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Making pathology requests

Pathology requests can be made in one of several ways.

Most requests for pathology investigations are received electronically, using an order communications system (OCS), however this is determined by the Trust and the dept to which investigations are being sent.

Some depts/clinical areas may require a request form, even though the request may have been made using OCS.

When the OCS system is not available, request forms (Downtime forms) must be used. It is advisable for clinical areas to have a stock of these forms already printed, as often in situations when the OCS is not available, the Trust network is also not available either and therefore it will not be possible to print any forms.

Using multi-layered request forms

If multi-layered request forms are received and are to be shared across pathology departments, please ensure all patient details are visible on each layer of the multiform.

If this information is not clear, it may be necessary to photocopy the original form before separating the multi-layered form sections and enclosing the photocopied request rather than the carbon copy with the specimen.

Blood Transfusion requests

The Blood Transfusion department has its own specific procedure for making requests and labelling samples.

Requesting tests and taking samples

Patient consent

In order for a patient’s blood or other bodily fluid to be collected, it is necessary to obtain the patient’s consent. This can be given in writing (where explicit consent is required), orally or they may imply consent by complying with the proposed examination or treatment, for example, by rolling up their sleeve to have their blood sample taken.

It is the responsibility of the clinician to ensure the patient understands the reason for making the request for an examination and the range of tests that may be involved. The reasons for investigation should be explained clearly to the patient.

Requestors

All requests will be made by either a clinician or suitably trained practitioner and it is their responsibility to ensure all requests:

  • Are made on the correct patient and selecting the correct encounter for that patient
  • Include whatever information is required by the laboratory to perform the test and interpret the result
  • Which analytical tests are required and the clinical need for those tests.

Where an electronic order using an Order Communications System has been used to make the request and print the labels, ensure ALL of the information printed on the label is legible.

It is the responsibility of the clinical area to ensure the label printers are working correctly and producing legible labels.

Phlebotomist/person collecting the specimen

Must ensure the sample(s) are collected from the correct patient, into the appropriate sample collection container, at the correct time and that the samples are labelled fully with the correct patient’s details.

Latest news

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SWLP welcomes new Cellular Pathology General Manager Dalian Beaver

Dalian Beaver, the newly appointed General Manager of Cellular Pathology, embodies the power of resilience, determination, and continuous self-improvement. Her journey from a young immigrant navigating a new education system to a senior leader in the NHS is nothing short of inspiring. With nearly two decades of experience in biomedical science and management, Dalian’s story is a testament to the transformative impact of hard work, ambition, and an unwavering self-belief.

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SWLP preparing to launch cutting-edge digital pathology project

SWLP is spearheading a revolutionary digital pathology project aimed at enhancing diagnostic accuracy and reducing turnaround times for patients. This innovative initiative, which spans multiple hospitals across south west London, is part of a broader national programme designed to modernise cellular pathology services and improve cancer diagnostics. The project will go live in July.

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New courier contract awarded

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March 1, 2025

Clinical blood sciences at St George’s Hospital welcomes young people for a Harvey’s Gang tour

This month, the clinical blood sciences laboratory at St George’s Hospital welcomed a group of young people for a tour of the lab. The young visitors are part of the Children and Young People’s Council at the Trust and are regular patients who have frequent blood tests and blood transfusions.

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