Global ClinicGuides
← All screen guides
WorkspaceAvailable

Laboratory

Receive samples into the laboratory, record a container that cannot be tested, and keep analytical runs with their controls. What arrived, what is outstanding, and which runs are safe to report from.

01

What you can do here

What this does not do

It records what arrived and what the bench did with it. It does not publish results to anyone, it does not interpret a number, and it does not judge a control for you. There are no reference ranges, no abnormal flags, no delta checks and no control limits.

A label belongs to one sample at a time

If a container with that number is already in the laboratory you are told, and nothing in the delivery is recorded. That stops one sample ending up with two sets of results, which is the mistake nobody can unpick afterwards.

A delivery is recorded whole or not at all

If one container in a delivery cannot be received, none of them are. A half-recorded delivery would leave numbers claimed by nothing.

A rejection is a record, not a gap

A container that cannot be tested is recorded with its reason, which frees the number for a fresh sample and tells whoever ordered the test. Quietly discarding it is how a patient waits three days for a test nobody is doing.

Nothing is reported from a run whose control failed

A patient test can only be completed on a run whose control passed, and that is checked when you save it rather than when the screen loaded. If a control fails while you are reporting, the report is refused.

A failed control cannot be taken back

Recording a failure is final for that run. A later pass does not undo it, because the numbers measured while the analyser was out of control were still measured while it was out of control. Open a new run instead.

A ward sample needs no booked order

A sample sent up from a ward can be received with what was asked for written in plain words. Samples that came from a booked order link back to it.

02

Follow these steps

Receive a delivery

  1. Select Receive samples.
  2. Choose the patient.
  3. Enter the container labels, one per line.
  4. Add the container type and what was asked for if it helps the bench.

Record a container that cannot be tested

  1. Open the accession and select Reject on the container.
  2. Choose why it cannot be tested.
  3. Add a note if the reason needs explaining.
  4. The number is freed, and any tests waiting on that container are withdrawn.

Run a batch

  1. Open the Runs tab and select Open a run.
  2. Name the analyser.
  3. Put the tests you are running on it.
  4. Record the control and your verdict before reporting anything from it.

Record a control

  1. Select Record control on the run.
  2. Choose which control was measured. Nothing is chosen for you.
  3. Enter what you expected and what you saw.
  4. Choose your verdict. It starts empty, nothing judges it for you, and a warning is not a pass.
03

Helpful habits

  • Record a rejection as soon as you see the problem. The sooner the number is freed and the ward is told, the sooner a fresh sample is on its way.
  • Use the reason that is true rather than the nearest one. Rejection reasons are how a laboratory finds the ward that needs retraining rather than the patient who needs re-bleeding.
  • Record the control before you start reporting, not after. The fence will stop you either way, but finding out at the end wastes the batch.
  • Write the expected and observed values on every control. A verdict with no numbers behind it cannot be reviewed later.
  • Keep a failed run visible rather than withdrawing it. A withdrawn run looks like one that never happened, and a run that went out of control is something the laboratory needs to be able to look back at.
04

Tips

  • Only laboratory and ward staff can receive samples or run analysis. Administrators with a clinical read can see the queue.
  • Time in the laboratory is shown on every row, because turnaround is what a laboratory is judged on.
  • An accession cannot be finished while a test on it is still outstanding.
  • A restricted chart cannot be accessioned against, and its samples are hidden. If a patient you expect is missing, their chart may be restricted.
  • Completing a test records that the bench did it. Releasing a result to a clinician or a patient is separate work with its own review and release steps.
Next