General

Notification of changes to Histology Staining

on Thursday, 24 August 2017. Posted in Cellular Pathology, General

Haematoxylin and eosin platform change.

We are changing our platform for the haematoxylin and eosin stain used for all routine histopathology cases to the Roche HE600 platform from Monday 4th September 2017. This is to allow us to improve the workflow and traceability of reagents used.

The existing platform will remain in use as contingency and for macro slide staining.

During slide review at MDT meetings you may notice a difference in the tone of the staining.
This new platform will be assessed by UKAS against ISO 15189 standards at our next annual inspection in October.

For further information about this change please contact the department on 0121 424 3188 and ask to speak to a senior member of staff.

Guidance on Testing for Paroxysmal Nocturnal Haemoglobinuria

Written by Mark Hill on Thursday, 08 January 2015. Posted in Haematology, General

Guidance on Testing for Paroxysmal Nocturnal Haemoglobinuria

Paroxysmal Nocturnal Haemoglobinuria (PNH) is an acquired haematopoietic stem cell disorder resulting in a partial or total deficiency of proteins normally linked to cell membranes by a glycosylphosphatidylinositol (GPI) anchor. Classical features are;

  • intravascular haemolysis
  • bone marrow failure
  • thrombotic tendency
  • may also include abdominal pain, dysphagia, erectile dysfunction, renal failure, lethargy

It can often go undiagnosed for months or even years. Flow cytometry can provide a definitive diagnosis.

Click here for further guidance on PNH testing. Contact the laboratory on 0121 424 0704.

Laboratory Information System Migration

on Thursday, 29 May 2014. Posted in Blood Sciences, Microbiology, Cellular Pathology, Haematology, Immunology, Biochemistry, General

Laboratory Information System Migration
In order to bring systems in line with the restructured laboratory services the Laboratory Medicine directorate will be migrating to new Laboratory Information System Databases for Blood Sciences and Microbiology.
 
The migration is due to commence at 8am Monday 2nd June.
 
No downtime is anticipated but there may be some temporary disruption as the migration progresses.
 
The Blood Sciences System will replace what is currently the separate disciplines of Chemistry, Haematology and Immunology as a single department. As such the ICE Reporting System will display reports as Blood Sciences (Orange highlighting).

New telephone number for Microbiology

Written by Craig Webster on Tuesday, 29 October 2013. Posted in Microbiology, General

New telephone number for Microbiology

7th November Microbiology will be changing their telephone number to 0121 424 3111 please? This is an automated system and users should follow the instructions given.

New Laboratory

Written by Craig Webster on Saturday, 31 August 2013. Posted in Haematology, Biochemistry, General

New Laboratory

A video of the new laboratory at Birmingham Heartlands Hospital

From Saturday May 25th the Weekend Phlebotomy service at Boots has transferred back to Solihull Hospital

Written by Craig Webster on Monday, 10 June 2013. Posted in General

From Saturday May 25th the Weekend Phlebotomy service at Boots has transferred back to Solihull Hospital

From Saturday May 25th the Phlebotomy service at Boots has transferred back to Solihull Hospital into the new expanded facility. Access is via the South entrance and is signposted.

  • Saturday 8.30 – 12.00
  • Sunday 10.30 – 13.30

Dual Liquid Swabs for MRSA Screening (Heart of England Trust Only)

on Wednesday, 04 January 2017. Posted in Microbiology, General

Dual Liquid Swabs for MRSA Screening (Heart of England Trust Only)

The PHE microbiology laboratory at Heartlands is no longer able to process dual liquid swabs for MRSA screening if two swabs are left in the sample tube.

To perform a dual emergency MRSA screen, swab the patient's nostrils with the pink swab; put the swab into the tube and rotate the swab against the side of tube to release the sample into the liquid. Do not break off the pink swab into the tube - remove and discard the pink swab after the sample has been added to the liquid. The white swab used for the patient's groin should still be broken off and left in the tube.

