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Directory of Pathology Services February 2020

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Directory of Pathology Services February 2020 Directory of Pathology Services February 2020 Document Type: User Information Property of Coventry & Warwickshire Pathology Services Document Reference: UI UH1 This is a controlled document – Do not copy Version : 11 Author: Catherine Darby Page 1 of 212 Approver: Ruth Owen Directory of Pathology Services CONTENTS Introduction 4 Opening hours 4 Laboratory location 9 CWPS Laboratory Contacts 12 Sending a Specimen to the Laboratory 15 Rejection by the Laboratory of Specimens Submitted for Analysis 22 Phlebotomy 23 Phlebotomy Contacts 23 Phlebotomy service details 24 Blood tube collection guide (order of draw and colour chart UHCW, SWFT, 28 GEH)) Blood tube collection guide (UHDB) 29 Blood Sciences Introduction 30 Cytogenetics and Molecular genetics 31 Clinical Biochemistry and Immunology 32 Biochemistry and Immunology contacts 32 Biochemistry sample requirements (UHCW, SWFT, GEH) 38 Immunology sample requirements and reference ranges (UHCW, SWFT, 55 GEH) Biochemistry reference ranges (UHCW, SWFT, GEH) 60 Biochemistry and Immunology sample requirements(UHDB) 76 Biochemistry and Immunology Reference ranges (UHDB) 98 Biochemistry protocols 104 o GTT protocol for GP surgeries 107 o CKD 119 o Microalbuminuria screening in DM 121 Haematology 126 Haematology Contacts 127 Haematology sample requirements 134 Haematology reference ranges 141 Blood Transfusion 148 Availability of blood 150 Request form and sample requirements 153 Blood transfusion contacts 158 Molecular Pathology 162 Molecular Pathology Contacts 162 Molecular Pathology Test information 162 Document Type: User Information Property of Coventry & Warwickshire Pathology Services Document Reference: UI UH1 This is a controlled document – Do not copy Version : 11 Author: Catherine Darby Page 2 of 212 Approver: Ruth Owen Directory of Pathology Services Microbiology 166 Hyperimmune immunoglobulins 166 Microbiology and Virology Contacts 166 Opening hours and Urgent samples 168 Bacteriology sample requirements 169 Mycology 173 Antibiotic dosing 173 Bacteriology sample requirements for investigation of common conditions 177 Virology/Serology 180 Routine Virology sample requirements 180 Virology/serology referred tests sample requirements 184 Serology (Chicken pox, Chlamydia, Hepatitis) 186 Cellular Pathology 188 Cellular Pathology UHCW and GEH 189 UHCW and GEH Cellular Pathology Contacts 189 UHCW and GEH Histology sample requirements 191 UHCW and GEH Non-Gynae Cytology sample requirements 194 UHCW Mortuary service 197 SWFT Cellular Pathology Contacts 201 SWFT Histology sample requirements 202 SWFT Non-Gynae Cytology requirements 202 SWFT Mortuary service 204 Addresses of Referral Laboratories 207 Document Type: User Information Property of Coventry & Warwickshire Pathology Services Document Reference: UI UH1 This is a controlled document – Do not copy Version : 11 Author: Catherine Darby Page 3 of 212 Approver: Ruth Owen Directory of Pathology Services INTRODUCTION In trying to condense such a large mass of factual information some errors or omissions may have occurred. Please contact the CWPS Deputy Quality Manager ([email protected]) if you have any comments or cause to question any of the content. GENERAL INFORMATION The Service Aims and Objectives Coventry and Warwickshire Pathology Services (CWPS) is a managed network of laboratories hosted by University Hospitals of Coventry and Warwickshire NHS Trust. Laboratory services are provided by laboratories at University Hospital, Coventry, South Warwickshire Hospital, Warwick, George Eliot Hospital, Nuneaton and Queen’s Hospital, Burton. CWPS provides a comprehensive service to the above hospitals and to the General practitioners in Coventry and Warwickshire and Burton Quality Statement and Standards The Coventry and Warwickshire Pathology Services will provide a high quality diagnostic and clinical interpretive service to its users. Every effort is made to ensure an accurate result is issued promptly to the correct source. To ensure the highest quality of service, all departments participate in the relevant External Quality Assurance Schemes that are available and rigorous internal QC checks are regularly made. CWPS laboratories are a UKAS accredited medical laboratory No 8718, 8719, 8720 and 8721. For a list of the accredited tests we provide, please refer to the UKAS website www.ukas.com for our scope of accreditation. Tests not appearing on our scope are either under consideration or in the process of accreditation and so currently remain outside of our scope of accreditation. However, these tests have been validated to the same high standard as accredited tests and are performed by the same trained and competent staff. These