Dear Helen
 
We telephone our local out of hours emergency doctor service with the result. The levels above/below which prompt the contact are based on those published by the College (http://www.rcpath.org/resources/pdf/g025_outofhoursreporting_nov10.pdf) with some small local changes to a couple of analytes. This has been agreed with our local OOH doctors. We try to give as much information about the patient as possible - previous results, clinical details, address and phone number if we have it. They are very keen to have the phone number! They have been very good at contacting the patient and getting them admitted if necessary and the system works well.
We have an on-call rota of clinical scientist (2) or chemical pathologist (1) who are contacted by the laboratory and they contact the OOH doctors. We each have computers linked to the hospital at home but if we are out then the BMS in the laboratory would contact the OOH doctors.
We always telephone the requesting surgery when they are next open to tell them what has been done.
 
Hope this helps.
 
Happy New Year to all
 
Ian
 

Ian Holbrook

Department of Clinical Biochemistry

York Hospital

Wigginton Road

York

YO31 8HE

01904 725786

 


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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