Lab work that comes to you!
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Bruen Medical Partners
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As the U.S. population continues to age and the demand for in-home health aides increases, more businesses spring up to cash in on the boom. Not all of them are focused on caregiving; some are more interested in making a buck, “So many franchisees see a booming industry, and they don’t have a background (in caregiving) at all.” Part of the issue is that “agencies make money based on volume. You need a number of clients and hours to cover overhead, and agencies that have been around for longer and have a better revenue base tend to do better than newer ones,”.
Experience among caregivers who work for these organizations is also in short supply. “There’s a lot of schools and certifications and opportunities for caregivers to gain the credentials necessary, but they don’t necessarily have the experience,” of actually working with seniors who need that care. Experience only comes from doing the job of caring for someone.
And perhaps most importantly, it’s just plain hard work that isn’t always a long-term career choice for caregivers. “It’s not an easy job and it’s not for everyone,”. “You pair that reality with the fact that many caregivers are only making minimum wage,” and that means caregivers are prone to burnout faster. Competition in the industry has also increased, which makes keeping good caregivers challenging for some agencies. This in turn generates turnover in staffing pools.
Handheld heart monitoring for when the doctor is out.
CardioComm Solutions, Inc provides technically and clinically innovative software solutions for information management systems in cardiovascular medicine and telemedicine.
CardioComm's patented systems enable medical professionals, patients, and other healthcare professionals, clinics, hospitals and call centres to access and manage patient information in a secure and reliable environment.
The Company's software enables electrocardiography (ECG) data to be transmitted, received and managed anywhere in the world using standard computers, wireless devices, enterprise networks, telephones, or the Internet.
Phlebotomy News Updates
Infant Blood Collection
Collecting Blood on Newborns? Here’s a quick refresher on collecting blood on babies. The recommended location for blood collection on a newborn is the bottom of the heel – it has the best capillary bed. After positively identifying the patient, pre-warm the infant's heel (no hotter than 42 degrees Celsius for 3 to 5 minutes) to increase the flow of blood. The blood specimen must be collected immediately after the warming, to increase the flow of blood. The blood specimen must be collected immediately after the warming, to avoid rapid skin cooling.
Clean the site to be punctured with an alcohol sponge. The antiseptic should remain on the skin for at least one minute and should be rubbed off with a dry, sterile swab. If the site is not dried well, the antiseptic can mix with the specimen and the blood will not bead up at the puncture site.
Place the infant on his or her stomach. With scrubbed hands and arms, and then gloves on, puncture the bottom heel with a sterile blood lancet at a 45 degree angle. Do not use the central portion of the heel because you might injure the underlying bone, and do not use a previous puncture site. Make the cut across the heelprint lines so that a drop of blood can well up and not run down along the lines. The National Committee for Clinical Laboratory Standards states that the depth of puncture on the infant’s heel should be 2 mm or less.
Wipe away the first drop of blood with a piece of clean, dry cotton. Since newborns generally do not bleed immediately, use gentle pressure to produce a rounded drop of blood. Do not knead the area heavily because the blood may become diluted with tissue fluid.
Fill the tubes or micro-collection devices. Finally, elevate the heel, place a piece of clean, dry cotton on the puncture site, and hold it in place until the bleeding has stopped.
Discard contaminated materials, and label the specimens. Remove gloves and wash hands.
To keep up on the latest standards, visit www.clsi.org.By Neil Whitehall
Get Phlebotomy Jobs, Contributing Editor
IMMIGRATION DNA TESTING SERVICES
Fast Services. Reliable Results.
In order to obtain an immigration visa, it is often necessary to prove that you have a relative or immediate family member who is already a permanent, lawful citizen of the United States. One of the most foolproof methods for proving such a relationship is through a DNA test. When an immigrant does not have conclusive paperwork proving his or her relationship to a U.S. family member, obtaining a sound immigration DNA test is all the more important.
At Bruen Medical Partners, we understand how crucial your immigration DNA testing service is, which is why we offer some of the fastest, most reliable tests in the industry. Our comprehensive immigration tests have helped numerous individuals pursue their immigration visa by proving their relationship with a parent, grandparent, sibling, or another relative already living in the U.S. Whether you are seeking a visa yourself or have a relative who is attempting to immigrate to the U.S., our team can answer your questions and guide you through the DNA testing process.
SUSAN G. KOMEN
RACE FOR THE CURE®The Komen Race for the Cure®Series raises significant funds and awareness for the fight against breast cancer, celebrates breast cancer survivorship, and honors those who have lost their battle with the disease.
