**Procedure for informing patients and users about the laboratory services ** ^Name^Unique ID^ Edition/Date of Edition ^ |Procedure for informing patients and users about the laboratory services|nchsls:c:Hematology:document:06| 03-01-2015| ^Preparing authority^Approving authority^Review period^ |All teaching staff of Pathology Department |In-charge Hematology|1 year| |Controlled copy of this document exist in electronic form at IP address 10.207.3.240 of LAN at NCH, Surat| |**Printed copy of this document with signature of authorized person is to be considered controlled. ** | ===1.The location of the laboratory=== -OPD-10 New Civil Hospital, Majura gate, Surat. ===2.List of examinations under scope of Hematology Section=== ^SrNo^Specific tests/ examination performed^ |1|CBC (Complete Blood Count)| |2|PSCM ( Peripheral Smear Cell Morphology)| |3|PCV (Packed Cell Volume)| |4|RC (Reticulocyte Count)| |5|ESR (Erythrocyte Sedimentation Rate)| |6|PSMP(Peripheral Smear for malaria parasite)| |7|Malaria antigen detection test| |8|Prothrombin time| |9|APTT| |10|Bone Marrow Aspiration(BMA)| |11|HPLC| ===3.Opening hours of laboratories=== **For common sample collection** Monday to Friday : 9 AM to 1 PM and 4 PM to 6 PM Saturday : 9 AM to 1PM **For Indoor samples** 24*7 ===4.The examinations offered by the laboratory=== -Refer to the table below to find weather an examination will be available or not at the time of collection. -Please make sure that examination is requested and sample is collected in such a way that it reaches Hematology Sample Collection Windows at stipulated time. ^Sr No^Specific tests/ examination performed^Time period for receiving sample of outdoor patients^Time period for receiving sample for indoor patients^ |1|CBC|9.00 a.m. to 1.00 p.m. 4.00 p.m to 6.00 p.m|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.Emergency Investigations(includes Hb, TC , Hct, Platelet Count):available 24 hrs; to be sent in emergency laboratory after routine hrs| |2|PSCM|As mentionedabove|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon(Emergency testing is available whenever needed)| |3|PCV|As mentioned above|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noonAfter routine hrs: at emergency laboratory| |4|RC|As mentioned above|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon(Emergency testing is available whenever needed| |5|ESR|As mentioned above|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noonWeekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.(Emergency testing is available whenever needed)| |6|PSMP|As mentioned above|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.After routine hrs: at emergency laboratory| |7|Malaria Antigen detection test|As mentioned above|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.After routine hrs: at emergency laboratory| |8|PT|As mentioned above|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.After routine hrs: at emergency laboratory| |9|APTT|As mentioned above|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.(Emergency testing is available whenever needed)| |10|BMA|-|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.| |11|HPLC|As mentioned above|Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.| ===Type and amount of sample to be collected=== **Routine Hours (8 a.m. to 4 p.m.)** ^Sr No^Specific Test/ Examination performed^Primary sample volume^Special precautions^Sample collection –sample receipt^Receipt- Reporting( TAT)^Maximum TAT^ |1|CBC (Complete Blood Count)|2ml whole blood in EDTA tube|Fill upto the mark|2hrs|6hrs|8 hrs| |2|PSCM ( Peripheral Smear Cell Morphology)|Prepared smear of whole blood-Glass slide|-|2 hrs|6 hrs|8 hrs| |3|PCV(Packed Cell Volume)|2ml whole blood in EDTA Tube|Fill upto the mark|2 hrs|6 hrs|8 hrs| |4|RC(Reticulocyte Count)|2ml whole blood in EDTA Tube|Fill upto the mark|2 hrs|6 hrs|8 hrs| |5|ESR (ErythrocyteSedimentation Rate)|2ml whole blood in EDTA Tube|Fill upto the mark|2 hrs|6 hrs|8 hrs| |6|PSMP (Peripheral Smear for malaria parasite)|Prepared smear of whole blood-Glass slide|-|2 hrs|6 hrs|8 hrs| |7|Prothrombin time, Activated Partial Thromboplastin Time, Fibrin degradation production, Fibrinogen|2 ml whole blood in citrate tube|½ hrs|4Hrs|4 hrs| |8|BMA and BM biopsy|Aspirated marrow|-|BMA- 1 working days|BMB- 4 working days| |9|HPLC|2ml whole blood in EDTA blood|-|Within 6 Days|Within 6 Days|7 Days| **Emergency Hours(4 p.m. to 8 a.m.)** ^Sr No^Specific Test/ Examination performed^Sample collection –sample receipt^Receipt- Reporting( Turn around time)^Maximum turn around time^ |1| Hb, TC, Plt, Hct|2 hrs|6 hrs|8 hrs| |2|PSMP (Peripheral Smear for malaria parasite)|2 hrs|6 hrs|8 hrs| |3| Prothrombin time|1/2 hrs|4 Hrs|4 hrs| |4|Fluid Routine Micro|2 hrs|6 Hrs|8 Hrs| |5|CSF Routine Micro|1 hrs|1 Hrs|2 Hrs| ===5.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:22/00001234 * Note that MRD number start with “YY/00001234” where YY is current year * The number is always of eight digits. Not witting complete 8 digits make it very difficult for the laboratory to retrieve 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 necessary examinations. -Special properties of sample, I.e. pre BT, Post BT, pre-hemodyalisis needs to be indicated ===6.Consent form === -No written consent is required for any examination under scope of Hematology section. However, all examination under scope of Hematology section requires oral consent after explanation of need for examination and need for sample collection. ===7.The laboratories criteria for accepting and rejecting samples=== **FOR INDOOR PATIENTS** *Acceptance criteria: *Following data must be filled up in request form – -Name & Registration number -Patient’s MRD Number (Unique ID number) -Age & Sex -Referral ward & Unit -Short clinical history -Name of investigation -Signature of requester -Date and time of sample collection **For indoor patients** *Rejection criteria: -Any discrepancy in patient identification between sample tube and request form. ( In that case sample and request form are returned to sender for resolution) -Nonspecific name for examination written (e.g All test) -Inadequate quantity /overfilled sample for respective test -Sample in inappropriate container -Hemolysed / clotted sample -Transport time (time between collection and receipt of sample) is more than 2 hrs. **In case of rejection, reason is mentioned in sample rejection register as well as on request form and sample with request form is send back to requester** **For outdoor patients in case of hemolysed/clotted sample, repeat sample is advised and record of which are kept in rejection register** ===8.The laboratory’s policy on protection of personal information=== The laboratory gives patient sample report to -Authorized report collection person -Patient and their relatives -Authorized person from ward/Residents/Interns The laboratory use laboratory data for research only after striping data from patient identification. ===9.Complaints and suggestions=== ^**The laboratory welcomes complaints and suggestions. The laboratory provides feedback to any complaint made by you.**^^ ^Method^Details^ |Phone|0261-22084125, 0261-2208426| |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:histopathology:document:feed_back_format.doc |}}| |Email| | |Written complaints to NCHSLS|On simple paper or feedback form, deposit complaint to any personnel of NCHSLS, Ask for acknowledgement. download feedback form |