Procedure for informing patients and users about the laboratory services

NameUnique ID Edition/Date of Edition
Procedure for informing patients and users about the laboratory servicesnchsls:c:Hematology:document:06 03-01-2015
Preparing authorityApproving authorityReview period
All teaching staff of Pathology Department In-charge Hematology1 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

  1. OPD-10 New Civil Hospital, Majura gate, Surat.

2.List of examinations under scope of Hematology Section

SrNoSpecific tests/ examination performed
1CBC (Complete Blood Count)
2PSCM ( Peripheral Smear Cell Morphology)
3PCV (Packed Cell Volume)
4RC (Reticulocyte Count)
5ESR (Erythrocyte Sedimentation Rate)
6PSMP(Peripheral Smear for malaria parasite)
7Malaria antigen detection test
8Prothrombin time
9APTT
10Bone Marrow Aspiration(BMA)
11HPLC

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

  1. Refer to the table below to find weather an examination will be available or not at the time of collection.
  2. 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 NoSpecific tests/ examination performedTime period for receiving sample of outdoor patientsTime period for receiving sample for indoor patients
1CBC9.00 a.m. to 1.00 p.m. 4.00 p.m to 6.00 p.mWeekdays: 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
2PSCMAs mentionedaboveWeekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon(Emergency testing is available whenever needed)
3PCVAs mentioned aboveWeekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noonAfter routine hrs: at emergency laboratory
4RCAs mentioned aboveWeekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon(Emergency testing is available whenever needed
5ESRAs mentioned aboveWeekdays: 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)
6PSMPAs mentioned aboveWeekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.After routine hrs: at emergency laboratory
7Malaria Antigen detection testAs mentioned aboveWeekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.After routine hrs: at emergency laboratory
8PTAs mentioned aboveWeekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.After routine hrs: at emergency laboratory
9APTTAs mentioned aboveWeekdays: 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)
10BMA-Weekdays: 9.00 a.m. to 4.00 p.mSaturday: 9.00 a.m. to 12 noon.
11HPLCAs mentioned aboveWeekdays: 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 NoSpecific Test/ Examination performedPrimary sample volumeSpecial precautionsSample collection –sample receiptReceipt- Reporting( TAT)Maximum TAT
1CBC (Complete Blood Count)2ml whole blood in EDTA tubeFill upto the mark2hrs6hrs8 hrs
2PSCM ( Peripheral Smear Cell Morphology)Prepared smear of whole blood-Glass slide-2 hrs6 hrs8 hrs
3PCV(Packed Cell Volume)2ml whole blood in EDTA TubeFill upto the mark2 hrs6 hrs8 hrs
4RC(Reticulocyte Count)2ml whole blood in EDTA TubeFill upto the mark2 hrs6 hrs8 hrs
5ESR (ErythrocyteSedimentation Rate)2ml whole blood in EDTA TubeFill upto the mark2 hrs6 hrs8 hrs
6PSMP (Peripheral Smear for malaria parasite)Prepared smear of whole blood-Glass slide-2 hrs6 hrs8 hrs
7Prothrombin time, Activated Partial Thromboplastin Time, Fibrin degradation production, Fibrinogen2 ml whole blood in citrate tube½ hrs4Hrs4 hrs
8BMA and BM biopsyAspirated marrow-BMA- 1 working daysBMB- 4 working days
9HPLC2ml whole blood in EDTA blood-Within 6 DaysWithin 6 Days7 Days

Emergency Hours(4 p.m. to 8 a.m.)

Sr NoSpecific Test/ Examination performedSample collection –sample receiptReceipt- Reporting( Turn around time)Maximum turn around time
1 Hb, TC, Plt, Hct2 hrs6 hrs8 hrs
2PSMP (Peripheral Smear for malaria parasite)2 hrs6 hrs8 hrs
3 Prothrombin time1/2 hrs4 Hrs4 hrs
4Fluid Routine Micro2 hrs6 Hrs8 Hrs
5CSF Routine Micro1 hrs1 Hrs2 Hrs

5.Instructions for completion of the request form

  1. Five most essential items on request form: MRD + Name + Department + Unit + Ward
  2. 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.
  3. Do not forget to write correct name. It is very useful to identify patient when any thing goes wrong with MRD number provided.
  4. [Department + Unit + Ward ] help to locate patient for conveying critical reports. Please mention them without fail.
  5. This is a no-fee, nominal-fee laboratory.Please request only necessary examinations.
  6. Special properties of sample, I.e. pre BT, Post BT, pre-hemodyalisis needs to be indicated
  1. 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

  1. Name & Registration number
  2. Patient’s MRD Number (Unique ID number)
  3. Age & Sex
  4. Referral ward & Unit
  5. Short clinical history
  6. Name of investigation
  7. Signature of requester
  8. Date and time of sample collection

For indoor patients

  1. Any discrepancy in patient identification between sample tube and request form. ( In that case sample and request form are returned to sender for resolution)
  2. Nonspecific name for examination written (e.g All test)
  3. Inadequate quantity /overfilled sample for respective test
  4. Sample in inappropriate container
  5. Hemolysed / clotted sample
  6. 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

  1. Authorized report collection person
  2. Patient and their relatives
  3. 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.
MethodDetails
Phone0261-22084125, 0261-2208426
OralClinicians are encourages to convey their feedback at various meetings. Patients and their representatives can make oral complaint to any personnel of NCHSLS. Download feedback formfeed_back_format.doc
Email pathologygmcs@gmail.com
Written complaints to NCHSLSOn simple paper or feedback form, deposit complaint to any personnel of NCHSLS, Ask for acknowledgement. download feedback form