drug testing

On Tue, 26 Dec 2006 22:17:51 +0200, Donald Munro <[email hidden]>

Quoted message said:

nobody said:

Uh, Doc, it's PhD. pH is acid-base. LOL.

Maybe its PCP.

You suggesting Gorilla is an example of good PhDs gone bad? ;-D

nobody said:

Mark & Steven Bornfeld said:

Could be much worse. Or not. Didn't know you had a pHD (saw that Andy
had mentioned it) and wonder what it is. Surely then, you know it
depends who's counting, and how.

Steve

Uh, Doc, it's PhD. pH is acid-base. LOL.

j/k

Ya, my bad, not acidotic.

Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

nobody said:

Mark & Steven Bornfeld said:

nobody said:

It's not a guess. They test for competency twice a year, and every
six-months reference samples are sent out and scored. If you fail one, you
don't work there long. Don't know how it is in France.

Is this a state reg. or is this the facilities' prerogative?

Our lab has about five agencies to whom they are responsible. Some
inspections are more cursory than others. We're required to produce records
and temps and equipment logs, repairs. GMP, ISO-9000, CDC. ISO used to be
voluntary and people try to get it. Brings up their cert quite a bit. Only
about five agencies like ours are ISO-certified in the US last time I
looked. We are not there being in a teaching hospital. It's no joke - you
lose your cert on any one of five and you could end up being outsourced to
someone who can.

Are you saying you are in a teaching hospital? I guess ISO is still
voluntary or there wouldn't be only 5 certified nationwide?

Quoted message said:

Quoted message said:

Quoted message said:

> I don't know what it is in medical laboratory technology--or medicine,
>for that matter.
> But here is the competency testing I have passed as a dentist in NY State:
>1) Successfully completed Part I and Part II of the National Board
>Dental Exams in 1975 and 1976.
>2) Successfully passed the the Northeast Regional Board (NERB) exam, 1976.
>3) Required to take a 3-hour "infection control" course every 3 or 4 years.
>4) One-time requirement to take a course in recognition and reporting of
>suspected child abuse.
>5) Every three years must attest to have taken 45 hours of approved
>continuing education courses. I need not ordinarily provide
>documentation unless specifically requested to; I choose the courses I
>take and there is no requirement or minimum in any specific area.
>
> As you can see, I've been basically unsupervised for 30 years. But it
>may be much better in lab technology--after all, most aren't
>self-employed, and I'm sure commercial labs would want to be very strict!!

Don't you certify the sterilization of your equipment? Don't you have OSHA
visits? What kind of oversight? Just curious. Don't mean to put you on the
spot.

Not at all. I do certify my sterilization, and we're supposed to
follow OSHA guidelines (which mirror CDC protocols). But there is no
oversight, and OSHA doesn't inspect private offices as a matter of
course. Generally from what I hear, most OSHA inspections are triggered
by a complaint from disgruntled former employees. They simply don't
have the staffing to do routine inspections.

This is correct. I've served as the in-house OSHA liaison getting all the
departments in line, doing mock-inspections. You have state OSHA as well as
Federal; state usually soft-balls other state agencies.

Quoted message said:

Oh, yes--the state inspects our X-ray equipment every few years.

I'm surprised you don't have to do monthly xray calibrations using
standards and test films. How do you know you're not having overdosing? I'd
expect the state to inspect your weekly Q.C. notebooks. Do your D.A.s have
to know how to put in a line? How about sterile technique? Swabs of
surfaces for bacterial contamination? These are things I'd want to see as
an inspector.

Well, we really use only one type of film, one speed, one exposure.
No, we do not do calibrations, but the inspectors do. It's very
unsophisticated.
Swabs of surfaces for bacterial contamination? I'm sure every dentist
in the country would be in trouble. Really can't practice asepsis, just
focus on eliminating cross-contamination--a lot of disposable
polyethylene sleeves. But you can't do that to the whole room, just the
hardware touched during procedures.

Quoted message said:

BTW, I noticed on 'The Beauty and the Geek' one of the beauties was a D.A.
She was as dumb as a box of hammers. How in the world could she get through
school? Did you see that show? ;-D

Again, just chatting.

