THE CARIBBEAN ASSOCIATION OF MEDICAL TECHNOLOGISTS

For Laboratory Professionals

Newsletter: Volume 2, Issue 3

Anguilla St. Vincent & Grenadines

WELCOME TO THE SEPTEMBER EDITION

BGM 2013, its in the Bahamas, We hope t0 see you there!!

Haiti

Grenada

Dominica

The Cayman Islands Bermuda

Belize

The Bahamas

Barbados Jamaica Antigua & Barbuda Trinidad & Tobago St. Lucia St. Kitts & Nevis

CONTRIBUTORS FOR MARCH:

Inside This Issue

Pg. 2: Word from the Liaison Pg. 3: Councillor Comments: Fall 2013 Pg. 4: Meeting Procedures Pt. 2 Pg. 6: Be Mindful of what you Change Pg. 8: Keeping Fit in Suriname Pg. 9: My 48yr Journey.. Pg. 11: Hematology Crossword Pg. 14: BGM Event Schedule

Suriname Guyana

Chris Seay (USA) Shannon Newman (USA) Jasmin Hanley (St. Kitts & Nevis) Martin Mckenzie (The Cayman Islands) Sheldon SImson (Suriname) Victor Farrell (Barbados) Primla Williamson- Munroe (Jamaica) The Bahamas Branch

The Netherland Antilles

1
The British Virgin Islands Distributed: October 2013

Word from the Liaison: Chis Seay (AMT)

Greetings to all, Well, it looks like another BGM is upon us. The work that has gone in to this meeting is remarkable. The Bahamian organization has worked so diligently to make this meeting a success. I am so looking forward to seeing friends and colleagues from around the Caribbean. This is an extremely special meeting for me. At this meeting, I will serve as the CASMET Liaison and a member of the AMT Board of Directors. AMT will be present as it is holding a board meeting in the Bahamas. AMT is sponsoring a break for the educators from the region and will have an information booth. For this meeting AMT is working in close harmony with CASMET and showcasing the strong relationship between the two organizations. I applaud CASMET member Mrs. Greselda Evans, MT (Barbados) who received the AMT Exceptional Merit Award. She is a worthy recipient. Another worthy recipient was Mrs. Zobida Khan-Mohammed, MT (Trinidad and Tobago). I appreciate the work and contribution to CASMET and AMT. Dont forget the AMT national meeting for 2014 will be in Chicago. For 2015, the AMT national meeting will be in Hawaii. Looking forward to seeing everyone soon, Chris

Khalil Lucky (Trinidad and Tobago) presenting the CASMET basket to Faith Robeson of Littleton, Colorado at the AMT National Meeting in Pittsburgh, Pennsylvania in July 2013.

A QUOTE OF NOTE:

A boat doesnt go forward if each one is rowing their own way.

Swahili proverb

The Councillor Comments: Fall 2013

First, I would like to thank everyone for the thoughts, prayers and phone calls during a family illness that I had to leave the convention early. I hate that I missed seeing all of my AMT family, but everyone was in my thoughts everyday of the meeting and I cant wait to see everyone next year in Chicago. The National meeting was held in Pittsburgh, PA on July 8th - 12th. I know it was a great meeting with excellent speakers and educational sessions. It was announced at this meeting that the 2014 meeting will be held July 6th - 10th, 2014 in Chicago, IL at the Drake Hotel, $125.00 per night. For those of you who have been wishing for an exotic meeting location, your wishes have been granted for 2015. We will be meeting in late June 21-26, 2015 at the Hapuna Beach Prince Hotel in Kohala Coast, Hawaii, $169.00 per night. Now, is the time to start saving and plan for what will prove to be a wonderful time. We will be the only people in the resort for this period. The resort, and a sister facility, are offering these rates for three nights before and after the meeting. Some news from AMT office: A reminder for all members to watch for e-blasts regarding their state activities. If they are not receiving any they should go on-line and make sure they have the correct e-mail address listed in their personal profile. National AMT e-newsletter. The national office is now sending a bi-monthly e-newsletter to all members for whom they have an e-mail address. Once again, if not receiving these they need to check their listed address. Also, the national office is redesigning the national web page. Changes should be coming soon. It is intended to be more intuitive and user friendly. And lastly, the national office has contracted with a professional writer to produce an AMT History book that will be available for purchase at next year's 75th anniversary meeting in Chicago. The author may be contacting some of the members for input. The North Carolina story board challenge had a few takers. First place went to Oregon. New AMT Board members: Chris Seay and Peggy Oiler. Jeannie Hobson was reelected to a full three year RMA term. The officers are Mary Burden as President, Everett Bloodworth as Vice-President, Jeff Lavender as Secretary, and Janet Sesser as Treasurer. New AMTIE Board Members: Charles Baker and Dorothy "Mimi" Roush. At this time I would like to congratulate my district award winners: Honor Roll states: Alabama, Florida, Georgia, Kentucky, South Carolina, Tennessee, and Virginia. Publications awards: Kaye Tshop from Tennessee for 1 st place journal, and Kathleene Hardy from Florida for 2nd place newsletter. Distinguished Achievement: Salimata KoneCoulibaly and Nettie Lucille Norphleet from Alabama, Patricia Crouse Harris, from Virginia, Deborah Janeczko from Florida, Annie Washington from Tennessee, and Zobida Khan-Mohammed, from Trinidad & Tobago. Exceptional Merit: Peggy D. McCutcheon from South Carolina. Silver Service: Tommie Williams from North Carolina. GEM Award: Arthur Contino and Kathleene Hardy from Florida and Joyce Lybrand from South Carolina. Thanks for your hard work and dedication to AMT. Finally, don't forget to celebrate National Medical Assistants Recognition Week, October, 21-25 2013. Shannon H. Newman, BSMT AMT Southern District Councillor
3

