Introduction_to_Laboratory_Medicine

Introduction_to_Laboratory_Medicine - Introduction to...

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Introduction to Laboratory Medicine Roger L. Bertholf, Ph.D.
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Some SHJ Lab Statistics Number of employees: 130 Number of tests/year: 1.5 million Yearly budget: $16 million Yearly revenue: $70 million Net $25 million
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Laboratory organization Core Laboratory (73% of volume) Chemistry, hematology, toxicology, immuno- chemistry, special chemistry, coagulation, urinalysis Microbiology (16 % of volume) Blood/urine cultures, serology Transfusion Services (3% of volume) Blood typing and cross-matching
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Chemistry Electrolytes, glu, BUN, creat, phos, TP, Bili, Mg, Ca, cholesterol, triglycerides, etc. • Blood gases: pO 2 , pCO 2 , pH, calc. Parameters Immunochemistry: endocrine, specific protein, tumor markers Toxicology: DAU, TDM Urinalysis Special Chemistry: electrophoresis, L/S ratio, FLM, osmometry
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SHJ Chemistry Instruments Roche/Hitachi Modular and 914 Chemistries and homogeneous immunoassays Roche Elecsys 2010 Heterogeneous immunoassays NOVA M (whole blood gas/electrolytes) Abbott IMx Yellow Iris
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Hematology CBC/Diff Coagulation Microscopy
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SHJ Hematology Instruments Abbott Cell Dyne 4000 CBC, Auto differential Organon Technika MDA Coagulation
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Microbiology Cultures Blood Urine Sputum, wound, etc. Antibiotic sensitivity Serology Viral Ab, Ag testing
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Point of Care Testing Instruments are available that can perform certain tests at remote locations, such as at the bedside on in a clinical care unit Blood glucose Urinalysis Blood gases Electrolytes/BUN/Creatinine Coagulation (ACT) POC tests are nearly always more expensive, than the same tests performed in the central laboratory
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Introduction_to_Laboratory_Medicine - Introduction to...

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