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Hospital Organization and Services Overview

The clinical laboratory analyzes samples from patients to aid in diagnosis and treatment. It contains several departments including chemistry, hematology, blood bank, coagulation, and specimen processing. The chemistry department performs tests on blood components while hematology analyzes cells. The blood bank identifies blood types and tests compatibility for transfusions. Coagulation evaluates clotting factors and platelets.
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0% found this document useful (0 votes)
18 views3 pages

Hospital Organization and Services Overview

The clinical laboratory analyzes samples from patients to aid in diagnosis and treatment. It contains several departments including chemistry, hematology, blood bank, coagulation, and specimen processing. The chemistry department performs tests on blood components while hematology analyzes cells. The blood bank identifies blood types and tests compatibility for transfusions. Coagulation evaluates clotting factors and platelets.
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CHAPTER 2 Health Care Structure Clinical Laboratory

- The clinical laboratory analyzes


HOSPITAL ORGANIZATION samples from patients at the request
of physicians or other li-censed
Fiscal and Information Services health care personnel. The samples
- This branch is responsible for may be blood, urine, or other body
admissions and medical records, as fluids, or they may be cells from
well as for billing, accounting, and aspiration procedures or pieces of
other financial aspects of the tissue from biopsies.
hospital. Human resources may be a
part of this branch as well. Nuclear Medicine
- This department uses radioisotopes
Support Services to perform tests and treat diseases.
- This branch includes all aspects of Radioisotopes are unstable forms of
the physical plant of the hospital, certain elements that can be
such as cleaning, maintenance, and detected as they break down.
security, as well as food service and
purchasing. Occupational Therapy
- Occupational therapists assess
Nursing Services patients and design adaptive aids or
- Nursing services personnel provide compensatory strategies to help
direct care to patients. people with physical or mental
Phlebotomists have a great deal of impairments perform tasks of daily
direct contact with nursing living and reach their maximum
personnel. Some nursing services potential.
departments have their own
phlebotomy team. Pharmacy
- The pharmacy prepares and
Professional Services dispenses drugs that have been
- Professional services personnel prescribed by physicians.
provide services at the request of
licensed practitioners (including Physical Therapy
physicians and nurse practitioners) - Physical therapists assess patients
who aid in the diagnosis and both before and after treatment and
treatment of patients. Each devise plans of physical treatment.
department provides specialized Physical therapists design exercises,
services. stretching programs, and other
physical treatments to aid in a
Cardiac Catheterization patient’s rehabilitation after injury or
- This department evaluates and illness.
treats patients with cardiovascular
disease by inserting devices into the
bloodstream that are threaded up to
the heart.
Radiation Therapy cells (RBCs). In routine blood typing,
- The radiation therapy department two major antigen groups are tested
also treats cancer, using x-rays or for: the ABO group and the Rh
other high-energy radiation sources group.
to destroy tumors.
Chemistry
Radiology or Medical Imaging - The chemistry department performs
- The radiologist interprets a range of a range of tests on the chemical
diagnostic and therapeutic components of blood. Chemistry
procedures using various forms of tests may be performed as either
radiant energy. The radiologic single tests or as groups, called
technologist obtains radiographs, chemistry panels.
computed tomography (CT) scans,
magnetic resonance imaging (MRI) - Immunochemistry tests use
scans, positron emission antibodies to detect a range of
tomography (PET) scans, and substances in the blood.
fluoroscopy images.
- Electrophoresis separates chemical
Respiratory Therapy components of blood based on
- Respiratory therapists provide differences in electrical charge.
treatment for respiratory disorders. Electrophoresis is most often used
They often perform arterial to analyze hemoglobin, enzymes,
punctures for the determination of and other proteins.
arterial blood gas measurements.
Specimen Processing
FUNCTIONS OF THE CLINICAL - Chemistry tests are performed on
PATHOLOGY LABORATORY either serum or plasma. Serum is
DEPARTMENTS collected in a tube without
anticoagulants (a plain red-top tube)
Blood Bank or Immunohematology or in a serum separator tube (SST).
- The blood bank or Plain red-top tubes need 45 to 60
immunohematology department minutes for full clot activation, and
deals with blood used for an SST needs a minimum of 30
transfusions. Blood is tested there to minutes.
identify the blood type of both patient - Serum is normally a clear, pale
and donor blood to determine their yellow fluid. The color and
compatibility. Compatibility testing is appearance of the serum sample
performed to ensure that the can be altered by both the patient’s
patient’s immune system does not condition and the collection
reject the donor blood. technique.

