Dr Piyush Tailor

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|  {{:nchsls:c:biochemistry:document:biochemistry-logo.png|}}  |  <html><h1 style="color:red;">Resource for Clinicians and Patients</h1></html>  |
|  **Clinical Biochemistry Laboratory, Near Blood Bank, New Civil Hospital, Majura Gate, Surat**  ||
|  **Phone: 0261-2208366, 0261-2208317**  |  **biochemistrygmcs@gmail.com**  |
|  **Opening hours: 24x7**  ||
======Scope======
[[[[http://12.207.3.240/cl_general/single_table_edit.php|http://12.207.3.240/cl_general/single_table_edit.php]]]]describes various examinations offered by the laboratory and relevent details. The information is available to everybody. While some details describe in scope are useful only to the laboratory personnel, others are useful to clinicians and patients.\\
The scope offers following information
  -Weather the examination is currently available or not
  -NABL Accreditation status 
  -name_of_examination
  -unit	of measurement
  -referance_range in short
  -sample_type
  -type of container and additives
  -method_of_analysis
  -TAT 
  -Instruction for preparation of the patient
  -Instructions for patient-collected samples
  -Any requirements for patient consent
  -Importance of provision of patient and family information
  -Temperature for transport and pre-examination storage
  -Maximum duration from sample collection to examination 
  -time limits for requesting it as additional examination  
======Compaint and suggestions======
^**The laboratory welcomes complaints and suggestions. The laboratory provides feedback to any complaint made by you.**^^
^Method^Details^
|Phone|0261-2208366, 0261-2208317, HOD Biochemistry: 9426328832|
|Oral|Clinicians are encourages to convey their feedback at various meetings. Patients and their representatives can make oral complaint to any personnel of NCHSLS. Download feedback form{{:nchsls:c:biochemistry:document:feedback_form.pdf|}}|
|Email| <biochemistrygmcs@gmail.com>|
|Written complaints to NCHSLS|On simple paper or feedback form, deposit complaint to any personnel of NCHSLS, Ask for acknowledgement. download feedback form |
======Instructions for completion of the request form======
  -Five most essential items on request form: **MRD + Name + Department + Unit + Ward** 
  -MRD number is most important item in filling request form.
    -Example: SUR/14/00001234
    -Note that MRD number start with "SUR/YY/" whre YY is current year
    -The number is always of eight digits. Not writting complate 8 digits make it very difficult for the laboratory to retrive your report at a letter date.
  -Do not forget to write correct name. It is very useful to identify patient when any thing goes wrong with MRD number provided.
  -[Department + Unit + Ward ] help to locate patient for conveying critical reports. Please mention them without fail.
  -This is a no-fee, nominal-fee laboratory.Please request only nessesary examinations.
  -Special properites of sample, ie Fasting, post-prendial, pre-hemodyalisis needs to be indicated.
  -Specify type of non-blood sample as urine, CSF, peritoneal,plural,drainge location. This help laboratory select appropriate examination method for same analytes. e.g protein
======Instructions for Patient Collected Samples======

====Instructions for 24 hours urine collection (With Preservative)====

*Do not throw away preservative liquid. Discard 8.00 am urine. There after collect urine in the container till 8 am next morning. Include last 8 am urine in container. Keep in refrigerator in between.

====24 કલાક પેશાબ સંગ્રહ માટેના સૂચનો (પ્રિઝર્વેટીવ સાથે)====

*કેન માં રહેલા પ્રિઝર્વેટિવ પ્રવાહી ને ફેકશો નહિ. સવારે ૮ વાગ્યાથી બીજા દિવસે સવારે  ૮ વાગ્યા સુધીનો પેશાબ ભેગો કરવાનો છે. પરંતુ આજના સવારનો ૮ વાગ્યાનો પેશાબ લેવો નહિ. ત્યાર બાદ બીજો દિવસ ના સવારે ૮ વાગ્યા સુધીનો બધો જ પેશાબ કેનમાં ભેગો કરવો.દરેક વખતે પેશાબ  કેનમાં નખ્યા બાદ કેનને હલાવવું. વચ્ચેના સમય દરમ્યાન કેનને ફ્રિજમાં રાખવુ.