MEETING PROCEDURES (PART 2): THE MOTION CONTD

By Jasmin Hanley

The motion is a statement which proposes some event or part of activities of a group. It should be carefully worded to avoid misinterpretations. The motion is made by stating, I move that the . . .(name of the organization or committee) . . . (add what is to be done, by whom, when, how financed, etc.). Normally, it should be seconded. This means the seconding person endorses the motion. The chairman repeats the motion. This should be followed by discussion. One purpose of a seconder is to ensure that the matter evokes sufficient interest to be presented to the group, and thus the seconder prevents one member from wasting time by presenting an issue that nobody wants to discuss. It is done by simply stating, I second the motion.
Parliamentary law is designed to insure that the group 2. Subsidiary motions (Amendments, refer to a

considers only one motion at a time. This prevents confusion and wastage of time. It is the chairmans duty to remind the group constantly which action is the main topic. To get the jobs executed and prevent a small but vociferous minority from keeping a group in session or wasting time on inconsequential matters, necessarily demands that certain motions receive precedence. These have specific objectives which deserve early consideration by the group and are listed in order in the Chart on Parliamentary Procedure Motions at the end of this guide. When these motions are made, they immediately become the pending problem of the group and must be decided first. It is important to remember that only the motion with precedence is then before the group, even though any number of subsidiary, incidental, or privileged motions are, so to speak, on the floor.
Parliamentary Procedures
Types of Motions

committee; lay on the table, etc.) This is a motion generally designed to facilitate action on a main motion, a motion subsidiary to the main motion. Examples include motions to debate, amend, refer to a committee, lay on the table, etc.
3. Incidental motions (Point of order, suspension of

the rules, etc.) These motions are incidental to the consideration to the topic discussed and accomplish certain parliamentary purposes. Examples are questions of order and appeal, suspension of the rules, objection to consideration of a question, etc.
4. Privileged motions (Fix time of next meeting,

The use of parliamentary forms over a period of time has resulted in the establishment of certain terminology which itself has specific parliamentary meanings. The terms often vary as to the group using them.
1. Main Motion

adjourn meeting, recess, question of privilege, point of information, etc.) A motion is privileged in the sense that with it, at certain times, goes the distinction of an immediate or at least an earlier decision in regard to the subject matter to which it relates, rather than to the subject matter of another motion, which may have been on the floor.
5. Lay on the table

This motion, is used to accomplish a part of the activities of a group such as:- adopting a project; approving a budget or report; creating a committee; approving an appointment; etc. All other motions are, procedural, while the main motions get the work done.

This motion is to delay, to an indefinite time, consideration of a main motion by taking it figuratively from the floor, where action can be taken, and laying it on the table, where action cannot be taken. This helps to allow more time to consider the problem, yet does not set a definite time for reconsideration.
4

6. Take From The Table

A majority of voters who tabled the motion can later figuratively take the motion from the table and put it on the floor for discussion. When this is done, the motion comes back to the floor in the same condition as it went on the table (with the same wording).

CHART OF PARLIAMENTARY MOTIONS

PRIVILEGED MOTIONS 1. Fix time of next meeting 2. Adjourn meeting 3. Recess 4. Question of privilege 5. Point of information SUBSIDIARY MOTIONS 6. Lay on the table 7. Previous Question 8. Limit debate 9. Postpone to a certain time 10. Refer to a committee 11. Amend 12. Postpone indefinitely MAIN MOTIONS 13. Main motion for general business 14. Take from the table 15. Reconsider 16. Rescind 17. Make special order of business INCIDENTAL MOTIONS Requires Second Yes Yes Yes No No Requires Second Yes Yes Yes Yes Yes Yes Yes Requires Second Yes May be Amended Yes No Yes No No May be Amended No No Yes Yes Yes Yes No May be Amended Yes May be Debated No No No No No May be Debated No No No Yes Yes (1) Yes May be Debated Yes Require Vote Majority Majority Majority Chairman No Require Vote Majority 2/3 2/3 Majority Majority Majority Majority Require Vote Majority May be Reconsidered No No No Yes No May be Reconsidered No Yes Yes Yes Yes Yes Yes May be Reconsidered Yes May Interrupt Speaker No No No Yes Yes May Interrupt Speaker No No No No No No No May Interrupt Speaker No

