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CONGRESS 2023 - RCI – the Biomedical Scientist role

An overview of Red Cell Immunohaematology (RCI), the services offered and how we fit in within the wider healthcare system.

Example cases starting with single specificity through to complex antibody identification using a variety of techniques. Discussing the need for consultant input when serology cannot be resolved and what happens next.

We will briefly cover duties beyond serology performed as a biomedical scientist and how these fit in nationally as well as locally.

Finishing on the progression routes through RCI, NHSBT and the wider transfusion community.

CONGRESS 2023 - Resuscitation with Pre-Hospital Blood Products (RePHILL) trial

Resuscitation with Pre-Hospital Blood Products (RePHILL) trial

CONGRESS 2023 - Rudeness costs lives

Many reports have demonstrated the correlation between good team working and better outcomes. This talk explores the value of civility and the cost to our patients of rudeness in the workplace.

CONGRESS 2023 - Shiga toxin-producing Escherichia coli O26 (STEC O26)

Shiga toxin-producing Escherichia coli (STEC) O157:H7 has been the most clinically significant STEC serotype in the UK for over four decades. However, over the last 10 years we have observed a decrease in STEC O157:H7 and an increase in non-O157 STEC serotypes, such as O26:H11. Little is known about the microbiology and epidemiology of non-O157 STEC. This presentation describes the virulence, clinical outcomes and epidemiology of non-O157 STEC, focusing on the most commonly detected serotype, STEC O26:H11.

CONGRESS 2023 - Supporting Point-of-Care Testing in Virtual Wards: What are the challenges and how do we overcome them?

A variety of virtual ward services are delivered across Oxfordshire through collaboration of Oxford University Hospitals NHS Foundation Trust, Oxford Health NHS Foundation Trust, and Principal Medical Ltd (PML) a GP led service. They include Hospital at Home, Children’s Virtual Ward (jointly with OHFT), Acute & Community Palliative/End of Life Care (Community – Sue Ryder Care).

The Point of Care Testing (PoCT) team at Oxford University Hospitals NHS Trust has supported the development and delivery of PoCT in community and ambulatory settings over the past 10 years.

Using a model developed around the requirements of ambulatory medicine; this has been delivered with limited resource, focussing on utilising existing resources wherever possible.

Commencing with the Acute Hospital at Home, the service has been successfully expanded to support mobile PoCT across Oxfordshire.

The laboratory acts as the distributor of instruments and supplies; facilitates connectivity, and testing, and coordinates delivery of training through a combination of remote and cascade routes.

Device selection and repertoire has been standardised. Up to this point mobile services have been limited to use of the Abbott i-Stat & Alinity systems (electrolytes/metabolites/blood gas). However, Hospital at Home, and other mobile services are requesting a greater repertoire of tests, particularly CRP. The LumiraDx platform provides us with an option for CRP that is portable, easy to operate, connectable and robust.

Challenges remain around connectivity and information management. This has been exacerbated by the cross-organisational nature of these services leading to the management of patients through multiple IT systems; and led to the development of indirect routes for result entry into the patient record.

Whilst we have been able to deliver connectivity in two rapid response vehicles, this was not a scalable solution and mobile devices are docked at the base location on return from visits.

CONGRESS 2023 - The IBMS's view of ISO 15189:2022 (Thursday)

The IBMS's view of ISO 15189:2022

CONGRESS 2023 - The revised ISO 15189 standard and the impact upon delivery and maintenance of effective quality management within Point-of-Care Testing

ISO15189:2012 had reached its periodic review date and there was international consensus that it needed revision. The new version was published on 6th December 2022 and there are some key changes which include an emphasis on a patient-focused approach and to promote the welfare of patients - i.e. putting the patient at the heart of the service. There is also more emphasis on a risk based approach to the Quality Management system. In addition ISO 22870 (POCT) has been incorporated into ISO 15189:2022.

This presentation will review POCT definitions, highlight key considerations for currently accredited POCT services and also for organisations considering applying for accreditation to include (or extend) POCT in their scope.

POCT is referenced implicitly throughout ISO 15189:2022 and with additional distinct requirements as an Annex A.

The presentation will discuss generic POCT services, and highlight considerations on both current POCT services and also emphasise considerations for planning new POCT services, and that overall, when compared with ISO 22870:2016, things have not changed as much as one would think. Principles are similar, and POCT could even be considered as another specialty within pathology, regardless of where it is or managed from.

CONGRESS 2023 - Transfusion outside the NHS – jobs for Biomedical Scientists

Transfusion outside the NHS – jobs for Biomedical Scientists

CONGRESS 2023 - Validation and Verification Workshop

Validation and Verification Workshop

CONGRESS 2023 - What’s new in antivirals? (Antivirals & Mabs as therapeutics)

What’s new in antivirals? (Antivirals & Mabs as therapeutics)
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