Black Enterprise is committed to working with diverse suppliers that support long-term growth and add value to your company. We encourage diverse suppliers to register through the on-boarding portals. After registering, companies will notify you by email that your submission is in our supplier diversity database where our procurement professionals can consider you for future opportunities.
A business is considered a diverse supplier to a vast amount of companies if it’s certified by one of these organizations: National Minority Supplier Development Council, National Gay & Lesbian Chamber of Commerce, U.S. Small Business Administration (including disadvantaged businesses), U.S. Department of Veterans Affairs, Women’s Business Enterprise National Council or your state or municipal government. These organizations provide a direct link between corporate America and diverse suppliers.
Alignable is the free network where business owners meet, increase word of mouth marketing and generate referrals.
The Challenge of Senior In-Home Caregiving
The work isn’t easy and the pay isn’t great, leading to staffing shortages.
Mobile Healthcare News
Partnerships for the Good of all Communities !!!
Interpreting basic ECG
Yup, we are all familiar with ECG also known as the representation of the electrical activity of the heart muscle as it changes with time. While, we may derive some advantages from it especially in taking a peek at a cardiac patient’s current status, ECG interpretation could be one of the most annoying and difficult things nurses face in the clinical setting. Some would think it requires real hard work to understand those tracings and they need not add it to the long list of to do things they already have, while there are others who want to learn how to interpret stuff like those yet find it difficult to do so. Here are some pointers to learn how to interpret ECG tracings like a boss.
Bruen Medical Partners has formed strategic partnerships with several mobile phlebotomy companies that have enabled Bruen Medical Partners LLC. to be able to take on several opportunities around the country. These opportunities required oversight from our partner companies around the country who have Medical Doctors / Physician Assistants or Nurse Practitioners relationships.
These professional relationships are important as to secure and implement contracts such as the Medical Screenings of New Refugees, Family Support Services, Temporary Medical Personnel Placement, Nurse Staffing Services, Connections to Community Care Continuum, Pathology Services Blood Bank Services, Reagents, Test Kits, and Related Items, MWBE Continuous Solicitations, Lab Testing – Pap Smear and HPV DNA Testing Services, Refugee Medical Assistance and much more.
Onsite Drug and Alcohol Collections -In-Home Lab Services - Paramedical Exams - Allied Health Training - DNA Testing
Our Partners are the Best in the Business!!!
THE SMALL BUSINESS REVOLUTION
Lenise's Mobile Phlebotomy, LLC can meet your phlebotomy services needs with a single call or email.
As part of a national network of phlebotomy service providers, Lenise's Mobile Phlebotomy, LLC Contact for blood collection, delivery, analysis, and diagnosis and other specimen services. As a single point of contact, they provide coordination when there are multiple vendors and a unified support and billing system.
With Lenise's Mobile Phlebotomy, LLC, you have access to an experienced provider with high professional standards and common operating procedures. Call us with confidence!
WORKING TOGETHER, WE ADVANCE CAREERS, SUPPORT THE HEALTHCARE ECONOMY, AND IMPROVE PATIENT CARE OUTCOMES.
As a part of Bruen Medical Partners' professional organization of phlebotomists network, collection and delivery companies, laboratories, hospitals, and other healthcare agencies you will receive the best in mobile specimens collections.
We collaborate to improve the quality of our services through standardized procedures and best practices. Our strategic alliance extends our individual and collective market reach, by creating a common database that provides our customers with a single point of contact for service requests.
Lenise's Mobile Phlebotomy, LLC- Servicing the greater Los Angeles, CA area-424.312.3078
immediately follows an R wave. The QRS complex should be less than 120 ms (3 mm) as its width is useful in determining the origin of each QRS complex (e.g. sinus, atrial, junctional or ventricular).
For example, narrow complexes (QRS < 100 ms) are supraventricular in origin, while broad complexes (QRS > 100 ms) may be either ventricular in origin, or may be due to aberrant conduction of supraventricular complexes (e.g. due to bundle branch block, hyperkalaemia or sodium-channel blockade).
> ST segment = isoelectric – part of re-polarization; Isoelectric means being in the same level as the part between the T wave and the next P wave. The ST segment should not be elevated or depressed. Any change from baseline may indicated cardiac disease.
> T wave = usually same direction as QRS – ventricular re-polarization;
> QT Interval = spans the onset of depolarization to the completion of re-polarization of the ventricles.Normal range up to 440 ms though it may vary with heart rate and slightly longer in females. QT interval prolongation can be very serious.
