JISCMail - ACB-CLIN-CHEM-GEN Archives

The 70% thing...

We are able to offer a 24/7 Xanthochromia service without the requirements for a Duty Biochemist! Relying solely on the BMS working out of hours, what is the requirement for Duty Biochemist input?

Tim.

Tim Hogan

Laboratory Manager

Clinical Biochemistry

Basildon and Thurrock University Hospitals
NHS Foundation Trust
01268 524900 Ext 3036

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www.basildonandthurrock.nhs.uk

From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Hallworth Mike (RLZ)
Sent: 11 January 2012 17:23
To: [log in to unmask]
Subject: Re: Duty Biochemist Rotas?

We have five biochemists on our rota (across 2 sites). Each weekday someone has the morning off, comes in at lunchtime and works till 9pm. Advantages are ability to phone urgent GP work to deputising service (and cover the phone/bleep until 9pm to ease the load on BMS staff. The person working the late is on-call for the rest of the night (very rarely called) and the person who does the Friday late is on-call for the weekend. It works well for us as we all appreciate a morning off in the week (for different reasons). No real disadvantages that we have found - except that with 5 people if someone is off for a week someone has to do two lates, but that isn't a big problem. The more junior staff get a modest unsocial hours payment for the last hour (after 8pm) but that isn't available to 8c and above. Otherwise there is no additional remuneration as AfC core hours are 8-8 (I think, or maybe 7-8). The time up to 7.30 or so is usually pretty busy, but after that there is often time to get something else done in (relative) peace and quiet! There is obviously much less of an overnight backlog to authorise the next morning as a lot of it has been done. It also means we can offer a routine xanthochromia service till 9pm (we do do them as emergencies also, but need more persuading!).

Happy to answer any other questions people have.

Mike

From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of SERGEANT Chris (RF4) BHR Hospitals
Sent: 11 January 2012 17:11
To: [log in to unmask]
Subject: Re: Duty Biochemist Rotas?

Further to the mention of a duty biochemist being available in Mike's laboratory until 2100hrs, I wonder how many labs have duty biochemists on site (working their official hours) after 17.30hrs?

It would also be a great help to have an idea of what benefits were gained (if any) from having a biochemist available on site after 17.30 (and/or weekends?) Did it mean less biochemist cover during the earlier part of the day (or Monday to Friday) and was there any disadvantage associated with that? What number of duty biochemist staff was needed to cover the rota system?

Feedback will greatly assist!

Many thanks,

Chris

--------------------------------------------------------------------------------------

Chris Sergeant

Principal Biochemist

Dept. Clinical Biochemistry

Barking, Havering and Redbridge University Hospitals NHS Trust

Ext. 8318

Direct: 0208 970 8318

From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Hallworth Mike (RLZ)
Sent: 04 January 2012 16:45
To: [log in to unmask]
Subject: FW: abnormal results in the middle of the night

We basically follow the RCPath out of hours procedure for analytes and limits with scope for discretion by Duty Biochemist.

http://www.rcpath.org/resources/pdf/g025_outofhoursreporting_nov10.pdf

A Duty Biochemist is on duty in the lab until 2100, which covers the vast majority of primary care abnormalities detected. DB contacts deputising service with abnormal results, following RCPath limits but using discretion (e.g. we wouldn't phone a low sodium if it was already known to be at that level). The DB is a qualified clinical scientist.

Primary care practice phoned with results the following morning.

Mike

From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Smith Helen - Consultant Clinical Biochemist
Sent: 04 January 2012 16:24
To: [log in to unmask]
Subject: abnormal results in the middle of the night

Dear All,

May I ask what your lab. does with grossly abnormal results from primary care that are analysed in the middle of the night?

What analyte results & at what level would your lab. 'phone the out of hours service?

Who 'phones results? BMS/Clinical Scientist/Medical staff/other?

Many thanks for your responses.

Happy New Year

Helen

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