Yes Yes Yes No

No No Yes No

No (2) Yes No

Majority Majority Majority 2/3

No No Yes

No Yes No Yes

Requires Second

May be Amended No No No No No

May be Debated No No No No Yes

Require Vote 2/3 Majority 2/3 Chairman Chairman or Majority No

May be Reconsidered No Yes Yes No Yes

May Interrupt Speaker No No Yes Yes Yes

18. Suspend rules Yes 19. Withdraw a No motion 20. Object to a No consideration 21. Point of order No 22. Appeal from Yes Chairmans decision 23. Division No (verify a voice vote) 24. Roll call Yes

No No No

Yes Majority Yes

Be Mindful Of What You Change A Laboratory Experience By Martin McKenzie (M.T)

I always believed that it is better to work hard at acquiring
knowledge and skills and their applications, through which you get an A than to work for an A. Also one should always see the bigger picture at all times rather than self. Riding in one direction everyday does not necessarily mean that you can find your way. If you have to ride in the opposite direction one day, you may become lost. By this I mean that you can be a good director but a not so good actor. With these words in mind I sincerely hope that you get what I am trying to say. For a laboratory to become accredited it is a challenge, and maintaining that accreditation is another matter. Lab X has been accredited for some time now but has to participate in surveillance visits by the accrediting body as part of the program during each accreditation cycle. With each yearly visit the assessment report would state that the quality management system (QMS) was indeed effective but would identify areas for further strengthening, and would approve continued accreditation. We all know that no system is perfect and that we all strive for continual improvement. So whatever findings sited during surveillance visits would be discharged in a manner that would always benefit the organization as a whole. Lab X had challenges recruiting and retaining staff for senior management but had appointed a quality manager who was there throughout the years. Because of vacant positions of senior management at times, that level of oversight or the lack of it was an ongoing challenge. Then here the perfect opportunity presented itself. One of the lead assessors from the accrediting body, who accessed Lab X before, announced during one of her visits that she would be resigning from the accrediting body as a lead assessor and would not mind working for Lab X since the organization was one of high standards and an impressive place to work. The Board of Lab X pounced on the opportunity of employing the lead assessor since the individual knew all about standards, QMS and accreditation. And so the assessor was now appointed as the senior manager with overall responsibility for the management and operations of the laboratory. The rewards as usual were very good. The following year the scheduled accreditation surveillance visit was conducted and all hell broke loose. Problems! Problems! on a scale that the organization had never seen before. After the visit no one was happy and staff morale was very low. The Board of Lab X was left hanging in disbelief; it contested the findings and filed an appeal. In the mean time consultants were called in to assess the situation and they corroborated the assessment finding. What transpired was as followed: The new senior manager changed the reporting relationship of the quality manager from reporting to the head who was a representative of the board, to that of the senior manager in an attempt to exert control and authority. Policies were changed without the necessary changes in the associated procedures downstream, while some procedures were changed without being reflected in the policies upstream. Activities, as were guided by the standard, were conducted according to the senior managers own thinking and interpretations rather than what was documented as standard practice. The quality manager when interviewed about the outcome of the last accreditation visit clearly stated that the new senior manager, who was a lead assessor and was now in charge, had full control of the organization and since his reporting relationship was changed, reports on the real status of the organization did not reach the Board.

Be Mindful Of What You Change A Laboratory Experience contd

It was very obvious that the changes made across the organizations without careful thought and due process caused a lot of inconsistencies that were observed and noted during the accreditation surveillance visit. The Board of Lab X, because of the fact that their accreditation was hanging in the balance, made a strong case during the appeal and had a new assessment visit scheduled and conducted. Lab X with the help of a consultant revert all policies and procedures back to the state prior to recruiting the senior manager and fill the necessary GAPs. The results of the subsequent accreditation visit were summed up as the quality management system was effectively implemented and the technical staff was well conversant with their procedures. Staff morale was once again high, and the senior manager saw it fit to say good bye to the organization. The lessons learnt: Being an assessor of a laboratory does not automatically translate into being an effective manager. That is, riding one way can become challenging trying to ride the other way. Assessing and being assessed is not necessarily the same thing. Exerting control by having persons report to self might not always work in the bes t interest of the organization. The quality manager should always report to the level of management where decisions are made on policies and resources. Employment should always be based on proven competency with regards to the particular job. Having an A grade in education does not translate into competence. Your A grade should come through real grasp and understanding of the subject material and its application. And last but not least. Always see the organization before self. As they say if it is not broken dont fix it. Remember that the beam you are trying to change in the organization may be a load bearing beam that if moved then everything around it could crash BIG.