Full instructions for using Dual Liquid Swabs for MRSA Screening can be found under "infection control" then "MRSA" on the HEFT intranet: HERE

Turning off Hard Copy Reports

Written by Craig Webster on Friday, 08 August 2014. Posted in General

Turning off Hard Copy Reports

As you will be aware, laboratory reports are sent to your Practice both by electronic transfer and in hard copy form. The Directorate has received several requests to cease printing and sending hard copy reports as they have limited value with the current electronic systems in place. Unfortunately, until recently, it has not been possible to prevent the printing of hard copy reports to individual locations. We are pleased to inform you that technical advancements now make this possible.

NEW THIN URINE TUBES FOR MC&S

on Wednesday, 08 January 2014. Posted in Microbiology, General

NEW THIN URINE TUBES FOR MC&S

The PHE Public Health Laboratory Birmingham are changing the type of sample tubes required for urines sent for microscopy, culture and sensitivity testing (M,C&S). The new tubes will fit directly onto the laboratory’s new automated analysers which will speed up the processing of urines. This is part of the quality improvement and technical modernisation strategy of the laboratory. The smaller volume required to fill the new style boric acid containers should also reduce the number of samples we cannot process due to them being under-filled. For urines for tests other than M,C&S (e.g. Pregnancy test, legionella antigen, virology, TB culture, chlamydia and gonorrhoea) please continue to use the sample containers currently required for those tests. For CSF's and any sterile sites e.g. Ascitic Fluid, Knee Aspirates, Pleural Fluids, PD Fluids, Pus samples and any other fluid samples please send them in a 20ml universal. Urines for MC&S in a 20ml universal will be rejected, so please send in correct container. Please check your requisition form to make sure you can order both types of specimwn containers.

Urines for M,C&S – Change of Sample Tubes

Written by Craig Webster on Friday, 20 September 2013. Posted in Microbiology, General

The PHE Public Health Laboratory Birmingham (at Heartlands Hospital) are changing the type of sample tubes required for urines sent for microscopy, culture and sensitivity testing (M,C&S)

Urines for M,C&S – Change of Sample Tubes

What are the new urine sample tubes like?

  • The new tubes are smaller and have a 10ml capacity.
  • They will still be available in both a “red top” boric acid containing version and plain “white top” version.

New AFP Assay in use from 9th August 2013

on Friday, 09 August 2013. Posted in Biochemistry, General

New AFP Assay in use from 9th August 2013
New method for AFP as of 9th August 2013 with extended dynamic range to 167,660 iU/mL.  Please contact the duty biochemist (bleep 2506) if you wish to discuss this further.
 
The reference range for the new assay is 0.7-7.3 iu/L

Prolactin Assay Change

on Wednesday, 20 March 2013. Posted in Biochemistry, General

The prolactin assay will be changing in the next few weeks. This is because it has been re-standardised by the manufacturer.

The new assay gives results approximately 25% lower than what is currently reported. 

Geocoding of Laboratory Data

Written by Craig Webster on Friday, 29 June 2012. Posted in Biochemistry, General

Geocoding of Laboratory Data

This is a general outline of what I use and how I have geocoded laboratory results. I have a paper in press in the Annals of Clinical Biochemistry on the geocoding of vitamin D

Copyright heftpathology 2013, 2014, 2015, 2016, 2017, 2018

HTA licence number is 12366

Protection of Personal Information – Laboratory Medicine comply with the Trust Data Protection Policy and have procedures in place to allow the Directorate and it’s employees to comply with the Data Protection Act 1998 and associated best practice and guidance.

The Trust Laboratories at Heartlands Hospital, Good Hope Hospital and Solihull Hospital were awarded UKAS (United Kingdom Accreditation Service) accreditation to the internationally recognised ISO 15189 standard in May 2015. For a list of accredited tests and other information please visit the test database http://www.heftpathology.com/frontpage/test-database.html.
Tests not appearing on this scope are either under consideration or in the process of accreditation and so currently remain outside of our scope of accreditation. However, these tests have been validated to the same high standard as accredited tests and are performed by the same trained and competent staff.

For further information contact Louise Fallon, Quality Manager, 0121 424 1235

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