1. PLACEMENT YEARPLACEMENT YEAR
atat
ROYAL DEVON & EXETER
NHS FOUNDATION TRUST
ByBy
Syed M.Syed M. ShoaibShoaib
Trainee Biomedical ScientistTrainee Biomedical Scientist

2. Talk AboutTalk About
Aims and objectivesAims and objectives
Introduction of the TrustIntroduction of the Trust
Introduction of LaboratoriesIntroduction of Laboratories
Discipline of my placementDiscipline of my placement
My role.My role.

3. Introduction of the TrustIntroduction of the Trust
We are Royal Devon and Exeter (RD&E) NHS Foundation TrustWe are Royal Devon and Exeter (RD&E) NHS Foundation Trust
RD&E is a leading acute hospital trustRD&E is a leading acute hospital trust
It was authorised as a Foundation Trust in April 2004It was authorised as a Foundation Trust in April 2004
Being 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 andvon, Mid Devon and
West Devon.West Devon.
It spent aroundIt 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 beds
It has 75 day case beds.It has 75 day case beds.

6. 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 toBuild 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.

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

8. ““HH--II--TT”” LabLab
HHaematologyaematology
IImmunologymmunology
TTransfusionransfusion

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

10. •• Automated testsAutomated tests
Galileo sample processingGalileo sample processing
IBG Echo analyserIBG Echo analyser
Automated antibody identificationAutomated antibody identification
•• Routine Manual TestingRoutine Manual Testing
ABO &ABO & RhRh grouping tube techniquegrouping tube technique
ABO & D groupingABO & D grouping DiaMedDiaMed CardsCards
Antibody testing during pregnancyAntibody testing during pregnancy
Investigation of baby with positive DATInvestigation of baby with positive DAT
DiaMedDiaMed antibody screenantibody screen
DirectDirect AntiglobulinAntiglobulin TestTest
•• Additional testsAdditional tests
RhesusRhesus phenotypingphenotyping
Cold agglutinin investigationCold agglutinin investigation
Foetal leak investigationFoetal leak investigation
antibody identificationantibody identification
Weak D confirmatory testWeak D confirmatory test
Clinical significant blood group antibodiesClinical significant blood group antibodies

11. ImmunocorImmunocor GalileoGalileo
Long groupLong group
Short groupShort group
Antibody screeningAntibody screening

12. ImmunocorImmunocor EchoEcho
FasterFaster
GroupingGrouping
Antibody screeningAntibody screening
Mostly used for emergency samplesMostly used for emergency samples

13. Use ofUse of DiaMedDiaMed®®
cardscards
Contains antihuman globulins toContains antihuman globulins to IgGIgG and C3d.and C3d.
Used for detection of alloantibody, DAT,Used for detection of alloantibody, DAT,

14. Enzyme cardEnzyme card
AntiAnti--IgGIgG cardcard

16. HaematologyHaematology
FBC WBC and Differential Detection.FBC WBC and Differential Detection.
threethree SysmexSysmex XEXE--2100 Analyzers2100 Analyzers

20. MayMay--GrGrüünwaldnwald--GiemsaGiemsa StainingStaining
Blood films are requested when there is abnormal resultBlood films are requested when there is abnormal result
onon sysmexsysmex..
Bone marrow filmsBone marrow films
Malarial filmsMalarial films

22. MicroscopyMicroscopy

23. Help consultants to diagnoseHelp consultants to diagnose
Make us familiar with different types ofMake us familiar with different types of
cancers.cancers.
MyloproliferativeMyloproliferative disordersdisorders
Acute leukaemiaAcute leukaemia
MyelodysplasticMyelodysplastic syndromesyndrome

24. Further testsFurther tests
Malarial test (Fields Stain)Malarial test (Fields Stain)
Glandular fever (Glandular fever (MonolatexMonolatex test)test)
Tests for haemolysisTests for haemolysis
Platelet function testPlatelet function test
HemocueHemocue

25. Any Questions?Any Questions?