Martin McKenzie (M.T) 15.8.2013

Keeping Fit in Suriname: You Can Do It Too

We organized a Zumbathon during Laboratory Professionals Week. Zumbathon is a popular version of aerobics with music. The Zumbathon was advertised in De Ware Tijd; which is one of the local newspapers and was also highlighted on Suriname Televisie Stichting (STVS) the national TV station. Unfortunately the attendance was not as great as we expected, but those who participated had a fun and healthy time. The STVS also had an interview with the President of the Surinames Laboratory Professionals Society. The purpose of the interview was to inform the public about the medical laboratory profession, to learn more about the Laboratory Professionals Week and our Zumbathon .

Push

MY 48-YEAR JOURNEY FROM CAMPAIGN TO ENMORE AND BEYOND . BY VICTOR FARRELL

I was born and grew up in the small district of Campion Castle (now called Campaign Castle) in the rural parish of St. George in Barbados. I received my primary education at St. Luke's School, also in the parish of St. George. At the age of 10, I won a scholarship to the Modem High School in the capital city of Bridgetown, St. Michael. It was there that I spent the next eight years of my school life. After working for six months as an accounts clerk in the government service, my call-up for laboratory service came in early April, 1964, when I was asked to report for work at the Public Health Laboratory of the then Enmore Health Centre (now Winston Scott Polyclinic) on April 7, 1964. That was the start of my 48-year career in the field of Medical Laboratory Technology. After working for one year and nine months at the Public Health Laboratory, I was chosen to attend a six-month Medical Technology training course at the Department of Pathology, University of the West Indies in Jamaica, starting January 1966. The course comprised a three-month theoretical component, followed by a three-month practical component in the disciplines of Microbiology, Histopathology, Clinical Chemistry and Haematology and Immunohaematology. I placed first in the examination held at the end of March and it was at this point that I learned that with my previous work experience and my advanced level qualifications, I was eligible to sit the Intermediate examination of the then Society of Medical Technologists (West Indies) in June, 1966. I was one ofthree candidates to pass the June examination and I still regard that achievement as one of the high points of my career. On my return home, I resumed work at the Public Health Laboratory and remained there until January, 1968 when I was transferred to the Pathology Laboratory, Queen Elizabeth Hospital. This was in preparation for my return to Jamaica in January1969 to pursue studies for the Diploma in Haematology and Blood Banking. I returned to Jamaica in January 1969 to continue preparation for the June examination.

I was the only candidate taking the examination in the discipline and had the distinction of attaining Honours in the examination. On my return to Barbados in July 1969, I was assigned to the Blood Bank Department Laboratory, Queen Elizabeth Hospital. There I spent the majority of the next 20 years of my working life. For me, it was a department in which one lived, on an almost daily basis, the Association's motto "Vitam Excolimus Per Artes" which translates "We save lives by our Skills". My 20-year stay in Blood Bank was punctuated by four events which I regard as significant in any professional career. In September 1971, I.was hurried off to Montserrat to fill in for their Laboratory Technologist. Needless to say, I underwent an almost immediate transformation from a Blood Bank Technologist to an all-round Technologist. In 1974, I was again on Jamaican soil for a six-month attachment to the National Blood Transfusion Services at Slipe Pen Road. Two years later, in February 1976 I returned to Jamaica to pursue my Fellowship qualification by Higher Education in Haematology. For me, the five months of study leading up to the examination was an extremely stressful period. My constant companion during that period, the 2021-page 8th Edition of Clinical Haematology by Maxwell M. Wintrobe et al still adorns my bookshelf. I will never forget the sigh of relief I breathed on being informed that I had passed my examination. My next study assignment took me to London, England from April to November 1980. There I successfully completed an eight-month Medical Technology Tutor's Certificate Course at Royal Free Hospital. In 1989 I was promoted to the post of Senior Laboratory Technologist, Queen Elizabeth Hospital and in 1995 to the post of Chief Laboratory Technologist. I held that post until I retired from the Barbados Public Service in May 2000.
9

MY 48-YEAR JOURNEY FROM CAMPAIGN TO ENMORE AND BEYOND CONTD

Following my retirement from the government service, I joined the staff of Barbados Reference Laboratory, one of the island's private laboratories. There I worked on a fulltime basis from March 2000 to December 2009 and on a part-time basis from March 2010 to May 25, 2012. Between 1977 and 2000, I lectured intermittently on a parttime basis at the Barbados Community College, teaching courses in Haematology, Immunohaematology and Pathophysiology. Additionally, I served on the Sub-Advisory Committee (Laboratory Technology) of the College for a number of years. In spite of what I may have achieved professionally, I have always felt the need to be more than an on-the-bench technologist or a behind-the-desk laboratory administrator. Involvement in the activities of the Caribbean Association of Medical Technologists (CASMET) was one way of ensuring this. Hence the extent of my service to CASMET over the past 40 years. With the exception of two one-year terms, I have served on the executive of the Barbados Branch since 1973. At the Regional level I served on the executive from 1982 to 1999 and held the post of President from 1984 to 1987. In addition, I was editor of the CASMET Newsletter from 1990 to 1997. However, the area of education was the one to which I devoted most of my time during the period 1978 to 2007, when I headed the group of Barbadian technologists which assumed responsibility for the co-ordination of Diploma examinations administered by the Barbados Branch. My tenure as Chairman of Education Committee spanned the years 1989 to 2007. It was a job which had its fair share of challenges, many of them related to Diploma examination programme during the period when it was being phased out and to the Fellowship by thesis programme. In the case of the latter finding suitable and willing examiners was the Committee's biggest problem. I therefore wish to use this medium to thank Dr. Alfred Brathwaite, Prof. Paul Levett and Dr. Parimi Prabhakar for the unswerving support they gave as examiners in the Fellowship by Thesis programme.

