PLACEMENT YEARPLACEMENT YEARatat

ROYAL DEVON & EXETER NHS FOUNDATION TRUST

By By Syed M. Syed M. ShoaibShoaib

Trainee Biomedical ScientistTrainee Biomedical Scientist

Talk AboutTalk About

Aims and objectivesAims and objectivesIntroduction of the TrustIntroduction of the TrustIntroduction of LaboratoriesIntroduction of LaboratoriesDiscipline of my placementDiscipline of my placementMy role.My role.

Introduction of the TrustIntroduction of the TrustWe are Royal Devon and Exeter (RD&E) NHS Foundation TrustWe are Royal Devon and Exeter (RD&E) NHS Foundation TrustRD&E is a leading acute hospital trustRD&E is a leading acute hospital trustIt was authorised as a Foundation Trust in April 2004It was authorised as a Foundation Trust in April 2004Being largest employer in the area it employs over 6000 staff. Being largest employer in the area it employs over 6000 staff. It provides services to around 350,000 people in Exeter, East DeIt provides services to around 350,000 people in Exeter, East Devon, Mid Devon and von, Mid Devon and West Devon. West Devon. It spent around It spent around ££313m during 2008/09 on patient care.313m during 2008/09 on patient care.It has around 850 inIt has around 850 in--patient bedspatient bedsIt has 75 day case beds. It has 75 day case beds.

Aims and objectivesAims and objectives

Increase the employability.Increase the employability.Complete the Registration training portfolio.Complete the Registration training portfolio.Learn latest techniques.Learn latest techniques.Build up professional relation and get used to Build up professional relation and get used to lab environment.lab environment.Follow the area of interest for final year project.Follow the area of interest for final year project.

Introduction of laboratoriesIntroduction of laboratories1. Clinical biochemistry.1. Clinical biochemistry.2. Haematology.2. Haematology.3. Immunology.3. Immunology.4. Blood transfusion.4. Blood transfusion.

““HH--II--TT”” LabLabHHaematologyaematologyIImmunologymmunologyTTransfusionransfusion

Blood TransfusionBlood Transfusion•• Automated TestsAutomated Tests•• Manual testsManual tests•• Product issueProduct issue

Blood TransfusionBlood Transfusion

•• Automated testsAutomated testsGalileo sample processingGalileo sample processingIBG Echo analyserIBG Echo analyserAutomated antibody identificationAutomated antibody identification

•• Routine Manual TestingRoutine Manual TestingABO & ABO & RhRh grouping tube techniquegrouping tube techniqueABO & D grouping ABO & D grouping DiaMedDiaMed CardsCardsAntibody testing during pregnancyAntibody testing during pregnancyInvestigation of baby with positive DATInvestigation of baby with positive DATDiaMedDiaMed antibody screenantibody screenDirect Direct AntiglobulinAntiglobulin TestTest

•• Additional testsAdditional testsRhesus Rhesus phenotypingphenotypingCold agglutinin investigationCold agglutinin investigationFoetal leak investigationFoetal leak investigationantibody identificationantibody identificationWeak D confirmatory testWeak D confirmatory testClinical significant blood group antibodiesClinical significant blood group antibodies

ImmunocorImmunocor GalileoGalileoLong groupLong groupShort groupShort groupAntibody screeningAntibody screening

ImmunocorImmunocor EchoEchoFasterFasterGroupingGroupingAntibody screeningAntibody screeningMostly used for emergency samplesMostly used for emergency samples

Use of Use of DiaMedDiaMed®® cardscards

Contains antihuman globulins to Contains antihuman globulins to IgGIgG and C3d.and C3d.Used for detection of alloantibody, DAT, Used for detection of alloantibody, DAT,

Enzyme cardEnzyme card

AntiAnti--IgGIgG cardcard

HaematologyHaematology

FBC WBC and Differential Detection.FBC WBC and Differential Detection.three three SysmexSysmex XEXE--2100 Analyzers2100 Analyzers

MayMay--GrGrüünwaldnwald--GiemsaGiemsa StainingStainingBlood films are requested when there is abnormal result Blood films are requested when there is abnormal result on on sysmexsysmex..Bone marrow filmsBone marrow filmsMalarial filmsMalarial films

MicroscopyMicroscopy

Help consultants to diagnoseHelp consultants to diagnoseMake us familiar with different types of Make us familiar with different types of cancers.cancers.MyloproliferativeMyloproliferative disordersdisordersAcute leukaemiaAcute leukaemiaMyelodysplasticMyelodysplastic syndromesyndrome

Further testsFurther tests

Malarial test (Fields Stain)Malarial test (Fields Stain)Glandular fever (Glandular fever (MonolatexMonolatex test)test)Tests for haemolysisTests for haemolysisPlatelet function testPlatelet function testHemocueHemocue

Any Questions?Any Questions?