Estimating Heart Rate
You can estimate the patient’s heart rate with a standard ECG paper filled with ECG recording. One second equals 5 large squares or 250 mm along the horizontal axis. Thus, if you have five large squares between the QRS complex, then you have 60 beats per minute HR. If 3, the HR is 100 per minute and if 2, the HR is 150 per minute.
Not always will your tracings have sinus rhythm, at times you also get to encounter patients with abnormal ECG tracings.
> Atrial fibrillation Rhythm:
Irregular Rate A: 350 – 650; V: varies
P: poorly defined
QRS: narrow complex
> Atrial flutter Rhythm:
Regular / Irregular Rate: A: 220 – 430; V: <300 (2:1, 3:1 or sometimes 4:1)
P: Saw toothed appearance
QRS: narrow complex
> Supraventricular tachycardia (SVT) Rhythm:
Regular Rate: >100
P: not visible
P-R: not defined
QRS: narrow complex
S-T: depression (sometimes)
Q-T: prolonged (sometimes)
Like other things, nursing isn’t always what it seems. A noble profession, it is jam-packed with numbers of things that are hard to comprehend. Things that take perseverance, a critical mind and a willing heart to understand. While some try their best to dip their head into that sea of complications, there are also those who choose to trudge the path of ignorance and leave the work to the doctors. However, what others do not know is that those little complicated stuff can give us so much insight on the real status of our patients.
Bruen Medical Partners sells medical products to licensed medical professionals and other licensed businesses. We do not sell medical products to the general public.
Home Care Industry News
theHCD is the weekly Home Care Industry News e-mail newsletter that gives you everything you need to know about home care, home health care, marketing, and more. We do the hard work and hand it to you fresh, easy, done.
We read. You learn.
Blood Tube Holders: One Use Only
The National Phlebotomy Association (NPA),
The Dangers Lurking in the World of Phlebotomy!
Headquartered in Landover, Maryland, has issued a safety alert regarding tube holders. The NPA completed a study on reusable blood tube holders, and found that 99 percent of sampled holders were contaminated with blood. This presents a risk to the phlebotomist and a risk to the patient in terms of infection control, creating unnecessary exposure to HIV, hepatitis C, and other pathogens.
The Society for Healthcare Epidemiology of America recommends using portable equipment once and only once in order to prevent the spread of microorganisms and antibiotic-resistant infections. OSHA confirms the potential problems and recommends “the use of a safety needle attached to a blood tube holder and the immediate disposal of the entire unit after each patient’s blood is drawn.” (For the complete bulletin, please go to osha.gov.) The ideal blood collection needle will have a pre-attached holder and be engineered specifically for one-time use. It’s simply no longer acceptable to offer second-rate protection to the phlebotomist or to the public.
The Squirmy Child
Pediatric blood collection presents an extra challenge, even for the experienced phlebotomist. Children under four are known to resist having their blood drawn. Based on information from the College of American Pathologists, special precautions are recommended, even if OSHA does not enforce them. For example, the Children’s Hospital of Omaha has their phlebotomy staff don goggles, masks, and lab coats to mitigate the risk of blood splashes to the face. The mother or father is asked to help by literally laying on top of the child on an examination table, while one of the child’s arms is controlled by the phlebotomist for the draw.
For children who are calm and suggestible to distractions, a worker can distract them with appropriate toys. If the phlebotomist has one of the child’s arms stabilized, the child may be allowed to use his or her other hand to play with the toy.
Lusky, Karen. Safety net: Juggling the Gains, Losses of Phlebotomy Routines. CAP Today, June 2004.By Neil Whitehall
Convenient Blood Draws with a Mobile Phlebotomy Company you can trust.
Visiting a medical center or lab to have your blood drawn is often difficult for people with major health conditions, disabilities, transportation issues, or lack of extra time. Additionally, the lab setting can make it feel like you're in an assembly line to receive impersonal care. Avoid the hassles of traveling and waiting in those long lines by requesting mobile blood draw from Phlebo On The Go.
We are based in South Carolina servicing Hilton Head Island, Hardeeville, Bluffton, Beaufort, and Ridgeland. We also provide service to parts of Savannah, Georgia. Give us a call today to schedule your appointment at 843/593-5140.
Instructors are the face of the mobile phlebotomy industry.
They interact daily with students – educating, teaching, and providing hands-on experience to help them build a successful future. We will be highlighting Lead Phlebotomy Instructors across the country for the Certified Phlebotomy Technician I Program at their training facilities. We will be asking them a few questions about their careers and how they help students succeed in their own career journeys.
