Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Medical Biochemistry > Laboratry organisation > Flashcards

Laboratry organisation Flashcards

You may prefer our related Brainscape-certified flashcards:
USMLE® Step 1 flashcards
1
Q

Diagnosis, monitoring, screening and prevention from conception to post mortem

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pathology statistics

A
  • billion tests performed annually
  • 50% of biochemistry tests are related to the management of chronic disease
  • 300,000 tests performed daily
  • Workforce of 27,000
  • Pathology responsible for 70% of all diagnoses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 5 original disciples of pathology?

A
  • Haematology
  • Microbiology & virology
  • Clinical chemistry
  • Histopathology and cytology
  • Immunology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the blood sciences?

A
  • Haematology
  • Biochemistry
  • Transfusion
  • Immunology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the infectious sciences?

A
  • Bacteriology
  • Virology
  • Mycology
  • Parasitology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the cell sciences?

A
  • Histology
  • Cytology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Genetics and molecular sciences

A
  • Genetics
  • Molecular
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Development of Tests and Techniques

A
  • Manual
  • Semi-automated
  • Total automation
  • Advanced techniques
  • New analytes/more tests • Shorter TAT
  • Increasing population
  • Aging population
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the role of an MLA?

A

Often way in to gain experience and secure a Trainee BMS post

  • Sample Reception Pre-analytical processing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the role of an associate practitioner (AP)?

A

In-between MLA and BMS Develop skills and gain experience

  • Analyser maintenance and troubleshooting
  • Quality control procedures
  • Processing samples
  • Storage and retrieval
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the role of Band 5 Biomedical Scientist (BMS)?

A

24/7 service CPD

  • Analysis and reporting
  • Quality Assurance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the role of Band 6 Biomedical Scientist (BMS)?

A

Specialised portfolio

  • Senior Biomedical Scientist
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the role of Band 7 Biomedical Scientist (BMS)?

A

Specialist Portfolio and MSc

  • Head of Section
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the role of a Clinical Scientist (BMS)?

A

STP, Often specialist

  • Complex tests
  • develop services
  • quality, clinical role,
  • R&D management and equipment procurement
  • Validation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Organisational positions in pathology

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Shotgun and selective approach

A
17
Q

Sample reception

A

• ~7,000 samples daily o Inpatient

o Outpatient

o Other hospitals in the Trust

o GP

o “Send aways”

  • Electronic ordering
  • Manual bookings
  • Barcode labelling
  • Separating
  • Sorting
  • Sample rejection
  • Missing specimens?
18
Q

Most routine diagnostic testing

A
  • Urea and electrolytes
  • Liver function
  • Tumour markers
  • Serology
19
Q

Manual steps replaced with robots :

A
  • Assays
  • Sample loading
  • Reflex testing
  • Repeats
  • Sample storage
20
Q

Staff

A
  • Daily/weekly/monthly maintenance
  • QC and Calibration
  • Result interpretation and reporting
  • Add-ons
  • Pending lists
  • Problematic samples
21
Q

Total automation- Abbott

A
22
Q

Specialist training

A
  • Smaller number of tests
  • Referral labs
  • High complexity - Mass Spectrometry/HPLC

o Vitamin D

o Drugs

o Trace metals

o Toxicology

23
Q

Laboratory accreditation

A

UKAS

• Accreditation of diagnostic laboratories

o ISO/IEC 15189 : 2003 Medical Laboratories – Particular Requirements For Quality And Competence

o ISO 22870:2006 Point-of-care testing (POCT) Requirements for quality and competence - intended to be used in conjunction with ISO 15189

  • Regular inspections – compliance with standards
  • Provides meaningful feedback
  • Powers to withdraw accreditation
24
Q

Quality management system

A

“Provides the integration and organisational structure of processes, procedures and resources needed to fulfil a quality policy and thus meet the needs and requirements of the users.” – ISO 9001:2015

• All hospital laboratories have a QMS and a Quality Manager

Policy – A statement of intent

Plans And Objectives – A means of putting the intent into practice Processes – What happens in practice Procedures – Provide the information in order to conduct the processes

Records – Evidence that the procedures are carried out

25
Q

Quality team

A

UKNEQAS

  • IQC performance
  • Documentation
  • Training logs
  • Horizontal and Vertical Audits
26
Q

Carter Report

A
  • Review of NHS Pathology Services
  • Pathology budget £ 2.5 billion per year – less than 3 % of total NHS budget
  • Improvements to the accreditation process • Lack of control over specimen transport
  • Poor IT connectivity
  • Improve service user understanding of the tests
  • 25-30% unnecessary test requests
  • Consolidation of Pathology services - merger

Medical Biochemistry (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions