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Biochemical Profiles

Liver function

Protein, Albumin, Bilirubin, ALT, ALP with GGT automatically reflex tested if ALP > 200

Renal/Electrolytes

Sodium, Potassium, Urea, Creatinine


Cardiac

Troponin I

Lipid

Cholesterol, Triglyceride

Bone

Calcium, Phosphate, ALP, TP, Alb

Blood Films

Blood Film

If the full blood count results are abnormal or there is a specific indication on the request form, a blood film will be stained and examined microscopically. Blood films are spread and stained by a UKAS accredited automated method however in the event of analyser failure blood smears will be manually spread and stained which is currently an unaccredited procedure. Blood films requiring clinical comment will be referred to a Haematology Consultant or Registrar. Delay or marked temperature changes in transit can affect morphology.

Emergency Tests

IT SHOULD BE REMEMBERED THAT AN EMERGENCY REQUEST SHOULD NOT BE MADE UNLESS THE RESULT IS REQUIRED FOR THE IMMEDIATE MANAGEMENT OF THE PATIENT.

An emergency service is provided for the following tests

All routine biochemistry including digoxin and osmolality (excluding cyclosporin and xanthochromia analysis)

Erythrocyte sedimentation rate (ESR)

ESR

This is the standard haematological inflammatory marker, performed in the laboratory, although CRP is the preferred test (Biochemistry request).  The ESR may be performed on the same EDTA sample sent for FBC if sufficient.

Fluid Analysis Guidelines

Only the fluid types below and specific analyses tabled are now allowable in Telepath and ICE. Where a fluid type or analysis is not allowable in Telepath please book as miscellaneous and then contact the Duty Biochemist before analysis is performed.

All fluids must be centrifuged and then analysed only if free from particles.

Full blood count (FBC)

Full Blood Count

A full blood count consists of haemoglobin, total white cell and differential counts, platelets and full red cell indices. All of these values are provided using a single EDTA sample. Please note that if venepuncture is difficult and mixing with anticoagulant delayed, micro-clot formation may cause a falsely low platelet count. If the full blood count results are abnormal or there is a specific indication on the request form, a blood film will be stained and examined microscopically.

 

Haematology Tests

Haematology Services

The laboratory provides a comprehensive consultant-led service providing both diagnostic and clinical advice 24h/day. The laboratory provides services to GP's by direct access and to Heartlands, Good Hope and Solihull hospitals. There are close links with the Clinical Haematology service.

A comprehensive diagnostic services is provided. For results contact the Laboratory Medicine Results Line on ext 41185. If you need to contact the laboratories please telephone ext 40908 (Heartlands), ext 47279 (Good Hope) or ext  44527 (Solihull). Overnight and weekends contact the laboratories via bleep 2449 (Heartlands) or bleep 8779 (Good Hope). Consultant advice is available via the laboratory or the Heartlands switchboard.

Haemoglobin Values

Please note: Hb and MCHC results are now reported in g/L instead of g/dL in line with national guidelines. This means a Hb previously reported as 12.5 g/dL will be reported as 125 g/L

Key Factors That can Affect Results

Common causes of spurious results due to incorrect collection or storage

Note: Common analytical interferences are screened for and if detected no results will be reported for that analyte.

Opening Hours: 24 Hour Service

The Department operates a 24 hr service, 7 days a week. 

To ensure that immediate attention is given to emergency requests, doctors must phone the laboratory to ensure that staff are aware of the priority. It is the responsibility of the requesting doctor to ensure the sample is sent to the Department.

For out of hours clinical advice (17:30 - 09:00), please contact switchboard and ask for the Duty Consultant On-call for the clinical speciality you require

Reference Ranges

A list of all tests performed at this laboratory, reference ranges and details of turn-around times are given in the Test Database.

If the test you require is not shown here, please contact the laboratory to see if we can do it or, alternatively, suggest where else it may be performed.

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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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