1. The Royal Wolverhampton Hospitals NHS Trust Induction Directorate of Pathology Katy New Pathology Quality Manager

2. The Royal Wolverhampton Hospitals NHS Trust Induction Pathology Departments Head of DepartmentHead Biomedical Scientist Clinical ChemistryProfessor R GamaAlain Rolli Haematology includes Blood Transfusion & Immunology Dr S BasuJayne Parkes Histology Includes Cytology Dr W FuggleAlan Deacon MicrobiologyDr D DobieJuliette Large Point of Care TestingDr C Ford POCT Chair Liz Laverick POCT Manager PhlebotomyGraham Danks Manager Mandy Beckett Lead Phlebotomist

3. The Royal Wolverhampton Hospitals NHS Trust Induction

4. Clinical Pathology Accreditation CPA Quality Policy ‘Wolverhampton Pathology Services aims to provide a high quality, timely and comprehensive laboratory based diagnostic / interpretative service to our colleagues and their patients in the hospital and local community for the diagnosis of disease and the management of patients.’

5. The Royal Wolverhampton Hospitals NHS Trust Induction Processing Pathology Samples 1,000,000 Pathology requests received per year 8 million tests URGENT REQUESTS – highlight on form / phone Clinical Chemistry requests – phone for urgent req. no ext. 8266 REPORTING REQUESTDATA ENTRYTESTING

6. The Royal Wolverhampton Hospitals NHS Trust Induction Order of draw for blood specimens OrderColour CodeTube Type 1Brown / WhiteClotted Gel / Plain Tube 2OrangeLithium heparin 3GreenCitrate 4YellowFluoride 5MauveESR 6RedEDTA 7Light BlueBlood Transfusion

7. The Royal Wolverhampton Hospitals NHS Trust Induction Rejected Requests 20,000 Rejected Requests Patient diagnosis can be delayed, unnecessarily, by 1 to 5 days! Avoidable cost, estimated at £50,000pa

8. The Royal Wolverhampton Hospitals NHS Trust Induction Reasons for request rejection% No sample received44 Insufficient sample12 Unlabelled samples11 Clotted whole blood specimen3 Inappropriate container6 Mismatch specimen and request form5 Illegible details on sample2 Illegible request form2 Hazard! Specimen leaked3 Miscellaneous12

9. The Royal Wolverhampton Hospitals NHS Trust Induction Specimen Containers Correct container for test Correctly labelled –Blood Transfusion samples must be handwritten –Others use printed labels Correct number of tubes

10. The Royal Wolverhampton Hospitals NHS Trust Induction Making a request Manual Requests Electronic Requests Read Training Guide Read Process Guide Continue

11. The Royal Wolverhampton Hospitals NHS Trust Induction Manual Specimen Request Manual specimen requests: –are currently being superseded by an electronic requesting system –should only be used when the e-requesting system is unavailable

12. The Royal Wolverhampton Hospitals NHS Trust Induction Manual Specimen Request Information required Identification Location Specimen type Clinical details Test required Clearly written and legible

13. The Royal Wolverhampton Hospitals NHS Trust Induction Quality of Specimen Avoid delay –Transport to laboratory asap –Keep in cool place if transport delay Hazardous specimens –Leaking samples –Danger of Infection labels

14. The Royal Wolverhampton Hospitals NHS Trust Induction Looking up results Pathology TD Synergy computer system TD web Printed reports System access request form Interim / Final reports