Sunday, July 19, 2009

Week 4

Hello Everyone!
I’m Nyzah.

For the first two weeks of SIP, I’m attached to the central processing (CP) are whereby specimens were sorted out, processed and ordered. Specimens usually will arrive in the pneumatic tube via the pneumatic system. The pneumatic system connects all wards, specialist clinics and operating theatre. Sometimes, the healthcare workers will also dispatched the specimens to the clinical lab personally. This is done by passing it through a window. Medical technologist will then attend to the specimens.

The specimens are then processed by removing the request forms from the kangaroo pouch and stapling it to the Ziploc bag with the specimen in it. Specimens ranging from plain tube, EDTA tube, fluoride tubes, urine samples, stools and blood gas specimens are processed there. For microbiology specimens, the specimens are placed inside a red plastic box and for histopathology specimens into the green plastic box. This is because microbiology laboratory is out of bound due to the H1N1 cases and histopathology due to renovations. The other specimens are then placed on the CP workstations whereby the medical technologists or the laboratory clerk will order the tests wanted in the Laboratory Information System (LIS). Then, specimens that come in tubes (usually blood) are removed from the Ziploc bags. Barcode are pasted on it and the details of the patients are pasted on the workstation forms. For other specimens other than tubes, the barcodes are pasted on the Ziploc bags. The person pasting the barcodes have the responsibility of checking the names and the I/C number of the patient against the labeled tubes or other samples. The specimens are then dispatched to various workstation i.e. hematology, biochemistry, etc.

If the person is unsure about the tests that are need to be done, it is necessary for them to call the doctor or the staff nurse in charge so as to avoid confusion and long turnaround time.

Nurul Nyzah
0702888I

12 comments:

  1. Hey Nyzah, when do we use the fluoride tube?

    Yvonee
    Group 8

    ReplyDelete
  2. hey nyzah!

    why for microbiology specimens, the specimens are placed in a red plastic box and for histopathology specimens in green plastic box? Is there any significant or is it just to differentiate micro. and histo specimens?

    siti
    0702717J

    ReplyDelete
  3. hi Yvonee!
    the flouride tube is used for glucose tolerence test. it always comes together with a plain tube :)
    nyzah<3

    ReplyDelete
  4. hey siti~
    the diferent coloured boxes is just to differentiate to the histo and micro staffs which specimens is theirs.
    :))nyzah

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  5. Hey Nyzah,

    just to compare, what is the use of the plain tube for glucose tolerance test? Because in our labouratory, OGTT is only done using 0, 1st hour and 2nd hour fluoride and urine. XD

    Hui Juan
    0702012F

    ReplyDelete
  6. hi nyzah, is there any need to record the names of those who check and sent the specimens? something like traceability?

    zi shuang

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  7. helo0o0o0o nyzah,

    just out of curiousity ahh, u said that your histopathology lab is undergoing some renovation, does that mean all histo processess are stopped temporarily..?
    coz im from histo lab, and i simply cant imagine, even if its only a part of my lab that is undergoing renovated.....
    heeeheee

    thannnk uuu....
    nadiah
    0705365E

    ReplyDelete
  8. hi nyzahhh!
    you guys have the sodium citrate (blue top)tube? cause i thought that's the only tube needed for APTT/PTINR test.
    and also the yellow top tube with the gel inside?

    :)wendy

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  9. hi zi shuang.
    no we dont have any records of whoever checking and sending the specimens. if the is anything to be clarify, we will just check the LIS and clarify with the person ordering the tests. :)
    nyzah

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  10. hi nadiah!
    hehe. im not sure cause i have not been inside the lab before. but i dont think the whole lab is undergoing renovation,because i still see the staffs walking around collecting specimens.
    -nyzah

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  11. hi wendy
    yeah we do have the sodium citrate tube. its for the coagulation section which is under hematology. there is also the yellow tube with the gel inside. it is mainly used for biochemistry and immunoassays.
    nyzah

    ReplyDelete
  12. hi hui juan.
    im sorrie. usually glucose tolerance test does not come together with the plain tube. however, when flouride tube comes together with plain tube, it is for glucose tolerance test and lipid profile. the plain tube is for lipid profile
    sorry for the misunderstanding.
    nyzah

    ReplyDelete