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LabPLUS NEWZ FLASH

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<strong>LabPLUS</strong> <strong>NEWZ</strong> <strong>FLASH</strong><br />

Volume 1, Issue 2 www.labplus.co.nz March 2003<br />

Welcome to <strong>LabPLUS</strong> Newz<br />

<strong>FLASH</strong><br />

This Newz <strong>FLASH</strong> is designed as a quick update of test<br />

changes at <strong>LabPLUS</strong>. All feedback would be gratefully<br />

received. Send to Ross Hewett, <strong>LabPLUS</strong>, P.O.Box<br />

110031, Auckland Hospital, or rossh@adhb.govt.nz<br />

Microbiology<br />

The following are the guidelines developed by<br />

<strong>LabPLUS</strong> Micro department for the handling of<br />

SARS samples. These are for our own internal<br />

<strong>LabPLUS</strong> use, however feel free to modify or use<br />

these in your Laboratory if appropriate.<br />

Handling of Specimens from patient’s<br />

suspected of having “Severe Acute<br />

Respiratory Syndrome" (SARS)<br />

Specimens will include:<br />

1. Respiratory Secretions<br />

- Sputum (do not add sputolysin)<br />

- BW and BAL<br />

- Tracheal Aspirates<br />

- Other upper and lower respiratory tract<br />

specimens such as throat swabs<br />

2. Blood Cultures.<br />

SPECIAL EDITION<br />

3. Blood for routine Biochemistry and Haematology.<br />

Handling of Specimens:<br />

�� Only specimens of Respiratory Secretions are<br />

considered highly contagious.<br />

�� All staff handling these specimens will wear a mask<br />

(N95 Mask), gloves and gown.<br />

�� Upon receipt in the laboratory specimens should<br />

remain in the biohazard bag and be placed in a<br />

biological safety cabinet (BSC) Class II. They should<br />

not be removed from the biohazard bag on the<br />

bench.<br />

Staff Handling Specimens:<br />

�� Staff should wear masks (N95 masks), gloves and<br />

gowns when handling specimens in the BSC Class<br />

II.<br />

�� The staff member who processed the specimen/s is<br />

to fill out an incident form. This is to allow us to have<br />

a record of staff exposure.<br />

�� Any inadvertent exposure to the specimen, such as<br />

a splash or spill, must be reported to the Technical<br />

Head and Clinical Microbiologist.<br />

Processing of Specimens:<br />

All specimens should be processed for:<br />

1. Routine bacterial pathogens, including Gram Stain.<br />

(S. pneumoniae, H. Influenzae etc).<br />

NB: Do not add sputolysin to sample.<br />

Place plates into individual biohazard bags, then into<br />

incubator.<br />

2. Seal the sample in a biohazard bag, label as<br />

hazardous and refer to Virology for Respiratory viral<br />

pathogens (Influenza A and B, Respiratory syncytial<br />

virus).<br />

DO NOT DIVIDE THE SPECIMEN AS THIS WILL<br />

POSE AN AEROSOL RISK<br />

Handling of Primary Culture Plates:<br />

�� This shall be done in the BSC Class II. A mask (N95<br />

mask), gloves and gowns must be worn.<br />

�� After appropriate incubation and examination of the<br />

plates they should be placed in a biohazard bag,<br />

labelled as hazardous and placed in the special<br />

container labelled “SARS Culture Plates”. These<br />

culture plates will be autoclaved prior to disposal.<br />

�� Culture plates are not to be removed from the BSC<br />

Class II under any circumstances unless they are<br />

sealed in a biohazard bag.<br />

<strong>LabPLUS</strong> <strong>NEWZ</strong> <strong>FLASH</strong> 1<br />

<strong>LabPLUS</strong>, P.O.Box 110031, Auckland Hospital, Grafton, Auckland, Building 31, Auckland Hospital,<br />

Tel 0800 522 7587, 0800 <strong>LabPLUS</strong>, 09 307 8995, Fax 09 307 4970 or 09 307 4939, www.labplus .co.nz


