LSouthern Trust Laboratory HandbookPathology & Laboratory


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Contents

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About Us
General Information
Contact Us
Laboratory Tests
MAC
Minimum Acceptance Criteria
Mortuary Services

Laboratory Business Continuity

How to make a compliment or complaint
Belfast Trust Laboratory Handbook
Useful Links

 















General Information




Location

The main laboratory is situated at Craigavon Area Hospital and provides a comprehensive Haematology, Chemical Pathology, Microbiology and Histo/Cytopathology service. Additional laboratory facilities are located at Daisy Hill Hospital site.

Craigavon Area Hospital

Opening Hours

Weekend

Bank Holidays

Biochemistry

24/7

24/7

24/7

Haematology / Blood Transfusion

24/7

24/7

24/7

Microbiology
Weekdays 9am - 9pm
9am - 5pm
9am - 5 pm

 

 

Cellular Pathology

08.45 - 17.00 hrs

n/a

n/a

       

Daisy Hill Hospital

Opening Hours

Weekend

Bank Holidays

Biochemistry

24/7

24/7

24/7

Haematology / Blood Transfusion

24/7

24/7

24/7

       
CAH/DHH
Opening Hours
Weekend
Bank Holidays

Mortuary

09.00 - 17.00 hrs

09.00 - 18.30 hrs

09.00 - 18.30 hrs


































Emergency service

The following tests are available as an emergency: -

Chemical Pathology
 

Essential Tests Biochemistry SHSCT

Electrolytes

CAH, DHH

Overdose Drugs

Liver Function                   

CAH, DHH

Alcohol

CAH, DHH

CK 

CAH, DHH

Paracetamol

CAH, DHH

Bone Profile

CAH, DHH

Salicylate

CAH, DHH

Calcium

 CAH, DHH

 

Magnesium

 CAH, DHH

Miscellaneous Drugs

CRP

 CAH, DHH

Lithium

 CAH only

Amylase

CAH, DHH

Theophylline

 CAH only

BHCG

 CAH, DHH

Valproate

 CAH only

Paediatric Bilirubin

CAH, DHH

Phenytoin

 CAH only

Direct Bilirubin

CAH, DHH

Carbamazepine

 CAH only

Digoxin

CAH only

Gentamicin

 CAH only

Troponin T            

CAH, DHH

 

Uric Acid

CAH, DHH

Urine Tests

Osmolality

CAH, DHH

Electrolytes

CAH, DHH

Glucose

CAH, DHH

Osmolality

CAH, DHH

Iron (in overdose)

CAH only

 

ICU Profile

CAH only

 

Ammonia

CAH only

 

Lactate

CAH, DHH

 

CSF Protein, Glucose and Lactate

CAH only

 

BNP (ICU only) CAH only  
 

Profiles:
Electrolytes               Sodium, Potassium, Chloride, Urea, Creatinine, (CO2)
Liver Function          Total Protein, Albumin, Bilirubin, AST, ALT, ALP, GGT
Bone                          Calcium, Albumin, Phosphate, ALP

 















































Microbiology
 
- CSF examination
- Gram film of ous, body fluid etc.
- Immediate plating and processing of urgent specimens
- MRSA PCR

 














Haematology
 

 

- Full Blood Count including platelets, automated differential and manual DWCC.

- Prothrombin Time (INR)

- Activated Partial Thromboplastin Time (APTT)

- Thrombin Clotting Time (TCT)

- Fibrinogen

- D-dimer (Fro D.I.C. only)

- Blood Grouping

- Cross -matching

- Issue of blood & blood products

- Emergency grouping of material and foetal samples for the issue of Anti-D Immunoglobulin

- Direct Coombs Test

- Malaria Paraasites






























Specimens

Routine
All specimens must be labelled, placed in the special plastic bag attached to the appropriate request form, and sealed. Specimens must not be sent in standard envelopes via the internal post. Samples should be sent via the air tube system in a suitable POD (do not overfill) or by porter. Each batch of samples should be sealed in a pathology transport bag before handing to porter.

Urgent:

All requests required urgently must be clearly labelled as such on the request form.

High Risk:
All specimens from suspected or known cases of TB, CJD, hepatitis B & C, AIDS and HIV infection etc must be treated as "high risk" specimens. They must be sent to the laboratory in an appropriate container, which must be labelled with a special biohazard label "Danger of Infection - Take special care". A biohazard label must be attached to both specimen and request form. Blood specimens from "high risk" patients must be taken by an experienced doctor and not by paramedical staff. Gloves must be worn during venepuncture. The use of plastic aprons and eye protection is also advised, if considered appropriate.

All persons who use the laboratory service are reminded that they must comply with the legal requirements under the Health and Safety at Work Order (NI 1978) and COSHH regulations (1988, revised 1995).

Minimum Acceptance Criteria

The information detailed as Minimum Acceptance Criteria is essential in allowing the laboratories to ensure that the right result on the right patient gets back to the appropriate clinical teams in a timely fashion.

Missing or illegible information on a test request raises a patient safety concern, therefore before accepting a clinical specimen laboratory staff must ensure that certain minimum criteria for sample identification are met.

Addressograph labels must not be used on Blood Transfusion specimen containers because of the risk of wrongly labelling a specimen, which can lead to untold clinical and medicolegal problems
.





Other information

  • Clinical details relevant to investigation.
  • For microbiology please state antibiotic used.
  • Uncertainty of measurement has been determined for all laboratory tests and is available on request.
  • Consultant staff are available for Clinical advice/ interpretation - contact details in phone number section of handbook.




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