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We used to have a separate request form for A&E with tick box for
 
General
chest pain day 1, day2, day3
Abdo pain
gases
pregnancy
 
and listed in small type what the profile consisted of.  This allowed us to assess the usefulness of on admission Trop-T (before the days of the sensitive test) and thyroid function tests - one of our physicians thought hyperthyroidism could present mimicking cardiac symptoms.  This meant we got the tests done on all patients without replying on staff to remember to request them and, when we agreed they were not useful, it allowed us to drop the test from the profile and didn't get staff continuing to request it.  It also ensured we had at least minimal clinical information.
 
Ah - happy days when we could control our own request forms!

Elliott (enjoying permanent retirement)
From: Clinical biochemistry discussion list [[log in to unmask]] On Behalf Of Melissa Yssel [[log in to unmask]]
Sent: 03 December 2014 14:25
To: [log in to unmask]
Subject: Re: Disease specific Profiles for GP's

Dear all

Profiles make requests easy for physicians, but we have discontinued its use as a profile adds significantly to total cost per patient because doctors tend to indiscriminately tick profiles from a list.

Regards
Melissa



On 03 Dec 2014, at 3:56 PM, Yates, Alexandra (RJE) UHNS wrote:

Dear All,
We are considering setting  up, disease specific monitoring profiles for GP’s.
Do any labs currently do this?
How did you decide on the content .. evidence based or Clinician lead?
Any other experiences good / bad.
Thanks
Alex
 
 
 
Alexandra Yates DipRCPath
Clinical Biochemist
 
 
 
 
Blood Sciences Department- Biochemistry
Main Building
Royal Stoke University Hospital
University Hospitals of North Midlands NHS Trust
Newcastle Road, Stoke-on-Trent, Staffordshire, ST4 6QG
Tel: 01782 674255
 
Please note my normal working days are Monday to Thursday.
 
 
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------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/

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 ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/