- Blood type is determined by the


presence and type of particular
antigens on the surface of red blood
● icteric serum - Liver disease can • Prothrombin time/protime (PT):
increase the amount of bilirubin in Coagulation factor deficiency
the serum, making it appear a darker
yellow • Thrombin time: Heparin-like
anticoagulants, antibody
● lipemic serum - Recent ingestion of inhibitors of thrombin
fats or other lipids can make the
sample cloudy Hematology
- The hematology department
● hemolyzed serum - Hemolysis, or analyzes blood for evidence of
breakage of RBCs, can give the diseases affecting the blood-forming
serum a pink tinge tissues and the cells produced by
those tissues—namely, RBCs,
Coagulation and Hemostasis WBCs, and thrombocytes/platelets
- This department is usually part of (Plt). This department also analyzes
the hematology department, but it the clotting ability of the blood.
may be separate in larger hospitals. - The most common hematology test
is the complete blood count (CBC).
→Hemostasis refers to the process by which the
body stops blood from leaking out of a wound. Flow cytometry- is a special analytic
Hemostasis involves coagulation and other technique that is used in hematology,
processes. immunology, and anatomic pathology. Flow
cytometry identifies cellular markers on the
→Coagulation depends on the presence of surface of WBCs.
clotting factors and platelets. - This is done to determine
lymphocyte subclasses in
Coagulation Tests patients with acquired
immunodeficiency syndrome
• Activated partial thromboplastin time (AIDS),
(aPTT): Monitor heparin therapy,
coagulation factor deficiency Complete Blood Count

• d-Dimer: Disseminated intravascular


coagulation

• Factor activity assays: Coagulation factor


deficiency

• Fibrin degradation product (FDP):


Disseminated intravascular coagulation

• Fibrinogen: Risk of cardiovascular disease


• International normalized ratio (INR):
Monitor coumadin therapy

Common questions

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The clinical pathology laboratory ensures the safety and compatibility of blood transfusions through meticulous processes in the blood bank or immunohematology department. It determines blood types based on antigens present on RBCs, conducts compatibility testing to prevent immune rejection, and performs necessary tests on both patient and donor blood. This comprehensive approach minimizes the risk of transfusion reactions .

The pharmacy department contributes to patient care by preparing and dispensing medications as prescribed by physicians. It ensures the availability and appropriate use of pharmacological treatments, directly affecting the efficacy of medical and therapeutic interventions for patients, thus playing a vital role in hospital operations and patient outcomes .

Coagulation tests assess the blood's clotting ability, critical in diagnosing bleeding disorders and monitoring anticoagulant therapies. Tests such as the activated partial thromboplastin time (aPTT), prothrombin time (PT), and international normalized ratio (INR) help assess and manage conditions like coagulation factor deficiencies and monitor therapies like heparin and coumadin. These tests ensure that clotting occurs properly without excessive bleeding or unwanted clots .

The physical therapy department focuses on assessing patients before and after treatment to create rehabilitation plans, which may include exercises, stretching programs, and other physical treatments. These tailored interventions help patients recover functionality and mobility post-injury or illness, significantly aiding in their rehabilitation process .

Radiology distinguishes itself through the use of radiant energy-based diagnostic and therapeutic procedures. This includes obtaining images such as x-rays, CT scans, MRI scans, PET scans, and fluoroscopy images. The radiologic technologist captures these images, allowing the radiologist to interpret and utilize them for diagnosing a wide range of conditions. These advanced imaging technologies provide critical insights that are different from laboratory tests or visual assessments .

The clinical laboratory performs analyses on samples such as blood, urine, and tissues to aid in patient diagnosis and treatment. It includes specialized tests like those in the blood bank for blood type and compatibility, chemistry tests to analyze blood components, electrophoresis to separate chemical components by charge, and coagulation tests to assess blood clotting ability. These tests support licensed practitioners in monitoring and diagnosing various medical conditions .

Occupational therapy focuses on helping patients perform daily living tasks and reach their maximum potential despite physical or mental impairments by designing adaptive aids and compensatory strategies. Physical therapy, on the other hand, centers on physical rehabilitation, aiming to restore movement and function through exercises and physical treatments after injury or illness. Each therapy addresses different aspects of patient care and recovery .

Challenges in specimen processing include altered serum appearance due to patient conditions or collection techniques, such as icteric serum from liver disease, lipemic serum from fat ingestion, and hemolyzed serum from red blood cell breakage. These can affect the clarity and accuracy of test results, potentially leading to misdiagnosis or inaccurate monitoring of a patient's condition if not properly identified and managed .

Nuclear medicine uniquely employs radioisotopes, which are unstable chemical elements that emit detectable radiation as they decay, to perform tests and treat diseases. This contrasts with other diagnostic departments that rely on physical imaging technologies such as x-rays or MRI scans. The application of radioisotopes allows for the precise evaluation of organ function and identification of abnormalities, providing a distinct, functional perspective in diagnostic imaging .

Fiscal and information services are focused on the administrative aspects of a hospital, such as admissions, medical records, billing, and overall financial management. This branch may also include human resources. In contrast, support services are concerned with the physical maintenance of the hospital, including cleaning, maintenance, and security, as well as auxiliary operations like food service and purchasing .

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