pathology services handbook - St George's Healthcare NHS Trust
pathology services handbook - St George's Healthcare NHS Trust
pathology services handbook - St George's Healthcare NHS Trust
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5.5 HAEMATOLOGY TESTS: SPECIMEN REQUIREMENTS, SPECIAL INSTRUCTIONS, FACTORS AFFECTING TEST<br />
PERFORMANCE & TURN-AROUND TIMES<br />
TEST SPECIMEN<br />
BOTTLE,<br />
MINIMUM<br />
VOLUME and<br />
Full Blood Count + platelets<br />
Film/Differential;<br />
Malarial Parasites<br />
Reticulocytes,<br />
Sickle Test*, HPLC<br />
Haemoglobinopathy<br />
screen*,<br />
.<br />
FORM<br />
Lavender EDTA<br />
6 ml<br />
Or paed pink top<br />
bottle 0.5ml<br />
Minimum volume<br />
required is 1.5mL<br />
if taken in 6.0mL<br />
tube<br />
Multidisciplinary<br />
request form<br />
FBC sample will<br />
be used<br />
Monospot. Lavender EDTA<br />
6ml<br />
Multidisciplinary<br />
SPECIAL INSTRUCTIONS Factors that may affect<br />
performance of the test or<br />
interpretation of results<br />
Films ( including malaria ) can only<br />
be made on FBC samples on day of<br />
venepuncture<br />
Malaria requests must be<br />
accompanied with details of area<br />
travelled and prophylaxis taken<br />
Reticulocytes may be requested on<br />
samples up to 72hours old.<br />
Please check for previous results.<br />
For HPLC Haemoglobinopathy<br />
screen in a male partner, please<br />
give full name and date of birth of<br />
partner on request form and use<br />
mother’s hospital number with<br />
‘/PNR’ suffix.<br />
For at risk infants, identify both<br />
parents on request form. Include<br />
mother’s hospital number for crossreference<br />
as part of summary.<br />
May be added to FBC requests on<br />
samples up to 72 hours old.<br />
May be added to FBC requests on<br />
samples up to 72 hours old.<br />
Sickle test is not valid for infants<br />
under 6 months of age. If child<br />
at risk of haemoglobinopathy,<br />
request HPLC<br />
Haemoglobinopathy screen.<br />
Transfusion will interfere with<br />
haemoglobinopathy screening<br />
and sickle results.<br />
Pathology Services Handbook v3.2.2 - February 2013 41 of 81<br />
Usual turn around times<br />
FBC A&E 1 Hour<br />
Urgent 2Hours<br />
Routine 3Hours<br />
Film 2-3 Days<br />
( Mon – Fri )<br />
Malarial parasites 2 Hours<br />
Sickle test urgent 1 hour<br />
Routine 48hrs<br />
Haemoglobinopathy screen<br />
72 hours<br />
48 hours