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

P-R: N/A

 QRS: narrow complex

 S-T: normal

 T: normal

Q-T: normal

> Atrial flutter Rhythm:

Regular / Irregular Rate: A: 220 – 430; V: <300 (2:1, 3:1 or sometimes 4:1)

P: Saw toothed appearance

 P-R: N/A

 QRS: narrow complex

S-T: normal

T: normal

Q-T: normal

> Supraventricular tachycardia (SVT) Rhythm:

Regular Rate: >100

P: not visible

P-R: not defined

QRS: narrow complex

S-T: depression (sometimes)

 T: normal

 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.

Sources:

http://docs.health.vic.gov.au/docs/doc/2D09818454E5CAB6CA2579360001BD47/$FILE/12-Lead-ECG-Mod-1.pdf
http://www.slideshare.net/jkranse/ecg-interpretation-the-basics
http://www.southsudanmedicaljournal.com/archive/may-2010/how-to-read-an-electrocardiogram-ecg.-part-one-basic-principles-of-the-ecg.-the-normal-ecg.htmlhttp://lifeinthefastlane.com/ecg-library/basics/qrs-complex-morphology/

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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.
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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.

Phlebo On The Go, LLC

CERTIFIED COLLECTORS

In light of the Novel Coronavirus (2019-nCoV)

outbreak, the Office for Civil Rights (OCR) at the

U.S. Department of Health and Human Services

(HHS) is providing this bulletin to ensure that

HIPAA covered entities and their business

associates are aware of the ways that patient information may be shared under the HIPAA Privacy Rule in an outbreak of infectious disease or other emergency situation, and to serve as a reminder that the protections of the Privacy Rule are not set aside during an emergency. The HIPAA Privacy Rule protects the privacy of patients’ health information (protected health information) but is balanced to ensure that appropriate uses and disclosures of the information still may be made when necessary to treat a patient, to protect the nation’s public health, and for other critical purposes. The U.S. Centers for Disease Control and Prevention (CDC) has advised: if you were in China within the past 14 days and feel sick with fever, cough, or difficulty breathing, you should get medical care. Call the office of your health care provider before you go and tell them about your travel and your symptoms. They will give you instructions on how to get care without exposing other people to your illness. While sick, avoid contact with people, don’t go out, and delay any travel to reduce the possibility of spreading illness to others. More information from the CDC available at https://www.cdc.gov/coronavirus/2019-ncov/downloads/2019-ncov-factsheet.pdf.

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

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Abbi Benjamin is a medical professional and licenses phlebotomist. She brings you flexible, professional, confidential, and convenient services to your home or place of business. 

She has been in the Mid Missouri area since 1999, currently residing in Boonville and remains connected to Columbia. Abbi has a varied background in healthcare ranging from being a Certified Nursing Assistant, EMT, to Certified Phlebotomist.

Abbi believes her patients and clients come first and that they know their own bodies and needs.  She provides professional services arriving with a friendly smile and a gentle & steady hand.

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February 2020 Office for Civil Rights, U.S. Department of Health and Human Services BULLETIN: HIPAA Privacy and Novel Coronavirus

How Is Sickle Cell Disease Diagnosed?

Screening Tests:


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.

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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.

 

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?

No.

WHAT IS THE PRICE OF A SICKLE CELL SCREEN?
$49.00

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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.

PACE Eligibility

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.

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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 

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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.



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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.

A Look Inside the mobile specimen collection industry

The Elite Examiners Experience

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.

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