Transcript Directorate of Pathology
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 Haematology includes Blood Transfusion & Immunology Histology Includes Cytology Professor R Gama Dr S Basu Dr W Fuggle Alain Rolli Jayne Parkes Alan Deacon Microbiology Point of Care Testing Phlebotomy Dr D Dobie Dr C Ford POCT Chair Graham Danks Manager Juliette Large Liz Laverick POCT 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
5 6 7 Order 1 2 3 4 Colour Code Tube Type Brown / White Clotted Gel / Plain Tube Orange Green Yellow Lithium heparin Citrate Fluoride Mauve Red Light Blue 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 Insufficient sample Unlabelled samples Clotted whole blood specimen Inappropriate container Mismatch specimen and request form Illegible details on sample Illegible request form Hazard! Specimen leaked Miscellaneous
The Royal Wolverhampton Hospitals NHS Trust Induction
% 44 12 11 3 6 5 2 2 3 12
Specimen Containers
• • Correct container for test Correctly labelled – Blood Transfusion samples
must
handwritten be – 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
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