BY3BC1- Medical Biochemistry Lecture 7 - Laboratory Organisation LO- 1. Pathology facts and figures 2. Different Disciplines in pathology 3. Personnel in pathology 4. Quality management 5. Routine vs specialist testing 6. Accreditation 7. Carter report Pathology Diagnosis, monitoring, screening, and prevention from conception to postmortem. Can receive samples from primary care, outpatients and acute hospital services etc,. - 1.1 billion tests performed annually - 50% of biochemistry tests are related to the management of chronic disease - 300,000 tests performed daily - Workface of 27,000 - Pathology responsible for 70% of all diagnoses Pathology Department Originally 5 disciplines: - Pathology - Haematology and blood transfusion - Clinical microbiology - Cellular pathology - Clinical biochemistry New ones - Clinical immunology (can be found as a stand alone or under clinical biochem) - Molecular (new discipline) - Cytogenetics (new discipline)
Blood sciences - Haematology - FBC, - Biochemistry - organ function testing - Immunology - immune deficiency or autoimmune diseases - Transfusion - cross matches Infusion sciences - Mycology - Parasitology - Bacteriology - Virology Cell sciences - Histology - cells, tissues, organs - Cytology - cancer screening Genetics and molecular - Molecular - Genetics - Looking at molecular and genetic changes and drives of diseases Development of tests and techniques - Manual - Semi-automated - Total automation (clinical biochemistry is heavily automated) - Advanced techniques (also in biocehm) - New analytes/more tests (aka testing for covid-19) - Shorter TAT - Increasing population (more people to test) - Aging population - Range of tests p
Who is who? Position Medical Laboratory Assistant (MLA) Associate Practitioner (AP) Band 5 Biomedical Scientist (BMS) Band 6 Biomedical Scientist Band 7 Biomedical Scientist Clinical Scientist Role Sample Reception Pre-analytical processing Analyser maintenance and troubleshooting Quality control procedures Processing samples Storage and retrieval Analysis and reporting Quality Assurance Senior Biomedical Scientist Head of Section Complex tests, develop services, quality, clinical role, R&D, management and equipment procurement and validation Additional Information Often way in to gain experience and secure a Trainee BMS post In-between MLA and BMS Develop skills and gain experience 24/7 service CPD Specialist Portfolio Specialist Portfolio and MSc STP Often specialist MLA predominantly found in sample collection but can be found in all pathology labs. AP intermediate between MLA and BMS, more responsibility than MLA but still do their roles too. BMS can analyse and report results because of HCPC registration.