Our team of certified collectors around the country can handle a wide range of drug, alcohol, and DNA collection needs. In addition to our general testing services, our team is fully trained in specific, highly-regulated tests. We are well-equipped to meet various local, state, federal, and industry-specific standards, offering superior services and fast, accurate results for all our tests. Additionally, our team can help you create and implement a testing program for your workplace that adheres to strict industry and government-mandated standards. We are happy to help you customize your testing services to suit your exact goals.
CALL US AT (845) 853-0676 TO LEARN MORE ABOUT HOW OUR HIGHLY-TRAINED, CERTIFIED TEAMS CAN ASSIST YOU!
Bruen Medical Partners
Direct Line / Billing: 845-853-0676
Test Request Requisition Forms Fax: 845-232-2207
Sales & Marketing Phone: 845-201-0022
1st Annual Phlebotomy Conference Viva Las Vegas
Event time: 9am-5pm Meet and greet 9am-11am Conference: April 17,2020 12-5
Location: Stratosphere Hotel Las Vegas Hotel Dates: April 16-19
( you can stay and come in when you want and leave when you want.)
Booking hotel: Start booking January 20, 2020 call 1800-998-6937 Group Code: C-PAYPC
Mobile Healthcare News
Changing Lives through Faith, Wellness and Training!
We see our company as more than a company. We are working from a vision for a planet where all of us humans love and respect our water. Water is life.
How Is Sickle Cell Disease Diagnosed?
People who do not know whether they make sickle hemoglobin (hemoglobin S) or another abnormal hemoglobin (such as C, β thalassemia, E) can find out by having their blood tested. This way, they can learn whether they carry a gene (i.e., have the trait) for an abnormal hemoglobin that they could pass on to a child.
Withings unveils new watch with ECG, Sp02 capabilities.
The new features are designed to help wearers detect the risk of atrial fibrillation and sleep apnea.
A heart beats 100,000 times per day. Along with blood,
each beat is rich with information. Kardia allows you to
quickly access, track and analyze your heart's health,
giving you and your doctor a proactive, clinically-proven
way to care for your heart.
AliveCor officially launched its Kardia Band for Apple Watch. It’s designed to function both as a heart rate monitor and as an Atrial Fibrillation Detector, a type of cardiac arrhythmia that can cause a stroke.
AliveCor first previewed its prototype in the fall, and the new device is still awaiting FDA approval.
Users can record a single-lead EKG by a sensor on the Kardia Band that communicates with a companion Apple Watch app, according to a company statement. It can also let you know when you need to retake an EKG.
The wrist sensor is a sleeker approach than the wearable patches that currently dominate this part of the wearables market. It builds on AliveCor’s own smartphone enabled EKG, which uses a patch. But will it be good enough to replace its own iRhythm Technologies‘ wearable Zio XT Patch and Preventice’s Body Guardian for Heart.
Remote monitoring tools like this illustrate the advances in health applications for wearables. Companies like Apple and Fitbit are pretty keen to show just how relevant they can be to the healthcare industry. But one of the most frequently repeated challenges is figuring out how to bridge the gap between collecting information on cardiac events from these devices and ensuring that physicians get that information in a way that makes sense to their workflow.
On the other hand, it will be interesting to see if drug developers view this technology as a useful way to advance remote monitoring in clinical trials.
Remote Backup is the safest and easiest way to ensure that your company doesn’t risk an irreversible loss of vital information. It allows you to store your files online with full security and confidentiality.
The service automatically backs up data stored on computers or servers to a remote infrastructure managed by TFT. The backup may cover a full or partial copy (according to the select directories and files) and is always incremental (copies each file’s data blocks that were altered since the previous backup cycle).
Have your data saved in a remote infrastructure managed by TFT with automatic security copies of data your company has in computers or owned servers. You may schedule backups to take place anytime and automatically restore information whenever you wish.
We offer continuous monitoring of performance revealing parameters referring to applications and equipment, in order to guarantee their availability in every situation.
MANAGEMENT OF OPERATING SYSTEMS
End-to-end continuous setup, management, and supervision of customers’ servers, by our team.
Installation, setup and management of Database Management Systems.
WEB SERVER MANAGEMENT
Installation, setup, and management of web servers. The service allows the following options: Microsoft IIS (Internet Information Server) and Apache Server.
EMAIL SERVER MANAGEMENT
Installation, setup, and management of customers´ email servers. This service allows the management of Microsoft Exchange and Send mail.
The remote desktop offers a virtual work station, with computational capacity, storage, operative systems, and applications. The user experience is simple and intuitive, with a graphic interface that is similar to a common PC, with usual features in a traditional workplace.
Call 201-937-6545 for more Details.
SICKLE CELL ANEMIA SCREEN
WHAT IS A SICKLE CELL ANEMIA SCREEN?