I also wish to thank Mrs. Greselda Evans and Mrs. Barbara Robinson for their invaluable help in the areas of examinations and other CASMET -related matters. It seemed as though they were always available and willing to lend a helping hand. Over the years, I have received a number of awards in recognition of my contribution to the profession of Medical Laboratory Technology. For me, it is an indication that my work did not go unnoticed. I consider my most recent award of Member of the Most Excellent Order of the British Empire (MBE) as a crowning reward for my service to Medical Technology. However, I would want to regard it more as an award for the profession in the Caribbean than as a personal accolade. Among those awards were: 1993, Most Outstanding Technologist of the Caribbean (1992-1993) 1994, 30-year Dedicated Service to Medical Technology Award 1995, American Medical Technologists (AMT) Distinguished Achievement Award 1997, Technologist of the Year, Barbados Branch 2005, American Medical Technologists (AMT) Exceptional Merit Award 2005, CASMET'S 50th Anniversary Award 2013, Member of the Most Excellent Order of the British Empire (MBE) Award In conclusion, I wish to thank all those who helped me in one way or another along my 48-year journey and that includes members of both my CASMET and AMT families. I must make special mention of my wife of thirty-eight (38) years, my daughter and my extended family, all of whom would have made great sacrifices over the years while I was engaged in my professional pursuits. They were also my greatest sources of inspiration. One point on which all medical laboratory professionals will agree is that the profession has never been a high-paying one. In spite of that, however, I would not have traded it for any other. 10

Haematology Crossword Puzzle (Topic: Haematopoiesis & RBCs)

INSTRUCTIONS: 1. 2. 3. 4. 5. 6. Read through the numbered clue sentences provided. The numbered clues sentences under the Column labelled Across refer to the blank spaces that run horizontally in the puzzle. The numbered clues sentences under the Column labelled Down refer to the blank spaces that run vertically in the puzzle. Use the answers to the clues sentences to fill in the blank spaces in the Crossword Puzzle below. When writing the answers do not include spaces between words. Please see cues on following pages.

Answers on page ..19

11

Across:
1.
The domino-effect produced when one O2 molecule binds to a single heme moiety is referred to the ____ _____ _____. (3 words) The Eosinophils granules appear as they do under Wrights stain because of their _________ pH. The ability of the Haemoglobin molecule to exist in either the Relaxed or Taut form is called ____ ____. (2 words) The Cyanmethaemoglobin Test and MCHC differ from each other in that one measures the ________ concentration of haemoglobin in an EDTA sample whereas the latter refers to the haemoglobin concentration of one RBC. What is the name of the final stage capable of performing mitotic divisions during Granulopoiesis within the bone marrow?

Across:
17. During exocytosis the contents of the cell are ________ into the surrounding cytosol. 18. This abnormal RBC is associated with a MCHC value that exceeds 36 g/dL. 20. The _ _ _ _______ are responsible for the polychromatic appearance of the diffusely basophilic RBC otherwise called the Reticulocyte. (3 letters; 1 word) 21. The O2 dissociation curve in a normal adult depicts the relationship of O2 and a specific Haemoglobin molecule. The globin chains present in this molecule are two pairs of _____ and _____ chains. (2 words) 24. The _ _____ value is the partial pressure (PO2) within the body at which the Haemoglobin molecule is saturated with 2 O2 molecules. (1 letter; 1 word) 25. 2, 3 DPG is produced within the RBC cytosol. This metabolite plays a key role in the release of O2 to the surrounding environment; this process is called ________. 26. The mature Neutrophil, Monocyte and Macrophage are commonly known as the _______ of the blood and tissues respectively. (plural) 28. ____________ Haematopoiesis refers to blood cell formation that occurs within the bone marrow. 29. A _______ population is present when there are equal populations of 2 types of RBCs on a Wrights smear. 30. Normal RBCs possess an inherently _____ zeta potential between themselves and the surrounding plasma environment. 31. ________ refers to the aging process of the RBC.

3. 5.

6.

9.

