General Serology Flashcards
How long can C.Diff samples be left out of fridge for?
4 hours
When is LTS2 used?
Needlestick injuries
When is LTS11 used?
Transplant and Milk Bank donors
When is LTS30 used? (2)
Transplant recipient or Foetal sera
What do you do with samples labelled with MKPC test?
Goes to CAT 3 labs on level 7 for deactivation
What are the names of our two TRACK machines on level 4?
Mary and Jeff
What to do if you get a sample spill on lab coat?
Take off and put into clave on a fabric cycle, clearly marked
What serology samples are prioritised? (3)
Donor samples, VZVG (chickenpox) on pregnant pt’s, Cryptococcal (CRCA)
When ADDING HIV tests to samples, what must you make sure is clarified / written down beforehand?
Consent for test specifically (legally required)
STSS meaning and which COLOUR tops used on
Short Term Serum Save, Gold tops only
How do you find out which GP corresponds to a K number?
Search K number under Billing Account Number
How do you know which cards to scan?
The ones where the accession numbers do not match and manual enters into Sunquest
SEDS meaning and which COLOUR tops used on
Short term EDTA Save, Purple tops only
What kind of requests have AHIC, AHBS, ASYP and ZVCM as standard codes?
Antenatal bloods
What do you do with samples that have a mixture of Spin and No Spin tests?
Don’t spin until No Spin tests are done, then spin to get serum and do Spin tests
What is SSM and info you need to enter
Serology Storage Manager system where serums (NOT antenatals) are stored in freezers, need accession number
What do you do if tests have been credited already before receiving?
Make a new day number on Patient ID (previous patient), fill in info and re-enter tests to be done
How to enter Occy Health samples?
Patient ID, [location]- (e.g. OCL- for Littlemore), ENTER, fill in yellows to create new day number
How to enter GUM samples?
Anonymous so first letter is of location (e.g. M for Milton Keynes), second letter if Male or Female, followed by numbers on card
What to enter for “booking bloods”?
Antenatal codes (AHIC, AHBS, ASYP, ZVCM)
When is Hep C Genotype added? + code
Only if HCV viral load above threshold of 3.0 (RHCG)
What does Aliquot mean?
The transfer of serum from spun samples into clear vials the Track will accept
What to do with samples with ONLY STSS?
Spin, aliquot and stored in fridges
What to do with Milk Bank samples?
Create a U number (and cross off list) if not on system, location is MB
How do antenatal sera get stored in freezer?
Open antenatal spreadsheet in folder and continue to scan into rack (NOT into SSM)
What to do with Cryptococcal (CRCA) ONLY samples?
Receive as normal and spin, bring aliquoted sample and card up to reading room, place on second bench and inform staff member working there
What to do with Cryptococcal (CRCA) samples with other tests?
Aliquot half of serum after spinning and bring other half in original tube up to reading room, second bench
What does LFT stand for?
Liver Function Test
Which Biochem test do you ferry back to them immediately as urgent once spotted?
Troponin (heart attack markers)
What do you do with RPRA tests?
Only one starting with R that’s NOT a send-away, Spin and fridge storage
Do you put LTS codes on EDTAs? + why?
No, they test for current blood conditions after transplants, they will send more samples when needed
Which samples get LTS codes?
The ones that have about 12 tests for screening (gold tops)
When entering LIQAS samples, why is it important that you create a new day number and not write into an older one?
New sample = new LIQAS number, if it has an entry already then a different sample has already been entered
How to tell which test for a sample with a sheet that doesn’t specify?
Inquiry, find an accession number that hasn’t been received yet
Key info to ask for when taking DONOR call?
Name, NHS #, DOB, where samples coming from, If We Have Consent
Which tests to add onto a “viral screen CMV and EBV” serum?
CMVG, EBNA (“viral” doesn’t just mean molecular)
