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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