11. The Red Cell Distribution Width (RDW) is a measure of the degree of RBC size change within a sample of blood. As such the RDW is similar to the haematological term _________. 12. A mature Neutrophil that possesses greater than five (> 5) distinct nuclear lobes connected by thin chromatin strands is referred to as ___________. 13. The RBC Indices are measures of the physical characteristics of the RBC and its passenger Haemoglobin. The Mean Cell Haemoglobin refers to the average _____ of a single RBC in a sample of whole blood. 14. The RBC Indices are measures of the physical characteristics of the RBC and its passenger Haemoglobin. The Mean Cell Haemoglobin Concentration refers to the average amount of Haemoglobin within a ______ RBC.
15. The RBC Indices are measures of the physical characteristics of the RBC and its passenger Haemoglobin. __ __ __ is the average size of a single 16. RBC in a sample of whole blood. (3 words). 17. Decreased temperature and levels of 2,3 DPG will cause a left shift of the O2 dissociation curve; the P50 value will ______.

12

Down: A M: E Ratio of 12:1 indicates that the bone marrow 2. displays _____ _______. (2 words) 4. 7. 8. This process is called programmed cell death. Oxygenation only occurs in areas where the partial pressure of Oxygen (PO2) is ____. State whether the following statements regarding 2, 3 DPG are collectively True or False. 2, 3 DPG: - is produced by the Luebering- Rapaport Pathway. - is responsible for the Taut form of the Haemoglobin molecule. - increases in concentration within the RBC when the surrounding tissue PO2 decreases. - permits the Haemoglobin molecule to upload O2 from surrounding tissues. The ______ and _____ ______ are a collection of tissues throughout the body cumulatively called Secondary Lymphoid Organs. (3 words) The Mean Cell Volume and RBC Distribution Width are 2 measurements that are assessed simultaneously to determine if the size change present is homogenous or ________. __________ is a byproduct of extravascular haemolysis. The following _ _ _______ are associated with Lymphocytes: 2, 3, 4, 7, 8, 19, 21, 22. (2 letters; 1 word, plural) Normocytic describes the RBC on a Wrights stained smear. It is only used when the size ___ shape are normal.

10.

19.

22. 23.

27.

13

The Caribbean Association of Medical Technologists (CASMET) Affiliate of American Medical Technologists (AMT) Biennial General Meeting & Scientific Symposium EVENT PROGRAM
**Who should attend: All levels of Laboratory Professionals, interested Physicians and support staff, Nurses, Nursing students, Medical Students, healthcare workers interested in understanding Medical Technology

October 20th - 26th,2013, Atlantis Resort, Nassau, Bahamas

SATURDAY October 19, 2013
- Arrival of Regional Council Members - 5:00pm to 7:00pm Conference Registration (ATROPOS ROOM)

SUNDAY October 20th, 2013

- 8:30am to 5:00pm - 5:00pm to 7:00pm Regional Council Meeting (APOLLO ROOM) Conference Registration (ATROPOS ROOM) Conference Registration (ATROPOS ROOM) Regional Council Meeting (APOLLO ROOM)

MONDAY October 21st, 2013

- 8:00am to 5:00pm - 8:30am to 5:00pm

TUESDAY October 22nd, 2013

- 7:30am to 4:00pm Conference Registration (ATROPOS ROOM)

Conference seminars
TIME 9am 10:30am

ROOM 1: ORION & ZEUS

ROOM 2: CLEITO & ARES

ROOM 3: HERA
Breast Cancer prevalence and Study in The Bahamian population. Presenter: Dr. Locksley Munroe, Nassau, Bahamas

Multi-drug Resistant Organisms in SLEEP APNEA: Demonstration to include the 21st century and recommended CPAP instrument. Antibiotics Synopsis: Participants will learn specific gram negative and gram positive Presenter: Dr. Solomon Goldenberg FRCGP, M.Sc. (Lon), RMA microorganisms that are becoming resistant and gain an understanding of the Assistant to Neurologist at CITIMED, Miami, recommended antibiotics and the Florida, Diplomate of the American Anticonfirmatory tests. Aging Association Presenter - Zenaida Maraggun, MS, MT(AMT), CLS (HHS) Microbiology, Immunology & Serology Supervisor, Bayne, Jones Army Community Hosp. Ft Polk, LA / Adjunct Instructor at George Washington University

COFFEE BREAK

14

EXHIBIT HALL OPEN

10:30 12 pm
New Viruses in the Neighborhood Presenter- Dr. Marquita Gittens-St. Hilaire PhD, Faculty of Medicine Microbiology, UWI, Barbados.

10am to 6:00pm
Medical Technology Virtual Learning: To Infinity and Beyond! Presenter: Dr. Georgia McCauley, Assoc Professor, Winston State Univ., North Carolina

Biomarkers for Longevity" and "over the counter medications such as DHA, Omega 3, hormone replacement in men and women The significance of testing for Creactive protein, Magnesium, DHEA, PSA, FSH, LH, thyroid, Insulin, eGFR .

Presenter: Dr. Solomon Goldenberg FRCGP, M.Sc. (Lon), RMA. Diplomate of the American Anti-Aging Association, Assistant to Neurologist at CITIMED, Miami

LUNCH BREAK
1pm 2:30pm
High Sensitivity Troponin: The Heart of Improving Cardiovascular Outcomes. Presenter: Dr. Jim Aguanno, PhD Former Lab Dir of Baylor Univ. Medical Ctr, Dallas,TX, Current Siemens Healthcare Disease Marketing Specialist in Oncology Cardiology & Infectious Diseases.

