- Date:2022-11-18
Composition of the Warmer Laboratory Section:
The existing staff of 27: 3 senior title of the test, 15 intermediate title of the test and 9 junior title of the test, of which 3 postgraduate qualifications, 23 bachelor's degree; of which 5 people with the qualification of the examination of physicians.
Department specialty settings, testing equipment:
Clinical testing and coagulation testing professional (HysonMedicom XN-1000, BECKMAN-COULTER DXH600 automatic blood cell analyzer; iREAD specific protein analyzer; HysonMedicom CA7000, CA1500 coagulation analyzer; thromboelastography tester), biochemical testing professional (BECKMAN5800, 5811 automatic biochemical analyzer; blood gas analyzer, atomic absorption spectrometer), microbiological testing and immunological testing professional (BECKMAN DXI 800, Antu Au 2000, Solin chemiluminescence analyzer; BlotJ DX 45) Analyzer; Blood Gas Analyzer, Atomic Absorption Spectrometer), microbiological testing and immunological testing specialties (BECKMAN DXI 800, Anto Au 2000, Soling Chemiluminescence Analyzer; BlotJ DX 45 Automatic Immunoblotting Analyzer; BD BACTEC FX40 Automatic Blood Culture System, BD BACTEC Automatic Bacterial Identification, Drug Sensitivity Analyzer), Specialized in body fluid testing (Unite urine automatic analysis line, Shuoshi vaginitis automatic detection workstation) and molecular biology (ABI real-time fluorescence quantitative amplification instrument, SLAN-96p real-time fluorescence amplification instrument, nucleic acid extractor). Specimen reception, pre-processing: the installation and activation of the pneumatic logistics system has improved the timeliness of specimen delivery; set up a person in charge of blood specimen audit, signing acceptance, to ensure the qualification rate and safety of test specimens.
Test item setup:
Routine tests: blood cell analysis (blood routine); urine cell and chemical analysis (urine routine), stool sediment analysis (stool routine) + occult blood test;
Infectious diseases: blood sedimentation, C-reactive protein, serum amyloid, calcitoninogen, interleukin-6, heparin-binding protein, etc;
Respiratory infections: serum tuberculosis antibody, new coronavirus IgG, IgM antibody, eight items of infection, blood bacterial culture + drug sensitivity, allergen testing; (sputum, lavage fluid) smear to find Mycobacterium tuberculosis, (sputum, lavage fluid) bacterial culture + drug sensitivity; pharyngeal swabs: RNA of influenza A virus, RNA of influenza B virus, Bordetella pertussis DNA, RNA of Mycoplasma pneumoniae, RNA of Chlamydia pneumoniae, respiratory syncytial Virus RNA, new coronavirus nucleic acid, lavage fluid tuberculosis RNA determination;
Digestive system infections: serum (urine) amylase, serum lipase, Helicobacter pylori antigen determination, stool rotavirus antigen determination, adenovirus DNA, norovirus RNA, three enteroviruses (Coxsackie A16, enterovirus common type, type 71), and so on;
Reproductive system infections (infertility): vaginal microecology test, morning urine pregnancy test, urine bacterial culture + drug sensitivity, vaginal secretion mycoplasma culture + drug sensitivity, HIV antigen, HIV antibody, syphilis spirochete antibody, squamous cell carcinoma antigen, group B streptococcus DNA, ureido ureaplasma RNA, Chlamydia trachomatis RNA, Neisseria gonorrhoeae RNA, TORCH triple test (herpes simplex virus), cytomegalovirus, toxoplasmosis virus, and other infections. Cytomegalovirus, Toxoplasma gondii), HPV, EBV, etc;
Tumour markers: alpha-fetoprotein, carcinoembryonic antigen, glycan antigen (CA125, CA19-9, CA72-4), total prostate-specific antigen, free prostate-specific antigen, neuron-specific enolase, non-small cell lung cancer antigen, etc;
Prenatal screening: anaemia triple test, Down's syndrome screening, prenatal genetic analysis, group B streptococcal DNA, etc. ;
Liver disease series: liver function, ascites biochemistry, ascites routine, Hepatitis B five, Hepatitis C antibody quantification, Hepatitis B virus DNA quantification, etc;
