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This document discusses compressed and damaged newborn bloodspot screening cards, which can cause problems for laboratories analyzing the samples. Compressed cards may be incomplete dried, scratched, abraded, ridged, or damaged by liquid. This can affect the laboratory's ability to obtain a sufficient sample from the card using a punch, as compressed areas will not contain the same amount of blood as undamaged areas. A tiny amount of missing blood could cause a baby with a positive screening result to be missed. It is important for cards to dry completely before sealing in envelopes and to notify the laboratory of any wet or damaged cards.
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This document discusses the process of incorporating Public Health England's antenatal and newborn screening standards into UKAS accreditation to ISO 15189 for laboratories performing infectious diseases in pregnancy screening. The objectives are to reduce assessment burden, improve communication and patient safety through a coordinated accreditation and quality assurance process. PHE screening requirements have been mapped to ISO 15189. Laboratories must meet both PHE and ISO standards to receive and maintain accreditation, with information sharing between UKAS and PHE's quality assurance program. The process aims to strengthen oversight of screening laboratories while minimizing duplicate efforts.
Introduction slides
This document announces a national laboratory workshop on March 13, 2019 in Birmingham to provide updates to laboratory teams involved in the Infectious Diseases in Pregnancy Screening Programme. The workshop will cover current program priorities, UKAS accreditation, quality assurance findings, learning from safety incidents, data collection standards, and revising the program's laboratory handbook on screening algorithms and reporting through table top discussions.
NHSP health screener diploma observation checklists worked example
The document describes a performance observation of a hearing screener, Anne, informing a parent about newborn hearing screening. The assessor observed Anne establish eligibility, explain the screening process, gain consent, and discuss follow up actions. Anne demonstrated competent communication skills and knowledge of screening protocols, risk factors, and data protection. Areas for further development include gaining more experience working with interpreters.
NHSP health screener diploma observation checklists March 2019
The document outlines the assessment criteria for the Level 3 Diploma for health screeners working in newborn hearing screening. It includes mandatory units covering topics like the ear and hearing, preparing to undertake screening, performing AOAE and AABR screens, and checklists for observing screening skills. Learners must complete online modules, discussions, and an OSCE to demonstrate clinical skills like screening techniques and informing parents. The qualification aims to standardize training for all screening staff.
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如果你回国在学历认证方面有以下难题请联系我们我们将竭诚为你解决认证瓶颈
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2获得真实的国外最终学历学位但国外本科学历就读经历存在问题或缺陷。【如：国外本科是教育部不承认的或者是联合办学项目教育部没有备案的或者外本科没有正常毕业的。】
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国外旧金山大学旧金山大学硕士学位证成绩单办理方法：
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3旧金山大学毕业证成绩单电子版做好以后发送给您确认；
4旧金山大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5旧金山大学成品做好拍照或者视频给您确认；
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Compressed samples
- 1. Compressed samples – what they are and how to prevent them Elizabeth Davidson Deputy Director for Newborn Screening South East Thames Newborn Screening Laboratory
- 2. COMPRESSED/DAMAGED CARDS Repeats – quick review of all the codes What is a compressed/damaged card? Why are compressed/damaged cards so important for the lab?
- 3. NEWBORN BLOODSPOT SCREENING Clinical repeats <72hrs after transfusion Borderline CHT result Inconclusive CF result Pre-term (GA <32 weeks) Avoidable repeats demographic errors bloodspot collection errors post collection errors
- 4. NATIONAL REPORTING SUBSTATUS CODES Clinical repeats 0302 Too soon after transfusion (<72hrs) 0314 Sickle – too premature for testing 0315 Pre-term repeat (Day 28 or day of discharge) 0316 Borderline CHT result 0317 Inconclusive CF result
- 5. NATIONAL REPORTING SUBSTATUS CODES Demographic errors 0308 NHS number missing/not accurately recorded No NHS number, incorrect NHS number, twins demographic confusion/mismatch 0309 Date of sample missing/not accurately recorded No DOC, illegible DOC, impossible DOC 0310 Date of birth not accurately matched No DOB, inaccurate DOB (against NBSFS), illegible DOB
- 6. NATIONAL REPORTING SUBSTATUS CODES Bloodspot collection errors 0301 Too young for reliable screening Collected before Day 5, 4 spots on pre-Tx card 0303 Insufficient sample Not enough blood to complete screening, spots too small to punch 0304 Incorrect blood application Multi-spotted, spotted both sides
- 7. NATIONAL REPORTING SUBSTATUS CODES Bloodspot collection errors 0305 Compressed/damaged Many causes 0306 Day 0 and Day 5 on same card 0307 Possible faecal contamination Discrepant results for CF screen 0311 Expired card used
- 8. NATIONAL REPORTING SUBSTATUS CODES Post collection errors 0312 > 14 days in transit, too old for analysis 0313 Damaged in transit Torn outer envelope, water damaged/wet outer envelope
- 9. 0305 COMPRESSED/DAMAGED Bloodspot collection errors 0305 Compressed/damaged compressed incomplete drying scratched/abraded/ridged liquid/water damage/contamination discoloured spots
- 11. BLOODSPOTS FROM THE LAB PERSPECTIVE MOST PEOPLE SEE THE CARD AS FLAT THE LAB LOOKS AT THE CARD IN 3D
- 12. BLOODSPOTS – TESTING THE SAMPLE This punch needs to contain the same amount of blood every time The lab takes part of the sample using a high tech equivalent of a hole punch
- 13. BLOODSPOTS – WHY COMPRESSED MATTERS Compressed cardRoutine card
- 14. BLOODSPOTS – WHY WET CARDS MATTER When a wet card is put into a glassine envelope… …blood is drawn back out of the card
- 15. BLOODSPOTS – WHY WET CARDS MATTER Routine card Card which was wet
- 16. Does it really matter about that tiny bit of blood?
- 17. IT COULD MATTER FOR THIS BABY….
- 18. TAKE HOME MESSAGES Let the cards dry before putting them into the glassine envelopes. Cards take longer to dry if it is cold or raining. If the glassine envelope is stained please leave it with the card – the lab needs to know. A screen positive baby could be missed because of that tiny bit of missing blood.
- 19. Any Questions?