Welcome to the Exeter Clinical Laboratory International website
NHS logo

Blood Sciences General Information

Opening times

We are open for the receipt of specimens and the analysis of the majority of routine tests:
• From 09:00 to 18:30 Monday to Friday
• From 09.00 to 13.00 Saturday
Out of hours:
• Between 18:30 and 09:00 Monday to Friday
• 13:00 Saturday to 09:00 Monday
• Bank Holidays
During out of hour times, the laboratory is staffed by a single biomedical scientist to provide a service for emergency and essential hospital test requests.

Urgent Requests

The majority of routine tests have a turnaround time of 2 to 3 hours from the time of sample receipt. Providing a sample is received before 16.00, a result is normally available the same day.

We provide an urgent analysis service for a limited repertoire of tests if essential for the immediate management of a critical patient. We aim to have results available within 60 minutes of receipt of specimen.

Procedure for RD&E Hospital in-patient emergency requesting

During normal working hours (inc. Saturday morning and Bank Holidays):

Outside normal working hours:

NB. A telephone call is essential – failure to telephone the laboratory with details of the urgent request will result in samples being treated as category 3 samples, and will be accorded priority on the next scheduled batch and abnormal results telephoned as soon as they are authorised.
Forms marked with “please phone” are treated as category 3 samples. They are accorded priority on the next scheduled batch and results telephoned as soon as they are authorised.

Samples from ITU, ED AMU & NNU are automatically assigned category 1 status & treated as urgent.

Procedure for GP emergency requesting:

DO NOT ABUSE THE EMERGENCY SERVICE; IT IS VERY COSTLY AND DEMANDING ON STAFF. IF THIS SERVICE IS USED INAPPROPRIATELY IT BECOMES SATURATED AND TURNAOUNDTIME OF URGENT SAMPLES SIGNIFICANTLY INCREASES.

External referrals

Referral From External Organisations

We welcome external referrals from any organisation, for any of our test repertoire. If you are a new requestor please complete the following form: New Requestor Form v3

We will process any sample referred to us meeting our sample labelling criteria.

Please Note: In line with the requirements of ISO15189:2012, each sample request will be considered a Service Level Agreement.  To arrange a formal Service Level Agreement please contact the laboratory manager. Relevant Quality Statements for referred work can be found on the appropriate test page of this website.

We undertake to inform referring centres, without undue delay, in the event of circumstances that may adversely affect the reliability of results or turnaround times.

Examination by referral laboratories

The laboratory requires the assistance of outside referral laboratories to perform analyses that the laboratory does not perform routinely, this may be for examinations or for consultant opinions. Deciding which laboratory to use is be based on numerous factors (e.g. expertise and skill, competency, references, cost, turnaround time, proficiency, proximity, accreditation status, EQA participation).

The Blood Sciences Laboratory is responsible for selecting the referral laboratories and takes steps to monitor the quality of performance and ensure that the referral laboratories are competent to perform the requested examinations. This is achieved by letter which is sent to all referral laboratories. A register of all the approved referral centres is kept for all the departments within the Blood Sciences Quality Management System, and this information is requested and updated annually.

Requesting Categories

Sample requests are triaged into 3 categories.

Category 1 – ‘STAT’ or ‘1 hour urgent’

These samples take priority over all other samples. These specimens are treated as genuinely urgent, and will be processed immediately on arrival.   However, in order to process urgent samples, the requesting Doctor must follow the procedures as outlined in ‘Urgent requests above’.

Samples from specific wards: ITU, A&E, EMU, CDU, STAU, WYAC, MTU,PAU & NNU are automatically assigned category 1 status & treated as urgent.

Urgent request results are not usually telephoned, but are available on ward terminals within one hour. If results are abnormal, they fall within our telephone policy and are telephoned as soon as they are validated.

Category 2 – Waiting patient or ward staff.

Suitable only for short turnaround time tests.

A sample from a waiting patient or ward staff should be brought to the Blood Sciences laboratory and identified as a sample from staff or patient intent on waiting for the result. The sample is processed through the urgent system and undergoes immediate labelling, booking-in and centrifugation, then is taken to the appropriate section for analysis. An analyser print out is given to the person waiting.

Category 3 – ‘Three hour urgent’

Samples that are received with the urgent box marked, but no prior urgent telephone request had been made.

These samples are allocated to the routine reception area, but are given priority over other routine samples. The results are not telephoned unless they are abnormal and fall within our telephone policy. Results should be available on ward terminals within three hours.

Add on tests

If add-on tests are required, please note the following information:

Requests made from within the hospital:

Requests from Primary Care:

Order of Draw

Telephoned Results

Results falling outside of the limits below will be telephoned to the requestor or requesting location wherever possible. For GP requests every endeavour will be made to contact the surgery within working hours. Devon Doctors will be contacted out of working hours.

Parameter  Lower limit Upper limit
Chemistry

Acute Kidney Injury flags

All stage 3 flags

All stage 2 flags to GP’s and RDE OPD patients

All AKI 1/2/3 in children to requesting clinician or paediatric registrar

AST F 465 M 555 IU/L
ALT F 495 M 615 IU/L
Ammonia 100 umol/L
Amylase 300 U/L
Bicarbonate 10 mmol/L
Bile 9 umol/L
CSF glucose 2.0 mmol/L 6.0 mmol/L
Calcium (corrected) 1.60 mmol/L 3.00 mmol/L
Carbamazepine 20 mg/L
Creatine kinase 5000 IU/L
Cortisol 100 nmol/L

Adult Creatinine (Not renal patients)

Children < 16 years

354 umol/L

200 umol/L

CRP (GP only) 300 mg/L
Digoxin 2.3 ug/L
Ethanol 4000 mg/L
Gases All results All results

Adult Glucose

Children <16 years

2.5  mmol/L

2.5  mmol/L

25.0 mmol/L

15.0 mmol/L

Gentamicin 7.0 mg/L
Glycated Haemoglobin (previously unknown diabetic only) 120 mmol/mol
Lactate 2.4 mmol/L
Lithium 1.4 mmol/L
Magnesium 0.50 mmol/L 1.50 mmol/L
Neonatal bilirubin 300 umol/L
Conjugated Neonatal bilirubin 25 umol/L
Paracetamol 10 mg/L
Phenytoin 25 mg/L
Phosphate 0.50 mmol/L 4.00 mmol/L

Potassium (primary care)

Potassium (hospital)

2.8 mmol/L

2.8 mmol/L

6.0 mmol/L

6.4 mmol/L

Salicylate 300 mg/L

Sodium (Adult)

Sodium (Children <16 years)

120 mmol/L

130 mmol/L

150 mmol/L

150 mmol/L

Theophylline 23 mg/L
Troponin T (GP only) 14 ng/L
Urate 1000 umol/L
Urate (during pregnancy) 340 umol/L
Urea (non-renal patient) 30.0 mmol/L
Urea (Children <16 years) 10.0 mmol/L 30.0 mmol/L
Haematology
Haemoglobin 70 g/L
Haemoglobin (neonate) 100 g/L
INR 6.5
APTR 3.00
D Dimer (GP only, 50 years or less) 230 ng/mL
Platelets 50 10*9/L

 

University of Exeter logo
UKAS Medical logo
RD&E logo