are highlighted by * in the departmental sample requirement tables. Components of the service are formally audited according to a schedule, corrective and preventative actions are implemented in a timely fashion to ensure a cycle of continuous improvement. If you have any general comments or problems with the service you receive please contact our Quality Manager or the head of the relevant department. Laboratory Opening Times Blood sciences are located at all four sites within CWPS. Microbiology is located at University Hospital, Coventry and UHDB. Immunology and Virology are located at the Coventry site only, and Histology and non-gynae cytology at University Hospital and Warwick Hospital. Document Type: User Information Property of Coventry & Warwickshire Pathology Services Document Reference: UI UH1 This is a controlled document – Do not copy Version : 11 Author: Catherine Darby Page 4 of 212 Approver: Ruth Owen Directory of Pathology Services All laboratory departments at each hospital are open during the core hours of 9.00 am to 5.00pm (5.30pm at SWFT and UHDB) Monday to Friday, (except Bank Holidays). Extended routine service hours and on-call are provided outside of the core hours. Core opening hours for Microbiology are 8am to 9pm. The Mortuary is open from 7.30 am (8am at UHDB) to 4.30 pm Monday – Friday on all 4 sites. Out of Routine Hours At UHCW the Blood Sciences laboratory provides a reduced routine service out of hours. At George Eliot, Queen’s Hospital Burton (UHDB) and Warwick Hospital the laboratory operates an emergency ‘out of hours’ on-call service for Clinical Biochemistry, Haematology, and Blood Transfusion. This service also covers Bank Holiday periods. Microbiology operates an emergency ‘out of hours’ on-call service after 9pm. There is no out of hours provision for Cellular Pathology. Please see individual departments for further details on opening hours. Reports References ranges are printed with all results where appropriate; in addition all results outside these reference ranges are flagged by an asterisk on the paper report, and by H and L flags or an asterisk on the electronic report. On occasions results may be printed with an appended comment. Visiting the Laboratories CWPS encourages users to visit the departments, please contact the Quality Manager who would be happy to make the necessary arrangements. All visitors must report to the Pathology reception desk. Service Requirements The laboratory requires your input to operate effectively. Please do not hesitate to contact the laboratory if you have any specific investigative requirements or have any concerns with the service provided. Complaints and Concerns All complaints from all sources are registered on the laboratory complaints data base and investigated thoroughly, findings are translated into learning opportunities and embedded into the laboratory’s improvement processes. Patients/Carers The Laboratory makes every attempt to effectively resolve complaints immediately and encourages complainants to discuss issues relating to service provision with a member of staff. Document Type: User Information Property of Coventry & Warwickshire Pathology Services Document Reference: UI UH1 This is a controlled document – Do not copy Version : 11 Author: Catherine Darby Page 5 of 212 Approver: Ruth Owen Directory of Pathology Services Patients and carers can approach laboratory staff within the service concerned, such as the Phlebotomy Manager, or if preferable, talk to someone independent of their care by discussion with PALS (Patient Advice and Liaison Service). Formal complaints can also be made in writing to the department manager or the pathology quality manager, the laboratory will acknowledge all complaints within 3 working days and aim to complete all investigations and respond to the complainant within 25 working days. If the complainant remains unhappy following this, PALS can offer guidance on whether the issues are eligible to be investigated under the NHS Complaints Procedure. Please also see www.uhcw.nhs.uk/for-patients-and-visitors/did-we-get-it-right Clinical users Clinical users can complain directly to the department manager or clinical lead, we encourage clinical users to discuss any issues regarding the service provision by appropriate means of communication. To enable a thorough investigation we encourage all formal complaints to be made in writing with a clear description of the event and any patient information that will support the laboratory in its investigation, the laboratory will acknowledge all complaints within 3 working days and aim to complete all investigations and respond to the complainant within 25 working days. Patient Consent and Data Protection The Pathology department relies on the requesting clinician to meet the requirements for patient
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