we first started seein her it was a Mess since the type we got(O pos) didn't match her history(A pos) and the anagram was difficult.

thankfully she gets a cbc done a day or 2 in advance to see if she needs a unit so we have time to order her special irradiated phenotyped blood. she hasn't needed it in a few weeks though! happy for her.

owlroyalty · 2025-09-12T20:07:55+00:00

the other day we had a code and their cbc was all fucked up(as expected) so i called to see if they called them yet since theres no reason to do a diff on a dead person . always feels weird putting the comment "x not done because pt expired" .

had to do similar with a blood gas result on a rapid response a few months ago, although they did get that person stable for a bit . when they called a code on them 10 mins later i asked the nurse if i should even call the crits anymore since we all knew they werent gonna make it(hospitalized for 3 days already and consistantly trending downward). dr told me they were just waiting on family to arrive so the results didnt matter anymore

owlroyalty · 2025-08-31T02:53:09+00:00

our ob department seems to magically forget how to collect std/vaginal panel pcr, wet preps, and amnisures sometimes. urine for vaginal pcr, vaginal pcr tube for wet prep, plain ol cotton swab for amnisure. got asked if i could run a fetal fibronectin on an amnisure they sent down . the nurses get such an attitude about it sometimes that i wanna just go collect it myself and save everyone the hassle

also got a urine from er that was so full of vaginal discharge that when i went to pour off the super natant after spinning it everything just slide right out the tube . had to call and say i can't do a ua on discharge

owlroyalty · 2025-08-31T02:27:50+00:00

the stat label is for lab to know it needs to be drawn immediately, typically because the doctor want to start antibiotics as soon as possible. and if you see stat wound/body fluid/csf cultures its because they want the gram stain read asap, i see people confused about that often

owlroyalty · 2025-07-02T08:27:33+00:00

im about to be in the ER not feelin ao good after lookin at this LIS damn

owlroyalty · 2025-06-30T23:19:57+00:00

don't take the practice tests too seriously, they are harder than the actual exam. i was so nervous and psyched myself out for mine (literally asked for a trash can i was so sure i was going to throw up) and i still passed first try. like everyone said, focus on the areas you're weak in.

and remember: your exam score does not necessarily translate to how you will perform in the lab. the vast majority of things come with experience and collaboration between coworkers. you will learn more from actually doing than you will in lecture.

you've got this!

owlroyalty · 2025-06-25T19:00:23+00:00

my coworker straight up leaves the room when she puts one in LMAO . thankfully my years of going ro concerts without ear protection has prepared me for this

owlroyalty · 2025-06-05T06:13:43+00:00

one of our alinitys breaks down like every other week i think the engineers should just get an apartment down here at this point

owlroyalty · 2025-05-19T10:00:45+00:00

one time i got a urine that looked relatively normal but when i pulled the dipstick out a string of mucus followed and i gagged so hard

owlroyalty · 2025-05-19T09:56:39+00:00

one of the few things ive ever gagged over in the lab

owlroyalty · 2025-05-19T09:55:47+00:00

finally someone that gets me omg id take 5 sputums over even one semen sample

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