Kidney disease series: renal function, cystatin C, urine protein quantification, urine microalbumin, urine α1, β2 microglobulin, 24-hour urine protein, sodium, potassium quantification, etc;
Cardiovascular and cerebrovascular series: blood lipids, blood glucose, glycated haemoglobin, glucose tolerance test, homocysteine, phospholipase A2, myocardial enzyme spectrum, myocardial four, cerebrospinal fluid routine, cerebrospinal fluid biochemistry, hypertension three;
Endocrine series: methyl function five, growth hormone, reproductive physiological hormone six, etc;
Bone and joint diseases: calcium, phosphorus, alkaline phosphatase, vitamin D, joint cavity fluid routine, anti-"O ’+rheumatoid factor, etc;
Allergic diseases: 19 and 28 items of allergen test;
Coagulation tests: prothrombin time, international normalised ratio, activated partial thromboplastin time, prothrombin time, fibrinogen, D-dimer; thromboelastography;
Blood gas analysis: arterial partial pressure of oxygen, partial pressure of dioxide, PH, HCO3-, carboxyhaemoglobin (carbon monoxide poisoning), ionic calcium;
Electrolyte measurements: potassium, sodium, chloride, calcium, magnesium, phosphorus, carbon dioxide (HCO3-), anion gap;
Trace elements: copper, zinc, calcium, magnesium, iron, lead;
Vitamin determination: vitamin A, B1, B2, B6, B9, B12, C, D, E;
Laboratory workload:
日期 | 门诊量(项or次) | 住院量(项or次) | 总计(项or次) |
2016年4-12月 | 259648 | 844146 | 1103794 |
2017年1-12月 | 471558 | 1357012 | 1828570 |
2018年1-12月 | 568596 | 1419784 | 1988380 |
2019年1-12月 | 904258 | 1610912 | 2515170 |
2020年1-12月 | 1106291 | 1544691 | 2650983 |
2021年1-10月 | 1459929 | 1357959 | 2817888 |
(Source: Quality Control Section, Liaocheng Second People's Hospital)
Inspection quality assurance:
Test equipment focus on brand, quality: test equipment to buy more internationally renowned, highly reputable brands, coupled with supporting reagents, test consumables, to lay the foundation for quality assurance; to ensure the stability of the quality of reagents, test consumables, I have built a large-scale low-temperature refrigerated reagent library; in order to facilitate the specimen retrieval after the test, review, I have a large-scale cryogenic refrigerated specimen preservation library. The temperature of laboratory refrigerator and low-temperature cold storage is connected to the cold chain system, which dynamically monitors the temperature changes. Temperature anomalies are automatically uploaded to the management personnel, so that effective measures can be taken quickly. There is a pure water preparation room to ensure that the laboratory water is qualified.
Testing personnel knowledge, technical level: to the national (Beijing 301 Hospital, Union Hospital, etc.), provincial (Shandong Provincial Hospital) Hospital Laboratory for further training, training; to participate in professional academic conferences, to participate in professional promotion exams and on-the-job continuing education and so on;
Actively participate in the national and Shandong Provincial Clinical Laboratory Center of inter-room quality assessment, to ensure that each test project to achieve "Shandong Province, a single test results" level;
Actively carry out the test quality of the whole process of control (TQC): pre-test control - test application review, test specimen quality management, qualified preparation of test water, working environment temperature, humidity standards, UPS power supply equipment, etc.; test control - test equipment correctly turned on and off. -test equipment correctly turned on and off; test items indoor quality control; staff always observe the operation of the test equipment; post-test control - review of unqualified results, audit, issue test reports; communicate with clinical doctors to understand the test results and the patient's condition in line with the degree of collection of clinical feedback and so on. Clinical feedback, etc.