In Blood bank, once a cross matching is done, means it is done. But in biochemistry department, when a test is completed, I'll still have to send the requisition form to other department which the test is still processing. For example, ESR, Urine department and so on......
Since I am holding the plain tube, I have the responsibility to run the test in Immunology and Serology if the test is not yet executed.
I have to make sure all the in-house test are done before I send out. Normally we out source those tests that are not running in-house because of few reasons.
- The test is not common
- Not cost effective
- Lack of facilities
- Lack of expertise
- Second opinion
Once I finished all the biochemistry tests, I have to ensure all the tests requested are completed before sending to typing. Besides, I must also counter check if all the requested tests are correctly completed.
- HbA1C
- Urine
- INR
- Dengue
- Influenza
- Mycoplasma
- ESR and so on......
- Sending out test
Examples:
Case 1
All the biochemistry tests that requested had been completed which are the LA009 & LM001.
However, I must also send the plain tube/SST to Serology division to perform another 3 tests which are VDRL, ASOT and ANF/ANA.
Case 2
There is a 35 years old diabetes male patient whose urine glucose is 3plus [+++] and we correlate this result with his serum glucose. Case 2
Urine test result
Serum glucose result
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