Column Agglutination Technology Presenter Gladys Perez, Ortho Clinical Diagnostics

Sponsored by: Siemens Healthcare Diagnostics

Diagnosis of Leukemia and Lymphomas using Flow Cytometry, Cytogenetics, and FISH Presenter: Dr. Jennifer Barker, Hematopathologist, Sponsored by: Integrated Regional laboratory, Florida

2:30 4pm

-----General Session ---------

Understanding the Cost of Quality

Presenter: Lucia M. Berte lmberte@comcast.net Laboratories Made Better! P.C. www.LaboratoriesMadeBetter.com. Ms. Berte chaired and participated in several subcommittees and work groups of the Clinical and Laboratory Standards Institute, AABB, ASCP and CLMA

6:30 PM TO 8:00PM

OPENING CEREMONY Atlantis Ballroom

*Sponsored by American Medical Technologists (AMT)* Guest Speaker: Minister of Health, Hon. Dr. Perry Gomez

15

Wednesday October 23rd, 2013

7:30am to 4:00pm 7:30am to 4:00pm Conference Registration (ATROPOS ROOM) Jeopardy Competition Participant Registration

TIME 9am 10:30am

ROOM 1: ORION & ZEUS

ROOM 2: CLEITO & ARES

--------GENERAL SESSION-------

ROOM 3: HERA

Leadership topic - Being the Difference in the workplace

Pastor Mario Moxey, Pastor and Motivational and Insp irational Leader, Bahamas Harvest Church COFFEE BREAK * Sponsored by Hologic Inc. GenProbe
10:30 12 pm
A Model for Managing Quality in the Lab based on the CLSI model. Presenter: Lucia M. Berte Laboratories Made Better!

The Diagnosis and Management of Diabetes? Presenter: Dr. Jim Aguanno, PhD Siemens Healthcare Diagnostics LUNCH BREAK An Introduction to understanding Cytology
Presenter : Jasmin Hanley, Cytologist BSc, DMT, CMIAC, AMT, CASMET, MSc. Clinical CytoTechnology Former Hospital Lab Manager, St. Kitts, MediServ Cytology Program Director, St. Kitts, W.I.

Preanalytical effects in urine testing.

Presenter: TBA

BECTON DICKINSON

1pm - 2:00pm (1hr sessions)

PEPFAR Evidence-based Lab Quality Improvement tools

Presenter: Dr. George Alemnji PhD, MPH, Associate Director of Science & Lab Advisor, Caribbean Regional Office, Div of Global HIV/AIDS, Center for Disese Control & Prevention, U.S. Embassy, Barbados.(PEPFAR)

Wellness Seminar

Presenter: Tanya Hanna, MBA, Wholeness lifestyle, Reiki Practitioner & Health Coach

COFFEE BREAK * Sponsored by Hologic Inc. GenProbe

2:30 4pm
The role of the laboratory in support of HIV/AIDS Treatment and Prevention Cascade Presenter: Dr. George Alemnji CDC/PEPFAR

How to Develop Laboratory Quality Indicators. Presenter: Lucia Berte Sponsored by: Laboratories Made Better!

Zoonotic and VectorBorne Viral Diseases It's a jungle out there"

Presenter: Cherry Ann DaCosta NYC Dept of Public Health

2:30 - 5pm

AMT EDUCATORS MEETING - Apollo Room Open to interested Allied Health Educators RSVP required. Sponsored by:

16

4:00 to 5pm

Laboratory Project Management Making it a Team Effort.(the SLMTA experience) Presenter: Dr. Ismae Whyms PhD Deputy Laboratory Manager/ Quality Manager, Princess Margaret Hospital, Public Hospital Authority, Bahamas

DR. ROBIN ROBERTS UWI Consultant Urologist

Troubleshooting the smart way-How to avoid Down Time Presenter: Carol Wilhelm, Caribbean Diagnostics, Cayman Is.

7pm

Bahamian Night $35 Come Prepared for Fun, and Entertainment

Sponsored by Scientific Supplies and Technology and The Bahamas Ministry of Tourism

THURSDAY October 24th, 2013

7:30am to 4:00pm 7:30am to 4:00pm Conference Registration (ATROPOS ROOM) Jeopardy Competition Participant Registration