Staff are to contact the on-call Clinical<br />

Microbiologist at any hour of the day or night if<br />

they have any concerns about the handling and<br />

processing of these specimens.<br />

Dr Sally Roberts and Maree Gillies<br />

18 March 2003<br />

_____________________________________________________<br />

Occupational Health – Drugs of Abuse.<br />

<strong>LabPLUS</strong> has the facilities and expertise to provide<br />

Chain of Custody drug tests. These are required for<br />

pre-employment, visa applications, family court,<br />

employment in high-risk areas such as forestry and a<br />

variety of other circumstances. <strong>LabPLUS</strong> is able to<br />

provide the collection kits, chain of custody forms and<br />

instructions to collect a supervised urine sample.<br />

Testing is done at <strong>LabPLUS</strong> with confirmation testing<br />

with GC-MS if required for legal reasons. Expert<br />

witness or court testimony is available as part of the<br />

service. For more details contact Ross Hewett, Audrey<br />

Cheng or visit our website. www.labplus.co.nz<br />

Up Coming Events<br />

Seminar<br />

“New Tests and New Technology”<br />

Date 22 nd May 2003<br />

Rangitoto Room, Level 3<br />

<strong>LabPLUS</strong>, Building 31, Auckland Hospital,<br />

Gate 4, Grafton Road, Grafton, Auckland.<br />

Start 9.30am Finish 4.00pm<br />

$40.00 Registration. Contact: Don Mikkelsen<br />

<strong>LabPLUS</strong>, P.O.Box 110031, Auckland Hospital<br />

Donm@adhb.govt.nz<br />

Program and Registration Attached.<br />

<strong>LabPLUS</strong> User Group Meeting<br />

Dates. August 14 th -15 th<br />

Details to follow.<br />

L A B P L U S C O N T A C T S<br />

LABLINK TOLL FREE 0800 522 7587<br />

TELEPHONE: 09 307 8995<br />

FAX 09 307 4970<br />

KEY CONTACTS<br />

TELEPHONE 09 307 4949<br />

DIAL THE EXTENSION BELOW<br />

ADMINISTRATION<br />

CLINICAL DIRECTOR: TONY BARKER, EXT 7549<br />

LABORATORY MANAGER: DON MIKKELSEN, EXT 7576<br />

BUSINESS DEVELOPMENT MANAGER: ROSS HEWETT, EXT 5466<br />

CUSTOMER SUPPORT OFFICER: AUDREY CHENG, EXT 5561<br />

OPERATIONS CO-ORDINATOR: STUART DUNCAN, EXT 2019<br />

QUALITY MANAGER: KRISTEN KELLY, EXT 5356.<br />

INFORMATION SERVICES: COLIN SIMMONDS, EXT 7552<br />

TERRY WILSON, EXT 7614, JOHN SMITH, EXT 7548.<br />

ANATOMICAL PATHOLOGY AND CYTOLOGY<br />

CLINICAL HEAD: DR IAN SMEETON, EXT 2061<br />

TECHNICAL HEAD: DR JOE MCDERMOTT, EXT 6142<br />

CHEMICAL PATHOLOGY<br />

CLINICAL HEAD: DR JAMES DAVIDSON, EXT 7301<br />

TECHNICAL HEAD: RUSSELL SARGON, EXT 6836<br />

CYTOGENETICS<br />

CLINICAL GENETICIST: DR INGRID WINSHIP, EXT 5531<br />

TECHNICAL HEAD: HEATHER DOCKERY, EXT 6396<br />

HAEMATOLOGY<br />

CLINICAL HEAD: DR GEORGE CHAN, EXT 2015<br />

TECHNICAL HEAD: MARGARET HAMMOND, EXT 7567<br />

MICROBIOLOGY<br />

CLINICAL HEAD: DR ARTHUR MORRIS, EXT 3935<br />

OR DR. SALLY ROBERTS EXT 2044.<br />

TECHNICAL HEAD: MAREE GILLIES, EXT 6086<br />

MORTUARY<br />

CLINICAL HEAD: DR SIMON STABLES, EXT 6013<br />

TECHNICAL HEAD: JOHN RUSSELL, EXT 7379<br />

NATIONAL TESTING CENTRE<br />

DIRECTOR: DR DIANNE WEBSTER, EXT 6412<br />

PEDIATRIAN: DR CALLUM WILSON, MOB. 021 555 392<br />

VIROLOGY / IMMUNOLOGY<br />

CLINICAL HEAD: DR KITTY CROXSON, EXT 6130<br />

TECHNICAL HEAD: JOHN SCOTT, EXT 6109<br />

PATIENT SERVICES<br />

TECHNICAL HEAD: RAEWYN BLUCK, EXT 7555<br />

PHLEBOTOMY: JILL TIETJENS, EXT 7542<br />

SPECIMEN RECEPTION: LESLEY STEWART, EXT 2070<br />

<strong>LabPLUS</strong> <strong>NEWZ</strong> <strong>FLASH</strong> 1<br />

<strong>LabPLUS</strong>, P.O.Box 110031, Auckland Hospital, Grafton, Auckland, Building 31, Auckland Hospital,<br />

