Monday, October 19, 2015

Multiple roles in Biochemistry department

In these two weeks, I am assigned in biochemistry department. However, I have to take care other department as well. The workload of this department is more heavy compare to the Blood Bank.

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. 

Urine test result

Serum glucose result

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