haematology users' handbook - University College London Hospitals

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Near Patient Testing facilities (Point of Care Laboratories) Haematology Point of Care Laboratories provide Full Blood Count results exclusively for Haematology/Oncology outpatients receiving chemotherapy or attending clinic appointments. MacMillan Cancer Centre (Huntley Street), Lower Ground Floor 0203 447 6855 or extension 76855 8.00 – 17.00 Monday-Friday Phlebotomy Services Phlebotomy Manager: Nahid Weaver 0203 447 0168 or x70168 7.30 – 16.30 Monday – Friday Inpatient Services University College Hospital Monday to Sunday 08:00 – 12:00 * Heart Hospital Monday to Sunday 08:00 – 12:00 * National Hospital for Neurology and Neurosurgery (NHNN) Inpatients Monday to Friday 08:00 – 12:00 * * Note: Outside of these hours, staff trained in phlebotomy must collect blood samples. Elizabeth Garrett Anderson wing (EGA) No inpatient service GP Service UCLH GP Blood Test Suite 2 nd Floor, Mortimer Market Centre, Mortimer Market WC1E 6JB Mortimer Market runs off Capper Street, which is a side street off Tottenham Court Road (across from Howland Street). Monday to Friday 07:30 - 16:30 Outpatient Services University College Hospital, 1 st Floor Podium Monday, Tuesday, Thursday, Friday 08.30 – 16.30 Wednesday 08.30 – 19.00 Saturday, Sunday Closed Antenatal Clinic- UCH EGA wing (1 st Floor) Monday, Wednesday, Thursday 09:00 – 17:00 Tuesday 09:00 – 13:00 Friday, Saturday, Sunday Closed * (*samples collected by ANC staff). National Hospital for Neurology and Neurosurgery (NHNN) Outpatients Monday, Tuesday, Thursday, Friday 09:00 – 16:45 Wednesday 09:00 – 18:00 Saturday, Sunday Closed 5 th Floor, Rosenheim Building Monday, Tuesday, Wednesday 08:30 – 16:45 Thursday, Friday 08:30 – 16:30 Saturday, Sunday Closed Diabetic Clinic (UCH Podium, 1 st Floor) Monday * 13:00 – 17:00 • Clinics held every 2 nd Monday only (appointments arranged by Diabetic Clinic staff). Thursday 08:30 – 17:00 Travel Clinic 2 nd Floor, Mortimer Market Centre, Mortimer Market WC1E 6JB Mortimer Market runs off Capper Street, which is a side street off Tottenham Court Road (across from Howland Street). Monday – Friday 09:00 -16:30 Appointment Wednesdays 13:00 -17:00 Fridays 09:00 -13:00 Saturday, Sunday Closed HAEM-PD-UserHbook V8 Haematology and Blood Transfusion User Handbook Page 6 of 38 Authors: Karen Orfinada (Senior Biomedical Scientist) Sally McDonald (Senior Biomedical Scientist) Authorised by: Dave Barnett Review Date: August 2015
Vacutainer Guide Becton Dickinson Vacutainer Note : underfilled samples are unsuitable for testing. Ordering Information EDTA 4.5 ml Sodium citrate (citrated tube) 4.5 ml SST 5ml Lithium Heparin 4.5 ml Sodium citrate (citrate) 1.0 ml Tests / Screens FBC, ESR, Reticulocyte count, IPF, Blood film (note: ESRs cannot be performed on 7ml EDTA tubes), Sickle screen, Malaria Antigen testing Glandular Fever testing (note, Glandular Fever testing can be performed on an SST sample), Lymphocyte subsets (including CD4, CD8 counts), Hereditary Spherocytosis Dye binding assay, Plasma Viscosity, PCR in Haemostasis Blood Transfusion *Group & Save (including antibody screen), *Crossmatch, Kleihauer, DAT *Sample identification for Group & Screen or Crossmatch MUST be hand written with 4 correct points of ID. Clotting screen / Fibrinogen / D-Dimers. These tubes must be filled exactly to the 4.5ml mark on the side of the tube: underfilled & overfilled samples are unsuitable for testing. For Paediatric Clotting Screens, see below. Citrated Platelet Count (alert Coagulation laboratory staff that the sample is en route: it must not be centrifuged). Specialised Haemostasis tests must be authorised by a Haematology/Haemostasis SpR/Consultant See the Haemostasis section below for the samples required for specialised Haemostasis tests. Cardiolipin antibodies (Antiphospholipid antibodies) β 2 GPI antibodies Haemoglobinopathy screen, G6PD assay, Pyruvate Kinase assay, Red Cell Osmotic Fragility, Globin Chain Biosynthesis, Oxygen Dissociation curve Cytogenetic chromosomal analysis and FISH. Paediatric Clotting Screen, Fibrinogen, D-Dimers (1ml tubes). Contact the Haemostasis laboratory for other Haemostasis tests for paediatric patients. These tubes must be filled exactly to the 1ml mark on the side of the tube: underfilled & overfilled samples are unsuitable for testing. These tubes are issued from the Haemostasis Laboratory to the Neonatal Unit, Paediatric A&E and Phlebotomy Outpatient Departments and can be issued to other locations on request: contact x78549 or x78545. Monday – Friday 09.00 – 17.15 HAEM-PD-UserHbook V8 Haematology and Blood Transfusion User Handbook Page 7 of 38 Authors: Karen Orfinada (Senior Biomedical Scientist) Sally McDonald (Senior Biomedical Scientist) Authorised by: Dave Barnett Review Date: August 2015
Page 1 and 2: HAEMATOLOGY AND BLOOD TRANSFUSION U
Page 3 and 4: General Information Location The Ha
Page 5: Medical Staff Consultants Dr Marie
Page 9 and 10: Sample Transport to the Laboratory
Page 11 and 12: Routine Haematology (page 2 of 3) T
Page 13 and 14: Blood Transfusion (page 1 of 5) 1 s
Page 15 and 16: Blood Transfusion (page 3 of 5) Tes
Page 17 and 18: Blood Transfusion (page 5 of 5) Gui
Page 19 and 20: Routine Coagulation (page 2 of 2) D
Page 21 and 22: Haemostasis (page 2 of 6) Test Spec
Page 23 and 24: Test Specimen type Key Factors affe
Page 25 and 26: Haemostasis (page 6 of 6) Test Spec
Page 27 and 28: Special Haematology (page 2 of 3) T
Page 29 and 30: Flow Cytometry (HIV and Malignancy
Page 31 and 32: Flow Cytometry (HIV and Cell Marker
Page 33 and 34: Flow Cytometry (HIV and Cell Marker
Page 35 and 36: Leukaemia Cytogenetics (page 2 of 5
Page 37 and 38: Leukaemia Cytogenetics (page 4 of 5

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