[Skip to content]

Enter search here...
Worcestershire Acute Hospitals NHS Trust
.
.

Information for Healthcare professionals

Sample collections:

There are transport services that collect samples and delivers consumables as required from surgeries and clinics across the county. It is important that you ensure any samples taken are picked up on the first possible collection and not left until the end of the day before being sent to the laboratory.  

It is important that when samples are transported this is done safely and legally. Any queries regarding the safe transport of specimens can made directly to the appropriate laboratory or

For more information regarding sample transport please refer to the Pathology Transport Policy

For blood transfusion specimens; drivers will transport blood to community hospitals on their routine rounds. All other collections require the community to arrange for Taxi collection between the hours of 09:00 and 17:00 and arrivals outside of these times will be turned away.

 

Sample:

1.     Minimum Acceptable Patient Identification Criteria for Samples and Request Forms

Stringent procedures, informed by guidance from professional bodies, for the receipt of samples and request forms exist to ensure the safety of the patient (to ensure that the right investigation(s) is performed on the right sample(s) and the results assigned to the correct patient).

The responsibility for requesting a laboratory service/test lies with an authorised practitioner (normally a clinician). It is the responsibility of the requester to ensure that samples are correctly labelled and request forms completed to the agreed standard. Before accepting a clinical specimen, laboratory staff competent in this task must ensure certain minimum criteria for sample identification are met.

To ensure the unequivocal identification of patient and sample certain information is required on all request forms and samples. Sample and request form information must be compatible:

 

Minimum Acceptable Identification Criteria Table

ESSENTIAL

DESIRABLE

REQUEST FORM

1. Patients full name or unique coded identifier

2. Date of birth

3. Sex

4. NHS number**

5. Patient’s location or destination for report

6. Patients Consultant, GP or name of requesting Practitioner

7. Investigation(s) required

1. Practitioner’s contact number (bleep/extension).

2. *Date and time sample collected.

3. Patient’s address including

postcode

4. Clinical information including relevant medication.

SAMPLE

N.B. Blood Transfusion requests MUST

have the patient information handwritten on tubes; printed patient labels are NOT acceptable.

1. Patients full name or unique coded Identifier.

2. Date of birth (essential for blood transfusion specimens).

3. NHS number (preferable) or hospital number or unique coded identifier.

1. *Date and time collected

2. Nature of sample, including qualifying details, e.g. left, distal, etc. especially if more than one sample per request submitted.

 

** Note : For patients who have been allocated a unique coded identifier for confidentially purposes (e.g. Sexual Health Clinic patients), the NHS number should not be quoted.

 

It is preferable for information on all samples to be handwritten for the following reasons:

· To reduce the risk of the wrong label being attached.

· Printed patient labels on blood tubes obscure the sample contents and may have to be removed prior to serum separation.

· Printed labels can cause issues with instrumentation used to analyse these samples.

 

Microscope slides must have the patient’s forename, surname and date of birth written in pencil.

Major Incidents – In the event of a major incident the 10 digit Majax number MUST be used in place of an NHS number.

Samples or request forms received without the minimum essential identification criteria stated in this policy may not be processed. Samples received without a request form may also be rejected.

The action taken subsequently may reflect the purpose for which the specimen was intended but might include:-

· Processing the sample and withholding results.

· Sealing the sample and storing it.

· Requesting a fresh sample and request form.

In cases where an inadequately labelled request form/sample is received from a patient who is not easily accessible for a repeat, then, at the discretion of senior laboratory staff, the sample may be processed and the report will show a clear disclaimer detailing the shortcomings of the sample and/or request. The disclaimer will alert the requesting practitioner to take responsibility for the results and for any action taken as a result of the report.

 

2.    Further Acceptance and Rejection Criteria

The quality of laboratory test results depends on the proper collection and handling of the specimen. Correct patient preparation, specimen collection, packaging and transportation are essential factors in obtaining timely and valid test results.

 

Particular note should be taken of:

· The need for prior notification of request to laboratory.

·  Specimen integrity; e.g. special transport (including urgent transportation) and packaging requirements.

·  Sample size requirements. When only a small amount of sample is obtained, indicate which test(s) are clinically most important.

·  Use of preservatives/transport media.

·  Time critical specimens (e.g. antibiotic assay, U & E, cortisol).

·  Correct tubes/appropriate containers i.e. ONLY those provided/approved by laboratory (refer to Pathology Website).

·  Correct sample(s) for request/test(s).

·   “Order of Draw” chart for BD Vacutainer System to avoid sample contamination.