Tel 0800 522 7587, 0800 <strong>LabPLUS</strong>, 09 307 8995, Fax 09 307 4970 or 09 307 4939, www.labplus .co.nz


New Tests/New Technology Seminar.<br />

Date 22 nd of May 2003<br />

Venue – Rangitoto Room, LabPlus, Building 31, Gate 4, Grafton Road, Auckland Hospital.<br />

0930 – 1000 Morning Tea<br />

1000 – 1030 Getting the Most from New Technology<br />

Don Mikkelsen<br />

1030 – 1100 Compliance Aspects of Changing Tests or Technology.<br />

Speaker from IANZ<br />

1100 – 1130 Statistical Tools for Evaluating Change<br />

Russell Cooke<br />

1130 – 1200 Implementation of a New Automated Immunoassay System<br />

1200 – 1300 Lunch<br />

1300 – 1320 Regional Laboratory Data and Paperless Laboratory reports<br />

David Bunkall<br />

1320 – 1340 Fluorescence in Situ Hybridisation (FISH) Application.<br />

Paul Oei<br />

1340 – 1400 Real Time PCR for EBV Infection<br />

1400 – 1420 Molecular Haematology Presentation<br />

Dr Neil Van de Water<br />

1420 – 1440 Drug Investigations in Cases of Alleged “Date Rape”<br />

Dr Ron Couch<br />

1440 – 1500 Afternoon Tea<br />

1500 – 1520 Front End Automation of Haematology<br />

Ross Anderson<br />

1520 – 1540 The Ethics of Gene Patents<br />

Dr George Chan<br />

1540 – 1600 What Happened to the Core Lab Concept?<br />

Panel Lorna Gribble (Health Waikato) Raewyn Bluck (LabPlus) and others to be announced<br />

Registration $40:<br />

Contact: Don Mikkelsen, 0800 LABPLUS, donm@adhb.govt.nz<br />

<strong>LabPLUS</strong> <strong>NEWZ</strong> <strong>FLASH</strong> 1<br />

<strong>LabPLUS</strong>, P.O.Box 110031, Auckland Hospital, Grafton, Auckland, Building 31, Auckland Hospital,<br />

Tel 0800 522 7587, 0800 <strong>LabPLUS</strong>, 09 307 8995, Fax 09 307 4970 or 09 307 4939, www.labplus .co.nz


REGISTRATION<br />

New Tests/New Technology Seminar. Date Thursday 22 nd May 2003<br />

Venue – Rangitoto Room, LabPlus, Building 31, Gate 4, Grafton Road, Auckland Hospital.<br />

Registration Form.<br />

First Name:_________________________________________________________<br />

Surname:___________________________________________________________<br />

Laboratory:__________________________________________________________<br />

Laboratory Address:___________________________________________________<br />

___________________________________________________________________<br />

Contact Phone Number________________________________________________<br />

Email address:_______________________________________________________<br />

Registration Fees: $40.<br />

Please make cheques payable to: Auckland District Health Board<br />

Please return this form and payment to:<br />

Don Mikkelsen,<br />

Laboratory Manager,<br />

<strong>LabPLUS</strong>,<br />

P.O.Box 110031,<br />

Auckland hospital,<br />

Grafton, Auckland.<br />

Registration to be forwarded by Friday 16 rd May 2003.<br />

<strong>LabPLUS</strong> <strong>NEWZ</strong> <strong>FLASH</strong> 1<br />

<strong>LabPLUS</strong>, P.O.Box 110031, Auckland Hospital, Grafton, Auckland, Building 31, Auckland Hospital,<br />

Tel 0800 522 7587, 0800 <strong>LabPLUS</strong>, 09 307 8995, Fax 09 307 4970 or 09 307 4939, www.labplus .co.nz

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