No, haven't seen it. I'm not surprised, that's pretty much of a
stereotype.

Steve

Quoted message said:

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Mark & Steven Bornfeld said:

Quoted message said:

I'm surprised you don't have to do monthly xray calibrations using
standards and test films. How do you know you're not having overdosing? I'd
expect the state to inspect your weekly Q.C. notebooks. Do your D.A.s have
to know how to put in a line? How about sterile technique? Swabs of
surfaces for bacterial contamination? These are things I'd want to see as
an inspector.

Well, we really use only one type of film, one speed, one exposure.
No, we do not do calibrations, but the inspectors do. It's very
unsophisticated.

OK, Dental X-rays are different than hospital whole body devices. Duh.

Quoted message said:

Swabs of surfaces for bacterial contamination? I'm sure every dentist
in the country would be in trouble. Really can't practice asepsis, just
focus on eliminating cross-contamination--a lot of disposable
polyethylene sleeves. But you can't do that to the whole room, just the
hardware touched during procedures.

So no Quaternary Ammonium cleansers? Don't you have patients with hepatitis
risk? No AIDS patients? Just curious. Do you have a cleaning service?

I recall 15yrs ago when I had a tooth pulled in an emergency the tech put a
needle in my vein without alcohol swab (Sodium Brevitol drip), just jammed
it in there - I would know - I did venipunctures at the time. Freaked me
out 'cuz we do iodine swab prep for big needles (this was a 16ga.). No
problems but it made me wonder about their training. Do you use anesthesia
like that also, or just gas?

Quoted message said:

Quoted message said:

BTW, I noticed on 'The Beauty and the Geek' one of the beauties was a D.A.
She was as dumb as a box of hammers. How in the world could she get through
school? Did you see that show? ;-D

Again, just chatting.

No, haven't seen it. I'm not surprised, that's pretty much of a
stereotype.

She couldn't remember, after studying it all evening what causes pollution.
One of the Beauties says 'I wouldn't eat a lot of gaseous foods and cause
fart pollution'. LOL Again this isn't off the cuff. They'd been studying
five potential questions. Global Warming, Pollution and some others. Wasn't
paying attention, wife and daughter watching.

Reminds me of a classic Bobby Julich moment in the TdF interview, 1999.

BJ: "I'm engaged to...a girl" (forgot her name?)
Laughs
BJ: Wait, I better do that over.

nobody said:

So no Quaternary Ammonium cleansers? Don't you have patients with hepatitis
risk? No AIDS patients? Just curious. Do you have a cleaning service?

All instruments are sterilized or disposable, of course. If I use a
surface disinfectant, it's either a phenolic or glutaraldehyde--pretty
nasty stuff, but quats are considered pretty useless as disinfectants
these days. There should be no direct contact with any cabinet surfaces
anyhow during a procedure, but of course they're considered contaminated
from droplet nucleii. I confess I don't bag the entire dental
chair--just the headrest.

Quoted message said:

I recall 15yrs ago when I had a tooth pulled in an emergency the tech put a
needle in my vein without alcohol swab (Sodium Brevitol drip), just jammed
it in there - I would know - I did venipunctures at the time. Freaked me
out 'cuz we do iodine swab prep for big needles (this was a 16ga.). No
problems but it made me wonder about their training. Do you use anesthesia
like that also, or just gas?

Actually, I don't even use nitrous anymore, and thank goodness NY State
now requires certification for enteral and parenteral agents (I believe
inhalation agents too, but I'm not sure it's required for nitrous).
I understand your concern about disinfecting the skin prior to
injection, but you don't believe you can disinfect oral mucosae prior to
injection, do you? I can't say I can recall even one infection I can
attribute to an intraoral injection in 30 years. Yes, it ain't aseptic,
but we manage to get away somehow with a multitude of sins.

Quoted message said:

Quoted message said:

Quoted message said:

BTW, I noticed on 'The Beauty and the Geek' one of the beauties was a D.A.
She was as dumb as a box of hammers. How in the world could she get through
school? Did you see that show? ;-D

Again, just chatting.

No, haven't seen it. I'm not surprised, that's pretty much of a
stereotype.