·   Correct mixing of the sample post collection

·  Delivery to correct laboratory in a timely fashion.

 

Samples should be sent to the laboratory with minimal delay. Samples received following an excessive period of time may be rejected.

Specimens sent in an unsafe manner that pose handling and health hazards may be rejected.

Specimens received that are not appropriate for the investigation requested will be rejected.

Requests for inappropriate investigations will be rejected (e.g. Hepatitis C virus quantification without prior positive diagnostic serology).

Request forms received without a sample will be rejected.

 Requester will be notified verbally or via the reporting process in accordance with local procedures.

 

 

Urgent requests:

Requests for truly urgent investigations to be carried out by the Haematology/Blood Transfusion, Biochemistry or Microbiology departments during routine working hours should be pre-notified to the relevant laboratory. The results to these investigations will be made available as soon as possible.  Urgent samples sent from outside the Hospital MUST be placed in the ORANGE urgent bags specifically designed for this purpose so that they are readily identifiable when received in the laboratory and can be delivered directly to the urgent bench.

 

Anticoagulant monitoring samples:

INR samples for anticoagulant monitoring sent from outside the Hospital should be sent on the specifically designed BLUE anticoagulant bags. This enables them to be delivered directly to the Coagulation Department.

 

Add on requests:

Occasionally it is necessary to request further tests either because they were missed or the results indicate further testing is required. We will always endeavour to facilitate this but if a verbal request is made for an add on test we MUST insist that this is followed up by a written request in order to maintain accurate and full records.

 

Results reporting:

Most reports are now only issued electronically via the Sunquest ICE system. Urgent results issued by Haematology/Blood Transfusion, Biochemistry or Microbiology  will be telephoned to the requesting clinician/location as will any grossly abnormal result which indicates that the patient may require urgent clinical intervention irrespective of whether the sample was marked urgent. 

 

Clinical Advice:

Advice on all matters relating to the provision and interpretation of results is available from the Consultant staff in the relevant department. Outside routine laboratory opening hours, clinical advice can be obtained by contacting the hospital switchboard, who will connect you with the relevant person.


Confidentiality:

There are six areas of information Governance:

·         Common law duty of confidentiality

·         Data Protection

·         Freedom of Information

·         Information Security

·         Record Management

·         Data Quality

 
 All NHS employees are bound by the Common Law Duty of Confidentiality, placing a legal duty on all staff working for the Trust to keep all information provided to the Trust and themselves as employees of the Trust by its patients completely confidential. This legal obligation is further enforced through the codes of practice of staff respective professions and by virtue of their contract with the Trust.

 All staff have a legal obligation to ensure that any confidential information they come into contact with is kept secure and confidential at all times.  Where a member of staff receives a request for information relating to an individual, staff must ensure that any disclosure of confidential information is fully justified and in compliance with the Data Protection Act 1998 or Common Law Duty of Confidentiality.

 All Worcestershire Pathology Services staff undertake annual mandatory Information Governance Training to ensure they are familiar with the legislation and Trust and departmental policies.

 

Where necessary the laboratory will have information available for patients and users that includes an explanation of the clinical procedure to be performed to enable informed consent. 

 

The importance of provision of patient and family information, where relevant for example for interpreting genetic examination results, shall be explained to the patient and user.

 

Changes to Andrology Service:

The WRH laboratory no longer accepts semen samples for analysis.

Andrology referrals should be directed to the Birmingham Womens Hospital. New referral forms and patient information leaflets can be found here.

New Semen Analysis and Post Vasectomy Referral Pathway

BWH Post Vasectomy Referral Form 

BWH Semen Analysis Referral Form  

Semen Analysis Patient Information Leaflet

Post Vasectomy Patient Information Leaflet


Laboratory supplies:

Laboratory consumables, tubes, urine containers, etc are ordered, with the appropriate requisition form, either from the loading bay at Alexandra Hospital( in the case of Kidderminster Hospital, Alexandra Hospital, Princess of Wales Hospital, Redditch and Bromsgrove PCT and Wyre Forest PCT) or the loading bay at Worcestershire Royal Hospital in the case of Worcestershire Royal Hospital or South Worcestershire PCT. Specimen Containers for all Histology and Cytology investigations can be ordered by contacting the cellular pathology department directly.

 

Enquiries:

For further general information about any aspect of the service, please contact the Pathology Services Manager on 01905 763333.  For clinical and technical advice please refer to the individual specialities.

Where to go next

Page last updated: 27 November 2017