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Dear all,

 

Please find attached the IBMS labelling document which quotes the NHS
Operating Framework 2008/9 (P.36) document (also attached) which states 

•        “effective information governance and mandated use of the NHS
Number in all relevant administrative and clinical systems; “

 

I haven’t read the whole of the framework document and also have not checked
if there is a more up to date IBMS document.

 

Regards

Jeff

Jeff Slater   Consultant Clinical Scientist (Retd)

 

 

 

 

From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Iversen Andrew
(BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST)
Sent: 12 May 2015 10:29
To: [log in to unmask]
Subject: FW: Sample acceptance policy

 

Thank you for highlighting this issue for manual requesting.  There are two
issues: sample identification and request identification.  Regarding sample
labelling I believe that asking for more identification than the patient can
provide at the time of phlebotomy makes things worse, not better.  I would
rather patients were asked for their name and date of birth and this
information is transcribed onto the sample container.

Recently, there has been an initiative to get four point matching between
sample and request and check this at pathology reception.  I disagree with
this, because it increases the chances that the sample has been labelled by
copying data from the request form and not by asking the patient.  Of course
automated inpatient wristband scanning and label generation at the bedside
makes a difference, but for manual requests I would rather we always ask the
patient for something that they can tell us - first name, surname, date of
birth.  I care more about labelling the sample to the patient than to the
request form.  Of course we need NHS number on the request form to make the
cumulative record work and keep the patient records straight, but in my view
it is a mistake to insist on labelling requirements to distinguish samples
in a bag attached to a request form are the same as those important details
necessary to distinguish members of the whole population. 

 

Kind regards

 

Andrew

 

 

 

 

  _____  

From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Bradbury Wayne (RNL)
North Cumbria University Hospitals
Sent: 08 May 2015 16:03
To: [log in to unmask]
Subject: Sample acceptance policy

One of the findings at our recent UKAS inspection was a requirement for
three pieces of ‘unique identifiers’ on all samples.

 

Our assessor counted the full name as one and stipulated that we need a date
of birth AND an NHS number or hospital number.

 

We have been counting surname and forename as two identifiers and not
insisting on an NHS or hospital number. 

 

I see this creating difficulties for our users who do not have access to our
ICE order comms system which generates sample labels

which contain all this information e.g. district nurses, locums, A/E staff.
It’s also not very practical on paediatric bottles.

 

The UKAS assessor has quoted the ‘NHS Operating Framework 2008/9’ as
mandating the use of NHS number.

 

Has our UKAS assessor got in right?

 

Do you all reject samples without an NHS or hospital number? (CHI number for
you Scots).

 

Thanks,

 

Wayne.   

 

Mr WH Bradbury FRCPath 

Consultant Biochemist / Head of Blood Sciences,

North Cumbria University Hospitals NHS Trust,

Cumberland Infirmary,

CARLISLE, CA2 7HY.

Tel:     01228 814521                  Fax:    01228 814831

The NCUHT Pathology Handbook can be found
<http://www.ncuh.nhs.uk/for-gps/pathology/index.aspx> here

For general information on tests see  <http://www.labtestsonline.org.uk/ >
Lab Tests Online

 

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biochemistry. Please note, archived messages are public and can be viewed
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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.
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