The Sickle Cell Anemia Screen consists of the following tests to identify the presence of Hemoglobin S:
Hemoglobin S solubility test
Sodium Metabisulfite test
AM I REQUIRED TO FAST FOR THIS LAB TEST?
WHAT IS THE PRICE OF A SICKLE CELL SCREEN?
Women-Owned Small Businesses (WOSB) Federal Contracting Program
Program of All-Inclusive Care for the Elderly (PACE)
The Programs of All-Inclusive Care for the Elderly (PACE) provides comprehensive medical and social services to certain frail, community-dwelling elderly individuals, most of whom are dually eligible for Medicare and Medicaid benefits . An interdisciplinary team of health professionals provides PACE participants with coordinated care. For most participants, the comprehensive service package enables them to remain in the community rather than receive care in a nursing home. Financing for the program is capped, which allows providers to deliver all services participants need rather than only those reimbursable under Medicare and Medicaid fee-for-service plans. PACE is a program under Medicare, and states can elect to provide PACE services to Medicaid beneficiaries as an optional Medicaid benefit. The PACE program becomes the sole source of Medicaid and Medicare benefits for PACE participants.
Financing for the program is capped, which allows providers to deliver all services participants need rather than limit them to those reimbursable under Medicare and Medicaid fee-for-service plans. The PACE model of care is established as a provider in the Medicare program and as enables states to provide PACE services to Medicaid beneficiaries as state option.
Individuals can join PACE if they meet certain conditions:
Age 55 or older
Live in the service area of a PACE organization
Eligible for nursing home care
Be able to live safely in the community
The PACE program becomes the sole source of services for Medicare and Medicaid eligible enrollees. Individuals can leave the program at any time.
What is the Gig Economy?
The gig economy is made up of three main components: the independent workers paid by the gig (i.e., a task or a project) as opposed to those workers who receive a salary or hourly wage; the consumers who need a specific service, for example, a ride to their next destination, or a particular item delivered; mobile blood collections by medical professionals and the companies that connect the worker to the consumer in a direct manner, including app-based technology platforms.
Companies such as Uber, Airbnb, Lyft, Bruen Medical Partners, Etsy or TaskRabbit act as the medium through which the worker is connected to – and ultimately paid by – the consumer.
These companies make it easier for workers to find a quick, temporary job (i.e., a gig), which can include any kind of work, from a musical performance to fixing a leaky faucet. One of the main differences between a gig and traditional work arrangements, however, is that a gig is a temporary work engagement, and the worker is paid only for that specific job.
“The gig economy is not new – people have always worked gigs… but today when most people refer to the “gig economy,” they’re specifically talking about new technology-enabled kinds of work.”
–Ms. Molly Turner, Lecturer, Haas School of Business, University of California Berkeley and the former Director of Public Policy for Airbnb
Bruen Medical Partners
One of the proud sponsors of Mobile Healthcare News
Usually, ECGs are ordered for cases of Chest pain, Myocardial infarction; Shock; Heart failure; Palpitations; History of syncope and during cardiopulmonary resuscitation (CPR).
So, you placed all the electrodes and leads in place, careful of the correct placements and colors. Those leads you placed at the limbs are leads I, II, III, AVR, AVL and AVF and are used to determine the electrical axis, which is usually measured only in the coronal plane, while those leads you place at the best are V1, V2, V3, V4, V5 and V6 which are used to record the ECG in the transverse or horizontal plane. Then after ensuring that they are all placed accurately, you press start and print the recorded electrical activity of your patient’s heart muscle. What now?
ECG machines all run at a standard rate (25 mm per second) and use paper with standard-sized squares. Each of these small squares (1 mm) represents 40 ms (0.04 seconds), while each large square (5 mm) represents 200 ms (0.2 seconds). On the y axis, each small square represents 0.1 mV.
You need to identify the conduction pathways.
> P wave signifies atrial depolarization, its presence indicate a normal heart rhythm or what you call sinus rhythm;
> PR Interval = impulse from atria to ventricles. This should be between 120–200 ms, or less than 5 mm on the ECG paper. A prolonged or shortened PR interval can indicate certain disease states. If the PR interval is > 200 ms, first degree heart block is said to be present, while if it is < 120 ms, it may suggest pre-excitation or the presence of an accessory pathway between the atria and ventricles, or AV nodal (junctional) rhythm.> QRS complex = ventricular depolarization. A Q wave is any negative deflection at the beginning of a QRS complex. Small Q waves in some leads may be normal. Large Q waves (> 2 mm) may be abnormal. An R wave is the first positive deflection, and an S wave is the negative deflection which