8/28/2015. ACP Toolbox SYSMEX CLINICAL SUPPORT TEAM SYSMEX CUSTOMER RESOURCE CENTER. Maggie Fischer BSN, RN, MS Carolyn Williams, BSN, RN, CRNI

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1 ACP Toolbox Maggie Fischer BSN, RN, MS Carolyn Williams, BSN, RN, CRNI SYSMEX CLINICAL SUPPORT TEAM Available to provide education and resources: Tailored presentations Customer Resource Center tools Current studies with scientific evidence Physician and customer testimonials Clinical pathway examples Case studies showing clinical applications 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales SYSMEX CUSTOMER RESOURCE CENTER 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales 1

2 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales RECENT DATA & STUDIES 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales 2

3 CBC: Platelet: Differential: Reticulocyte: Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales SURVIVING SEPSIS CAMPAIGN GUIDELINES DIAGNOSTIC CRITERIA FOR SEPSIS: INFECTION, DOCUMENTED OR SUSPECTED, AND SOME OF THE FOLLOWING Inflammatory variables Leukocytosis (WBC count > 12,000 µl -1 ) Leukopenia (WBC count < 4,000 µl -1 ) Normal WBC count with greater than 10% immature forms Plasma C-reactive protein more than two SD above the normal value Plasma procalcitonin more than two SD above the normal value Dellinger RP., et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock, Intensive Care Med :2, Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales AABB TRANSFUSION RECOMMENDATIONS AABB. Five Things Physicians and Patients Should Question. Should-Question.PDF (Accessed 30 December 2014) Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales 3

4 PERFORMANCE OF RET-He IN CANCER Patient Screening With RET-He RET-He <32 pg And Hgb <11 g/dl NPV 98.5% Rapid rule out of iron deficiency anemia Reduced unnecessary testing Cost savings for laboratory and health care system Reduced Iron Studies by 80% Peerschke, E., et al. Using the hemoglobin content of reticulocytes (RET-He) to evaluate anemia in patients with cancer. AJCP : Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales CLINICAL PATHWAY EXAMPLES 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales RET-He IN CLINICAL PROTOCOL FOR ANEMIA LAS PALMAS & DEL SOL MEDICAL CENTERS, TEXAS of Retic-He has made degree of anemia easier to ascertain/treat Courtesy of Las Palmas and Del Sol Medical Centers, El Paso, TX 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales 4

5 RET-He IN CLINICAL PROTOCOL FOR ANEMIA LAS PALMAS & DEL SOL MEDICAL CENTERS,TEXAS Allows for more vertical depth Courtesy of Las Palmas and Del Sol Medical Centers, El Paso, TX 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales CUSTOMER TESTIMONIALS 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales OPERATIONAL BENEFITS OF IMMATURE GRANULOCYTES BANNER HEALTH, ARIZONA Courtesy of Dr. Holly McDaniel, Banner Estrella Medical Center 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales 5

6 AUTOMATED IMMATURE GRANULOCYTES TEST CANCER AND HEMATOLOGY CENTERS OF WESTERN MICHIGAN Manual Differential on CML patient: metamyelocytes, myelocytes and promyelocytes Automated IG = 27% Courtesy of Eve Graham, Cancer and Hematology Centers of Western Michigan 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales BENEFITS OF IMMATURE GRANULOCYTES TEST CANCER AND HEMATOLOGY CENTERS OF WESTERN MICHIGAN XN 1000 Automatic Differential on CML patient IG = 28.9% Timely and reliable results without added stress on lab resources Courtesy of Eve Graham, Cancer and Hematology Centers of Western Michigan 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales CLINICAL UTILITY OF RET-He BANNER HEALTH, ARIZONA Iron assessment with RET-He ED screening using RET-He Post discharge anemia management Joint Commission Certification Re-admission rate dropped from 13% to 10% Courtesy of Larry Spratling, MD- (Chief Medical Officer) 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales 6

7 CLINICAL UTILITY OF RET-He CORE SURGICAL GROUP, BANNER HEALTH, ARIZONA Blood Management Clinic for elective orthopedic surgeries Pre-surgical anemia assessment by nurses and pharmacist Anemia criteria based upon Hgb and RET-He Hgb 10-13g/dL erythropoietin and iron Ret-He<30.6pg - IV iron sucrose Hgb and RETIC- pre-discharge Reduced transfusion rates from 60% to10% Courtesy of Banner Health, Arizona 2015 Sysmex 2015 America, Sysmex Inc. America, All rights reserved. Inc. All rights For Clinical reserved. Support For Clinical Team Support Only. Team Not for Sales Only.. Not for Sales THANK YOU! scientificmkt@sysmex.com 2015 Sysmex America, Inc. All rights reserved. For Clinical Support Team Only. Not for Sales 7

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