====24 घंटे  पेशाब संग्रह के लिए निर्देश (प्रिजर्वेर्तिव के साथ)====
  *केन के अन्दर का प्रिजर्वेर्तिव प्रवाही को मत फेको। सुबह 8 बजे से कल सुबह 8 बजे तक का पेशाब इकट्ठा करना है। लेकिन आज सुबह 8 बजे का पेशाब लेना नहीं है ओर उसके बाद का कल  सुबह 8 बजे तक का सारा पेशाब  केन मे इकट्ठा करना है। इस बार पेशाब दाल ने के बाद केन को हिलाना जरुरी  है। ओर उसके बाद केन को फ्रिज मे रखना है।

====Instructions for 24 hours urine collection (Without Preservative)====

*Discard 8.00 am urine. There after collect urine in the container till 8 am next morning. Include last 8 am urine in container. Keep in refrigerator in between.

===24 કલાક પેશાબ સંગ્રહ માટેના સૂચનો (પ્રિઝર્વેટીવ વિના )====

*સવારે ૮ વાગ્યાથી બીજા દિવસે સવારે  ૮ વાગ્યા સુધીનો પેશાબ ભેગો કરવાનો છે. પરંતુ આજના સવારનો ૮ વાગ્યાનો પેશાબ લેવો નહિ. ત્યાર બાદ બીજો દિવસ ના સવારે ૮ વાગ્યા સુધીનો બધો જ પેશાબ કેનમાં ભેગો કરવો.દરેક વખતે પેશાબ  કેનમાં નખ્યા બાદ કેનને હલાવવું. વચ્ચેના સમય દરમ્યાન કેનને ફ્રિજમાં રાખવુ.

====24 घंटे  पेशाब संग्रह के लिए निर्देश ( प्रिजर्वेर्तिव के बिना)====
  *सुबह 8 बजे से कल सुबह 8 बजे तक का पेशाब इकट्ठा करना है। लेकिन आज सुबह 8 बजे का पेशाब लेना नहीं है ओर उसके बाद का कल  सुबह 8 बजे तक का सारा पेशाब  केन मे इकट्ठा करना है। इस बार पेशाब दाल ने के बाद केन को हिलाना जरुरी  है। ओर उसके बाद केन को फ्रिज मे रखना है।

======The laboratory’s criteria for accepting and rejecting samples======
  -All samples are precious. The laboratory donot reject them as far as possible.
  -Samples collected in unacceptable containers are rejected. (e.g Urea from fluoride tube).
  -Samples with request for no examination under scope are rejected. But samples with request where some of the requested examinations are under scope; are not rejected. Appropriate remark is made in the final report.  
  -For incomplate details on request or sample containers,they are not rejected; but the transporter is explained to get complate details from the requesting clinicians. 
======Availability of clinical advice on ordering of examinations and on interpretation of examination results======
Various guidlines and references listed below can be useful to clinicians while ordering examinations and their interpretations.
  -{{ATP 4 guideline.pdf|ATP IV guideline for Hypercholesterolemia}}
  -{{ADA guidelines.pdf|ADA guidelines for diagnosis of Diabetes Mellitus}}
  -CSF rhinorrhoea
    -CSF have glucose in detectable amount, Nasal Secretion have very little.
    -CSF Glucose can mislead diagnosis in patients with DM
    -Nasal secretion have hive K+
    -See reference below
      -{{:nchsls:c:biochemistry:document:csf-nasal_ref1.pdf|CSF Nasal difference Ref-1}}
      -{{:nchsls:c:biochemistry:document:csf-nasal_ref2.pdf|CSF Nasal difference Ref-2}}
      -{{:nchsls:c:biochemistry:document:csf-nasal_ref3.pdf|CSF Nasal difference Ref-3}}
======The laboratory’s policy on protection of personal information======
  -The laboratory gives patient sample report to
    -Authorized person from ward.
    -To authorized person of OPD sample collection centre (which also distibutes OPD reports).
    -Patient and their relatives.
    -Reports of samples received at special camps are delivered to authorized person managing the camps. 
  -The laboratory use laboratory data for research only after striping data from patient identification.

======Deviations and exclusions from, or additions to, the documented collection procedure======
If clinician have deviated from procedure mentioned in this document, please indicate it in the request form to take informed decision by the laboratory and to include such deviation in the examination report

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Dr Piyush Tailor

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