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Download Directorate of Pathology - The Royal Wolverhampton NHS Trust
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Directorate of Pathology Katy New Pathology Quality Manager The Royal Wolverhampton Hospitals NHS Trust Induction Pathology Departments Head of Department Head Biomedical Scientist Clinical Chemistry Professor R Gama Alain Rolli Haematology includes Blood Transfusion & Immunology Dr S Basu Jayne Parkes Histology Includes Cytology Dr W Fuggle Alan Deacon Microbiology Dr D Dobie Juliette Large Point of Care Testing Dr C Ford POCT Chair Liz Laverick POCT Manager Phlebotomy Graham Danks Manager Mandy Beckett Lead Phlebotomist The Royal Wolverhampton Hospitals NHS Trust Induction The Royal Wolverhampton Hospitals NHS Trust Induction Clinical Pathology Accreditation CPA Quality Policy ‘Wolverhampton Pathology Services aims to provide a high quality, timely and comprehensive laboratory based diagnostic / interpretative service to our colleagues and their patients in the hospital and local community for the diagnosis of disease and the management of patients.’ The Royal Wolverhampton Hospitals NHS Trust Induction Processing Pathology Samples 1,000,000 Pathology requests received per year 8 million tests REQUEST DATA ENTRY TESTING REPORTING URGENT REQUESTS – highlight on form / phone Clinical Chemistry requests – phone for urgent req. no ext. 8266 The Royal Wolverhampton Hospitals NHS Trust Induction Order of draw for blood specimens Order 1 2 3 4 5 6 7 Colour Code Brown / White Orange Green Yellow Mauve Red Light Blue Tube Type Clotted Gel / Plain Tube Lithium heparin Citrate Fluoride ESR EDTA Blood Transfusion The Royal Wolverhampton Hospitals NHS Trust Induction Rejected Requests • 20,000 Rejected Requests • Patient diagnosis can be delayed, unnecessarily, by 1 to 5 days! • Avoidable cost, estimated at £50,000pa The Royal Wolverhampton Hospitals NHS Trust Induction Reasons for request rejection % No sample received 44 Insufficient sample 12 Unlabelled samples 11 Clotted whole blood specimen 3 Inappropriate container 6 Mismatch specimen and request form 5 Illegible details on sample 2 Illegible request form 2 Hazard! Specimen leaked 3 Miscellaneous 12 The Royal Wolverhampton Hospitals NHS Trust Induction Specimen Containers • Correct container for test • Correctly labelled – Blood Transfusion samples must be handwritten – Others use printed labels • Correct number of tubes The Royal Wolverhampton Hospitals NHS Trust Induction Making a request • • • • • Manual Requests Electronic Requests Read Training Guide Read Process Guide Continue The Royal Wolverhampton Hospitals NHS Trust Induction Manual Specimen Request • Manual specimen requests: – are currently being superseded by an electronic requesting system – should only be used when the e-requesting system is unavailable The Royal Wolverhampton Hospitals NHS Trust Induction Manual Specimen Request Information required • Identification • Location • Specimen type • Clinical details • Test required Clearly written and legible The Royal Wolverhampton Hospitals NHS Trust Induction Quality of Specimen • Avoid delay – Transport to laboratory asap – Keep in cool place if transport delay • Hazardous specimens – Leaking samples – Danger of Infection labels The Royal Wolverhampton Hospitals NHS Trust Induction Looking up results • Pathology TD Synergy computer system • TD web • Printed reports • System access request form • Interim / Final reports The Royal Wolverhampton Hospitals NHS Trust Induction
