Haematology Department information: Difference between revisions

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(Created page with "== Routine Haematology (CBC, FBC, Blood count) == Specimen required: EDTA anticoagulated whole blood (purple or lavender top tube). Specimen must be well mixed and free from clots. Automated analysis will provide: Haemoglobin Haematocrit MCV MCH Platelets WBC and differential These results will be made available in Clinical Portal as soon as they are available. Results from automated analysis may appear as unauthorised in Clinical Portal and are '''subject to...")
 
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=== Guideline on ESR acceptance criteria ===
=== Guideline on ESR acceptance criteria ===
The recommended marker for infection/inflammation is CRP. The lab will therefore only perform ESR testing for specific clinical indications where it has been shown to be of clinical value. ESR requests will only be processed if one of the following clinical details is provided and clearly marked on the request form:
The recommended marker for infection/inflammation is CRP. The lab will therefore only perform ESR testing for specific clinical indications where it has been shown to be of clinical value. ESR requests will only be processed if one of the following clinical details is provided and clearly marked on the request form:
{| class="wikitable"
|'''Adult Clinical Indications'''
|'''Paediatric Clinical Indications'''
|-
|Temporal Arteritis  (Including Giant Cell Arteritis)
|Kawasaki  disease
|-
|Rheumatoid  Arthritis
|Rheumatic  fever
|-
|Polymyalgia  Rheumatica
|Ulcerative  colitis
|-
|Rheumatic  fever
|Crohn’s disease
|-
|Vasculitis  (Including Wegener’s Granulomatosis)
|SLE
|-
|Connective tissue  disease (includes SLE, scleroderma, polymyositis, dermatomyositis, Sjörgren’s syndrome  and systemic sclerosis)
|?  Juvenile Idiopathic Arthritis (JIA)
|-
|Hodgkin  lymphoma
|
|-
|Investigation  of post operative joint replacement infection
|
|-
|Ophthalmology patients
|
|}


== Bone Marrow examination ==
[[ESR Indications for testing|Click here for ESR Indications for testing]]
 
=== Bone Marrow examination ===
Contact with clinical Haematology (Medlab Central, Palmerston North) is required before ordering Bone Marrow trephine and aspirate collection. Haematology staff must be present at the collection procedure to prepare the required samples and this '''must be pre-arranged with the laboratory''' as availability of staff cannot always be guaranteed.
Contact with clinical Haematology (Medlab Central, Palmerston North) is required before ordering Bone Marrow trephine and aspirate collection. Haematology staff must be present at the collection procedure to prepare the required samples and this '''must be pre-arranged with the laboratory''' as availability of staff cannot always be guaranteed.