This manual is intended to give an overall view of the services available in the department of laboratory medicine. Individual tests available and test guidelines can be viewed on the Active Test Repertoire table. referred maybe viewed on the Referred Test Repertoire Table Ref: LF-GEN-0066-71 Active Test Table and LF-GEN-0072 Referred Test Table Blood Tube Guides are available on Q-Pulse, the hospital intranet and in clinical areas. QUAILTY IMPROVEMENT IN 2017: Syndrome Tests Suggestions Notes Suspected FBC, PET bloods should only routinely be sent in NICE U+E, women with hypertension (systolic BP guideline 107. LFTs or diastolic BP on Will need to ≥140mmHg ≥90mmHg more than 2 separate measurements which clarify with the are ideally 4 hours apart) after 20 weeks hospital PET gestation. guidelines Proteinuria on dipstick is defined as ≥+2 protein. Trace protein does not count towards the diagnosis Daily PET bloods are not required apart from in exceptional circumstances on request from senior obstetrician Confirmed FBC, For mild hypertension (140/90mmHg to NICE U+E, 149/99mmHg) send bloods twice weekly guideline 107. LFTs during regular hours (8am-6pm) Will need to For moderate and severe hypertension clarify with the (≥150/100mmHg) send bloods every hospital PET second day during regular hours guidelines After birth, repeat PET bloods at 48-72 hours during regular hours (8am-6pm) and if normal there is no need to repeat again Hb post Hb At first this should be done with a section check haemacue on the ward. A formal FBC should only be sent if the level is approaching the need for a transfusion Intrapartum U+E, tests are not routinely required for an Hospital fever LFTs, intrapartum fever work up which is done intrapartum CRP just for an isolated pyrexia with no other guideline systemic signs of sepsis.
This manual is intended to give an overall view of the services available in the department of laboratory medicine. Individual tests available and test guidelines can be viewed on the Active Test Repertoire table. referred maybe viewed on the Referred Test Repertoire Table Ref: LF-GEN-0066-71 Active Test Table and LF-GEN-0072 Referred Test Table Blood Tube Guides are available on Q-Pulse, the hospital intranet and in clinical areas. QUAILTY IMPROVEMENT IN 2017: Syndrome Tests Suggestions Notes Suspected FBC, U+E, LFTs PET bloods should only routinely be sent in women with hypertension (systolic BP ≥140mmHg or diastolic BP ≥90mmHg on more than 2 separate measurements which are ideally 4 hours apart) after 20 weeks gestation. Proteinuria on dipstick is defined as ≥+2 protein. Trace protein does not count towards the diagnosis Daily PET bloods are not required apart from in exceptional circumstances on request from senior obstetrician NICE guideline 107. Will need to clarify with the hospital PET guidelines Confirmed FBC, U+E, LFTs For mild hypertension (140/90mmHg to 149/99mmHg) send bloods twice weekly during regular hours (8am-6pm) For moderate and severe hypertension (≥150/100mmHg) send bloods every second day during regular hours After birth, repeat PET bloods at 48-72 hours during regular hours (8am-6pm) and if normal there is no need to repeat again NICE guideline 107. Will need to clarify with the hospital PET guidelines Hb post Hb check At first this should be done with a haemacue on the ward. A formal FBC should only be sent if the level is approaching the need for a transfusion Intrapartum fever U+E, LFTs, CRP tests are not routinely required for an intrapartum fever work up which is done just for an isolated pyrexia with no other systemic signs of sepsis. Hospital intrapartum guideline section
The%20Pathology%20Department%20User%20Manual%202017.docx