TIME 9am 10:30am

ROOM 1: ORION & ZEUS

ROOM 2: CLEITO & ARES

ROOM 3: HERA

--------GENERAL SESSION------

Update on Cervical Cancer Screening: HPV and Thin Preps, ASCUS

Dr. Craig Hill and Lee Smith CT Hologic Inc. - Gen probe, San Diego, CA, USA COFFEE BREAK **Sponsored by The Health Center for Women
10:30 12 pm Protein Electrophoresis & Immunofixation in the 21st Century Presenter: Dr. John OKeefe, MD, PhD Helena Laboratories Sponsored by BIOMEDICAL INTERNATIONAL CORP.
How to ensure improvements and innovations in the administration of the healthcare system through the services of Laboratory medicine. Correlation of Type 2 diabetes, Hypertension and blood groups in the Jamaican Population". Presenter: Dr. Sonia A. RichardsMalcolm JP.,DHSc.,AHI.,MSc.,PGDE.,MPH.,BSc.MT. Continuing Education and Professional Development, Head Lecturer/ Phlebotomy, UTECH Kingston, Jamaica

Presenters : Michael Umana and Welington Dos Santos. Sponsored by NIPRO MEDICAL.

LUNCH BREAK
1pm 2:30pm Thyroid Dysfunction and Diagnosis Presenter: Dr. Jim Aguanno MD Siemens Healthcare Diagnostics Molecular Diagnostic Assays for Sexually Transmitted Infections Presenter: Dr. Craig Hill, HologicInc.-GEN-PROBE, San Diego, CA Understanding Fertility and Hormone requirements.
Presenter: Dr. Anthony Carey MD, FACOG, Infertility Specialist, The Ladies Medical Center, Nassau, Bahamas

17

2:30 4pm

Diagnosis and Management of Prostate Cancer. Presenter Dr. Joseph Evans MD, Urologist

COFFEE BREAK **Sponsored by The Health Center for Women STEM CELL TECHNOLOGY, Customer Service Seminar designed The New Horizon for Frontline staff Especially Phlebotomist
Presenter Dr. Duane Sands MD,FACS, Cardiothoracic Surgeon, Chair or Bahamas Medical Council, Chief of Surgery, PMH

4 - 6:00pm

Lab Knowlogy Competition- JEOPARDY STYLE

Teams of 5 Choose teams by Wednesday Morning at Registration desk before 12noon. Each team must have at least 1 Phlebotomist or Student Maximum number of teams to compete is 6 7:00 pm Visit to Fish Fry Transportation arranged at $4 per person *RSVP at Registration Desk please for proper transportation arrangements*

Friday October 25th, 2013

8:30am to 9am 9am - 5pm Credentialing of CASMET Members (Please bring an ID) CASMET BIENNIAL GENERAL MEETING **Box Lunch is included** Open to all attendees, but elections will be closed for members only.

7pm

Cultural Visit to Barrabas and the Tribe Junkanoo Museum with Junkanoo craft and demonstrations- Down Home Bahamian Food included. $25

Saturday October 26th, 2013

9 am

3hr City Tour, including Adastra Gardens Flamingos and Zoo, the Old Forts of Nassau and Water Tower. Straw Market ( drop off is optional), Admission fees for all sites, included. $47 person, children 5 and under are FREE.

7:00 to 10:00pm

CASMET AWARDS BANQUET Gala Event $75 CROWN BALL ROOM, ATLANTIS RESORT

18

Haematology Crossword Puzzle Answers (Topic: Haematopoiesis & RBCs)

# 14 ACROSS: SINGLE

# 12 ACROSS: HYPERSEGMENTED # 16 ACROSS: DECREASE # 9 ACROSS: MYELOCYTE # 26 ACROSS: (plural) SCAVENGERS # 4 DOWN: APOPTOSIS # 10 DOWN: (2 words) LYMPH NODE # 17 ACROSS: EMPTIED # 28 ACROSS: MEDULLARY # 31 ACROSS: SENESCENCE # 5 ACROSS: (2 words) RESPIRATORY MOTION # 20 ACROSS: (3 letters; 1 word) RNA FRAGMENTS # 24 ACROSS: (1 letter; 1 word) P FIFTY # 30 ACROSS: HIGH
# 23 DOWN: (2 letters; 1 word, plural) CD MARKERS # 2 DOWN: (2 words) MYELOID HYPERPLASIA

# 22 DOWN: BILIRUBIN #13 ACROSS: WEIGHT # 6 ACROSS: TOTAL # 11 ACROSS: ANISOCYTOSIS # 19 DOWN: HETEROGENOUS # 27 DOWN: AND # 29 ACROSS: DIMORPHIC # 7 DOWN: LOW # 25 ACROSS: OXYGENATION # 8 DOWN: FALSE # 21 ACROSS: (2 words) ALPHA BETA # 1 ACROSS: (3 words) HEME HEME INTERACTION
# 18 ACROSS: SPHEROCYTE # 3 ACROSS: BASIC # 15 ACROSS: (3 words) MEAN CELL VOLUME

Created by:
Primla Williamson-Munroe (PGDE, M.Sc., B.Sc., MT) Lecturer (Haematology)/ Medical Technologist Haematology Module Leader Medical Technology Department

School of Allied Health & Wellness College of Health Sciences

19

This Newsletter is a production of the Education Committee of the Caribbean Association of Medical Technologists

All rights reserved @ March 31St 2012

20