We too have trained laboratory staff performing this function at present.
My ambition would be to devolve the application of lab numbers as far as
possible and to have them applied at the bedside or in the GP practice by
non-laboratory staff. The specimen is then immediately loadable onto the
analyser without having to go through full registration and re-labelling in
the laboratory. To my mind the demand that laboratory numbers have to be
sequential is no longer valid, so as long as every number printed on a
label, or set of labels, is uniquely produced by the laboratory system, they
can be filed by computer as well.
I agree that printing the relevant tube type on the label is possible, but
it still needs to be put on its relevant tube and that process needs
checking on arrival. This would be possible and certainly quicker than full
registration.
If separate lab numbers were attached to different tube types, it might
alleviate the problem a bit.
If this concept were made workable, we could do away with the paper request
which travels with the specimen.
with best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
Queen Mary's Hospital
Sidcup, Kent
DA14 6LT
020-8308-3084
-----Original Message-----
From: [log in to unmask]
[mailto:[log in to unmask]]
Sent: 20 September 2004 16:32
To: Mainwaring-Burton Richard (RGZ)
Cc: [log in to unmask]
Subject: Re: Laboratory accession numbers and computerised requesting by
c linicians
We use a central reception for our lab and all bloods except Blood Bank go
to
it. We have had an undetectable error rate. We write "Yellow", "Blue",
"Lavender" etc beneath the bar code on each lable. It is stuck on the tube
with
that colour top. The lables are procuded by the LIS and the clerk sticks
them on
the appropriate tubes. If there is a mismatch then a tech is called over to
sort
it out with or without a biochemists help.
Liz Mac Namara
Quoting "Mainwaring-Burton Richard (RGZ)"
<[log in to unmask]>:
> How can one ensure that the labeller of the tube has put the correct label
> on the relevant tube type - EDTA, fluoride, LiHep etc - since the
analysers
> are not yet able to differentiate and analyser loaders may also have
> difficulty differentiating with a single number on several tubes. We get
> problems even with trained lab staff and with separate nubers for
different
> tube types.
>
> with best wishes
>
> Richard
>
> Richard Mainwaring-Burton
> Consultant Biochemist
> Queen Mary's Hospital
> Sidcup, Kent
> DA14 6LT
> 020-8308-3084
>
> -----Original Message-----
> From: Ball, Graham [mailto:[log in to unmask]]
> Sent: 16 September 2004 20:48
> To: [log in to unmask]
> Subject: Re: Laboratory accession numbers and computerised requesting by c
> linicians
>
>
>
> Jonathan
>
> The advantage of allocating a unique identifier that is available to both
> the laboratory and clinician which can be very useful.
>
> It does depend on having hospital and lab systems that will communicate
and
> agree on the number.
> Do you allocate the number at request or when you receive the sample?
> If you want to make full use of a sample ID it should be allocated on
> request, in which case you will probably also need to have a computerised
> sample filing system as your samples will arrive in a totally random
order.
>
> It does depend on your computer system. We have a sample number allocated
> at the time of request - unfortunately it is not displayed on the hospital
> system.
>
> Graham Ball
> Chelsea & Westminster
>
> -----Original Message-----
> From: Jonathan Kay [ mailto:[log in to unmask]
> <mailto:[log in to unmask]> ]
> Sent: 15 September 2004 17:03
> To: [log in to unmask]
> Subject: Laboratory accession numbers and computerised requesting by
> clinicians
>
> As computerised requesting by clinicians comes within grasping distance
> for many laboratories there is a key decision we have to make: Should
> the number allocated to a request or specimen in the requesting steps
> in the clinical arena be the same as the specimen number used for
> tracking the specimen within the laboratory?
>
> I have come to a conclusion but I'd be really interested in learning
> what other see as the advantages and disadvantages of the two
> approaches.
>
> Jonathan
>
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