Hey people! This is Siew Ming here to post again (:
I am going to post about my experience when I was attached to the Hematology lab.
Basically, the hematology lab is being divided into two sections: 1) Stat lab where emergency samples were being handled and 2) Routine lab whereby routine processing of blood samples are carried out.
I got the chance to observe and participate in the various tests that are carried out in the lab, such as FBC, ESR, reticulocyte Test, Kleihaur Batek Test and APPT/PT. Besides these, I felt fortunate to be taught to recognize and differentiate the different types of blood cells under the microscope by a very senior med tech! (:
Today, I’m going to share about the techniques of Erythrocyte Sedimentation Rate (ESR). ESR is a screening test used to detect inflammation. However, confirmatory tests have to be carried out to confirm the diagnosis. ESR refers to the rate at which the red cells sediment over time. It is often measured in mm/H. ESR will increase when there is infection, pregnancy, SLE, Anaemia, etc.
For a single ESR test, a minimum of 350ul of venous blood will be collected in an EDTA tube. Before performing the test, it is very crucial to check for visible clots of the blood. This is because clotted samples cannot be processed and the results will be inaccurate and not valid.
Steps:
1. EDTA blood sample is mixed well by inverting the tube several times.
2. 320ul of blood from the EDTA tube is transferred into a Aquisel Tube (filled with Trisodic Citrate 0.106M)
3. The Aquisel tube is then mixed for at least 12 times.
4. A pipette is then introduced into the Aquisel tube through a twisting the pipette in a circular motion, and gradually push the pipette downwards to allow blood to fill the pipette. The blood level should reach the “0” marking on the pipette.
5. The pipette, together with the Aquisel tube is left to stand on a Styrofoam Aquisel Tube holder for 50 mins.
6. Results (no. of mm the cells have fallen) were read at the end of 50min.
7. Results were then recorded into the ESR record book, patient’s request form and LIS verification system.
The expected ranges should be:
Neonates (1-2days): 0-4
Neonates (3 days-1 month), children (2 months – 12 years), and adults (more than12 years): 0-10
I think there is something wrong with blogger these few days. As it doesn’t allow me to post pictures, here’s a link to show how do Aquisel tubes and pipette look like: http://www.swissvacuum.com/products/selecta/Biology_and_histology_equipment/DivisionAnalytique.pdf