Agree with Jonathan – I can’t get sums to add up either in terms of cash, delivery or quality

From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Jonathan Kay
Sent: 27 February 2012 12:02
To: [log in to unmask]
Subject: Re: Urgent Lab in ED

Thanks.

If there is a laboratory with a larger repertoire available 24 x 7 the equipment I would put in the ED is:

* Blood gas analyser with extended repertoire

* Blood glucose analysers

* Urine strip reader with HCG assay

* Just possibly troponin analysers, but depends on the analytical sensitivity needed by your decision rules

* Air tube station

What are the perceived benefits to set against the additional staff, equipment and consumable costs of having more in the ED?

Jonathan

On 27 Feb 2012, at 11:56, KWONG Pandina (RF4) BHR Hospitals wrote:

There will be a 24x7 laboratory in addition to the one in ED.

We will be facing a number of changes in the near future. There is increasing pressure (not just for diagnostics) to work towards 24x7 practice. There will be tests and services which will not be provided in the ED lab but must be available 24x7, such as transfusion, some toxicology testing, blood film etc. These will be provided in the main 24 x 7 laboratory.

Pandina

From: Jonathan Kay [mailto:[log in to unmask]]
Sent: 27 February 2012 11:24
To: KWONG Pandina (RF4) BHR Hospitals
Cc: Jonathan Kay; [log in to unmask]
Subject: Re: Urgent Lab in ED

Is the working assumption that you still have a 24 x 7 laboratory in addition to the one in the ED?

Jonathan

On 27 Feb 2012, at 11:19, KWONG Pandina (RF4) BHR Hospitals wrote:

Hello,

Indeed we are in a similar position to other laboratories around the country with capital money suddenly becoming available for an urgent lab within the Emergency Department. We have been asked to produce an instrument specification to kit out such a laboratory. Time scale given is extremely tight, till the end of the week.

We are of the believe that such laboratory must be manned by laboratory qualified staff (band 6/7).

Tests to be available are FBC, Na, K, Urea, Creatinine, glucose, LFTs, amylase, bone and Troponin.

We would be extremely grateful if you could share any specification documents that may be of use to us, even if it covers only part of the test repertoire.

Many thanks in anticipation.

With regards,

Pandina

Pandina Kwong FRCPath

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