The diagnostic evaluation of allergic disease occurs in the context of a patient’s complete clinical presentation. Important factors include, age, clinical signs and symptoms, relevant allergen exposures, and the performance characteristics (sensitivity, specificity, and predictive values) of the allergy tests themselves. Allergy tests yield information about sensitization to allergens, which is not always equivalent to allergic hypersensitivity (i.e., sensitivity); thus, interpretation in the context of clinical history is essential for accurate diagnosis.
Laboratory Services
Maintaining Specimen Integrity – Purple Priority Bags
Spectrum Health Regional Laboratory supplies purple priority bags for specimens that must be handled and processed immediately upon receipt in the laboratory. The purple color priority transport bag will be a visual cue to the receiving laboratory that the specimens inside the bag need to be handled or processed immediately at the time of arrival in the laboratory or the integrity of the specimen will be compromised.
Use these bags for transporting specimens to the laboratory when:
Safety of our patient and quality of care are of utmost importance. For this reason we require specimens sent to the Spectrum Health Cytology Laboratory be labeled with at least two patient identifiers, (i.e., patient legal name, birth date and MRN.) We will no longer return to the collection site, unlabeled, mislabeled specimens lacking two patient identifiers or specimen containers with multiple different patient labels. These specimens will be discarded and repeat collection will be necessary.
Procedures to verify correct labeling of patient specimens at the time of collection are recommended. Specimen containers should not be pre-labeled. Variation of the “time-out” procedure used in the hospital and surgical center setting is an excellent way of confirming that the specimen is correctly labeled. This can easily be achieved by having the patient verify his or her name and birth date, by reading the label placed on the specimen container at the time the specimen is collected. This “time out” should occur before the specimen leaves the examination or treatment room.
It is our mission to provide the best and safest care we can to our patients. We know that physicians and other practitioners are required to see patients more efficiently and at times with less than adequate time allowed. Following a “time out” procedure and not pre-labeling specimen containers will prevent errors that may lead to diagnoses being assigned to wrong patients, hence, unnecessary procedures and lack of follow-up for the appropriate patient.
Leaky specimen containers may cause compromised test results and it is also a hazard to lab couriers and registration personnel. Please be sure to inform patients that leaky specimen containers are not acceptable and may be rejected.
In order to prevent leaky containers, please be sure to discuss the following tips:
In the College of American Pathologists publication CAP Today the question was asked, “Are there regulations guiding the practice of taking additional blood samples from a patient (in case additional testing is needed later) even though there are no orders for the blood samples?” The limited literature on this topic has shown that inpatients (in those studies) have had up to 700 mL of blood collected during hospital stays. Thus we have to step back and ask: Does that make sense?
Read the response offered by David N. Alter, MD, DABCC, Clinical/Chemical Pathologist, Spectrum Health Regional Laboratory.
http://www.captodayonline.com/qa-column-1016/
In anticipation of “Flu season”, it is valuable to revisit available testing methods for influenza and discuss when each test should be ordered. Though generally a self-limited infection for otherwise healthy individuals, influenza can be particularly severe for high-risk populations including infants, elderly, pregnant women, and immunocompromised hosts. Influenza incidence is largely seasonal with the majority of cases occurring between December and April of each year.
On September 24, 2011, Spectrum Health Laboratory undertook a major change and moved the laboratory from Butterworth and Blodgett to a new space on the 6th and 7th floors of 35 Michigan.
The model changed from a two-lab system to a Core Lab at 35 Michigan (Spectrum Health Regional Laboratory) and an immediate response laboratory at Blodgett, creating what are affectionately known as SHRL and BIRL.
In addition to this major change, the lab implemented automation, increasing productivity and decreasing time to result.
Recently, a communication from Joint Venture Hospital Laboratories (JVHL) and BCN went out regarding Spectrum Health’s affiliation with the JVHL network. It should be noted that Spectrum Health has entered into direct agreements with all of its participating health plans. As a result, there is no need to re-direct any labs, nor should there be a change in business practices within your offices or where you currently send your labs.
Questions may be directed to
Advanced Technology Laboratory plays an important role in Oncology
Spectrum Health Regional Laboratory (SHRL) was featured on EightWest on WOOD TV8 on Tuesday, August 30, 2016. Dr. Stephanie F. Williams, Division Chief of Spectrum Health Adult Bone and Marrow Transplant, and Kim Collison, Director of Laboratory Services, talk about the importance and benefits of having SHRL’s Advanced Technology Laboratory right here in West Michigan.
The Advanced Technology Laboratory is “extremely important, particularly for patients with certain cancers…”
“It helps us to diagnose the patients faster and more accurately; to follow the progress of their disease during the treatments that we give, and even at times to guide us in what is the best treatment for a patient…”
“Within 2 hours we had the answer. We did not have to send that specimen out to another laboratory in another state.”
-Stephanie F. Williams, MD, Division Chief, Spectrum Health Adult Bone and Marrow Transplant