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1 INTRODUCTION 6
1.1 Guide to using this Manual 6
1.2 Location of Pathology Department 6
1.3 Pathology Department Opening Hours 6
1.4 Cut-Off Times for Routine Sample Acceptance 7
1.5 Designated Times for Obtaining Laboratory Results by Phone 7
1.6 Staffing 7
1.7 Pathology Department Telephone Numbers 8
1.8 Pathology Department Fax Number 8
1.9 Naas General Hospital Website 8
1.10 Phlebotomy 8
2 LABORATORY REQUEST FORMS, SAMPLE BOTTLES AND CONTAINERS 9
2.1 General Information 9
2.2 Request Forms/Tests 9
2.3 Sample Acceptance Criteria for Hospital Patients 9
2.4 Sample Acceptance Criteria for GPs 11
3 DELIVERY, PACKING, TRANSPORT AND POSTAL REQUIREMENTS OF PATHOLOGY
SAMPLES 12
3.1 Health and Safety 12
3.2 Sample Delivery within the Hospital during Routine Hours 12
3.3 Sample Delivery within the Hospital outside Routine Hours 12
3.4 Sample Delivery from External Centres 13
3.5 Packing Procedure for the Transport of Diagnostic Samples (Non Infectious) 13
3.6 Transport of Infectious or Suspected Infectious Samples 13
3.7 Disposal of Waste Material Used in Sample Collection 13
3.8 Pneumatic Tube System (PTS) 14
3.9 System Operation of PTS 14
4 REPORTING OF TEST RESULTS 16
4.1 Phoning Of Results (Hospital Patients) 16
5 EXTERNAL THIRD PARTY ASSESSMENT PROGRAMME 16
6 BLOOD TRANSFUSION 17
6.1 Introduction 17
6.2 Contact Numbers / Personnel List 17
6.3 Blood Transfusion Tests 18
6.4 Urgent Requests Policy 18
6.5 Requests for Uncrossmatched Blood - in an Emergency 18
6.6 Blood Products/Components for Transfusion 19
6.7 Blood Transfusion Laboratory Opening Hours 19
6.8 Emergency On-Call 19
6.9 Repeat Samples 19
6.10 Sample Request Form 20
6.11 Sample Labelling Policy 20
6.12 Sending the samples to Laboratory 20
6.13 Telephone Requests Policy 21
6.14 Emergency Transfusion Policy 21
6.15 Collection/Delivery Of Blood and Blood Products 21
6.16 Return of unused Blood/Products to Laboratory 21
6.17 Disposal of empty Blood/Product packs 21
6.18 Maximum Surgical Blood Ordering Schedule (M.S.B.O.S.) 22
6.19 Major Emergency Plan 237 HAEMATOLOGY 24
7.1 Introduction 24
7.2 Haematology Personnel 24
7.3 Contact Numbers/Personnel List 24
7.4 Useful Contact Numbers 25
7.5 Requesting Investigations 25
7.6 Health and Safety 25
7.7 Cut-off Times for Sample Processing and Referral 25
7.8 Laboratory Notification of Emergency Samples during Routine Hours 25
7.9 Special Protocols 25
7.10 Reporting of Results and Result Enquiries 25
7.11 Retrospective requesting 26
7.12 Telephoning Results 26
7.13 Pathology Department Emergency On-Call Services 27
7.14 Urgent Haematology Advice 27
7.15 Patients for Haematology Review 27
7.16 External Quality Control 27
7.17 Sample Guide for Tests Performed in Naas Laboratory 28
7.18 Referred Samples/Unusual Requests 29
7.19 Reference Values - Haematology 30
8 CLINICAL CHEMISTRY 33
8.1 Introduction 33
8.2 Clinical Chemistry Personnel 33
8.3 Personnel Contact Numbers 33
8.4 Useful Contact Numbers 33
8.5 Requesting Investigations 34
8.6 Health and Safety 34
8.7 Pathology Department Opening Times – Normal Hours 34
8.8 Special Protocols 35
8.9 Results and Enquiries 35
8.10 Retrospective requesting 35
8.11 Telephoning Results 35
8.12 Pathology Department – On-Call Services 36
8.13 Point of Care Testing (POCT) 36
8.14 External Quality Assurance Schemes 36
8.15 Sample Guide 37
8.16 Adult Reference Values 38
9 MICROBIOLOGY 42
9.1 Introduction 42
9.2 Microbiology Personnel Contact Numbers 42
9.3 Microbiology Routine hours 42
9.4 Laboratory Notification of Emergency Work 42
9.5 Laboratory Notification of Emergency Work Outside of Routine hours. 42
9.6 Clinical Consultation. 43
9.7 General Guidelines on Microbiological Samples. 43
9.8 Safety 43
9.9 Storage 43
9.10 Storage conditions for Microbiology samples 43
9.11 Retention times 43
9.12 Retention times 43
9.13 Samples Processed in Naas Microbiology Laboratory 449.14 Referred Tests 45
9.15 Special investigations, other referred tests 45
9.16 Results and Reporting. 45
9.17 Which results are telephoned? 45
9.18 List of tests available outside of routine hours 17:00 – 09:30. 46
9.19 Infection Control. 46
9.20 External Quality Control 46
9.21 Useful Links 46
9.22 Turnaround times 47
10 HISTOPATHOLOGY DEPARTMENT (AMNCH) 48
11 PATHOLOGY REFERRED TESTS 49
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