She couldn't remember, after studying it all evening what causes pollution.
One of the Beauties says 'I wouldn't eat a lot of gaseous foods and cause
fart pollution'. LOL Again this isn't off the cuff. They'd been studying
five potential questions. Global Warming, Pollution and some others. Wasn't
paying attention, wife and daughter watching.

Reminds me of a classic Bobby Julich moment in the TdF interview, 1999.

BJ: "I'm engaged to...a girl" (forgot her name?)
Laughs
BJ: Wait, I better do that over.

Luckily (for me) I'm tolerant of fart pollution. Wow, I didn't
remember that about Julich--that's really impressive.

Steve

Quoted message said:

Quoted message said:

Oh, yes--the state inspects our X-ray equipment every few years.

Only every few years? Guess that explains why you guys run & hide every time
you do an x-ray! :>😉

--Mike Jacoubowsky
Chain Reaction Bicycles
www.ChainReaction.com
Redwood City & Los Altos, CA USA

"Mark & Steven Bornfeld" <[email hidden]> wrote in message
news:eMekh.5728$9H4.1282@trndny07...

Quoted message said:

nobody said:

It's not a guess. They test for competency twice a year, and every
six-months reference samples are sent out and scored. If you fail one,
you
don't work there long. Don't know how it is in France.

Is this a state reg. or is this the facilities' prerogative?

Quoted message said:

Quoted message said:

I don't know what it is in medical laboratory technology--or medicine,
for that matter.
But here is the competency testing I have passed as a dentist in NY
State:
1) Successfully completed Part I and Part II of the National Board Dental
Exams in 1975 and 1976.
2) Successfully passed the the Northeast Regional Board (NERB) exam,
1976.
3) Required to take a 3-hour "infection control" course every 3 or 4
years.
4) One-time requirement to take a course in recognition and reporting of
suspected child abuse.
5) Every three years must attest to have taken 45 hours of approved
continuing education courses. I need not ordinarily provide
documentation unless specifically requested to; I choose the courses I
take and there is no requirement or minimum in any specific area.

As you can see, I've been basically unsupervised for 30 years. But it
may be much better in lab technology--after all, most aren't
self-employed, and I'm sure commercial labs would want to be very
strict!!

Don't you certify the sterilization of your equipment? Don't you have
OSHA
visits? What kind of oversight? Just curious. Don't mean to put you on
the
spot.

Not at all. I do certify my sterilization, and we're supposed to follow
OSHA guidelines (which mirror CDC protocols). But there is no oversight,
and OSHA doesn't inspect private offices as a matter of course. Generally
from what I hear, most OSHA inspections are triggered by a complaint from
disgruntled former employees. They simply don't have the staffing to do
routine inspections.
Oh, yes--the state inspects our X-ray equipment every few years.

Steve

Quoted message said:

Quoted message said:

Steve

>It may be that the competency for 'non-medical treatment oriented'
>testing
>has a lesser standard. I mean you blow the steroid test and nobody dies
>(mostly). You blow the blood glucose and some patient could die.
>
>Having said that, many labs go for six sigma and other hard to get
>certifications that's even a step above that. That's usually GM
>practices
>and this lab isn't manufacturing anything. There's also ISO-9000,
>ISO-1400
>and so on.
>
>If the lab is internationally used/known, it shouldn't be hard to find
>out.
>
>If I was Floyd's lawyer I'd be looking into who certs them.
>

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Mike Jacoubowsky said:

Quoted message said:

Oh, yes--the state inspects our X-ray equipment every few years.

Only every few years? Guess that explains why you guys run & hide every time
you do an x-ray! :>😉

Ya know, I'll probably regret saying this now--but x-ray equipment is
practically all we use that rarely breaks down or wears out. I don't
remember ever flunking an inspection--maybe the more sophisticated
radiological equipment is more prone to breakdowns, but we've never had
problems.
There are other things I wish I could hide from.

Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Mike Jacoubowsky said:

Only every few years? Guess that explains why you guys run & hide every time
you do an x-ray! :>😉

You'd better start get worried if he uses a robotic drill and hides behind
a lead screen when using it.