Perform clinical pathology procedures – Log book

Perform clinical pathology procedures – Log book

(These case studies are an essential element to determining competency for Unit ACMVET403A)
You are required to show your understanding and participation in Clinical Pathology procedures. For this we require 3 case studies:
Urinalysis
A biochemistry test (performed in-house)
Any other pathology test
The following MUST be included for the following three case studies:
Any print out from in house pathology blood machines or results from the external laboratory relating to the test you participated in
A urinalysis record sheet (can be obtained from activity sheets on moodle if your clinic does not have one)
A copy of a typical submission form sent to an external laboratory
Admission and discharge forms where appropriate
At least 1photograph for each of the tests – these will show you actually performing the tests in YOUR workplace for the cases you describe
If there are privacy concerns, then client, animal or even clinic’s details can be covered or deleted.  It is also acceptable to include mocked up documents, completed as if for that patient.
Please use this template and ensure you address every element mentioned. It is especially important to address the elements ‘in italics’. The upload site on moodle will allow you to upload a number of documents.
A. Urinalysis:
1. The Team
Describe your role in the pathology team
(What do you do? What do other people do?)

2. Patient Details
Describe the patient
(Name, type of animal, age, sex, health condition, etc)
Why was the urinalysis requested?
(Provide a brief reason e.g bladder stones)

3. Pathology Samples
Describe how you prepared the pathology equipment.
(Mention cleaning, infection control, maintenance and setup, of microscopes, slides, diagnostic equipment, refractometer and instruments, calibrations)
How was the sample acquired? If cystocentesis, how was the patient restrained and prepared?
(Mention needles and syringes selected, containers selected, skin preparation if needed, catheters if used)
If sample was provided by the client, how had it been stored and transported?
Describe what you did with the samples (storage, containers)
Are samples tested immediately? If this could not happen for some reason, what would you do?

4. Pathology Tests
Describe the tests you performed.
Describe what you did with the results.
(Mention recording and reporting test result)
What WHS precautions as per clinic policy were necessary?
(Mention sharps safety, PPE, awareness of potential zoonoses)

How was any clinical waste disposed of?

5. Other
Describe any communication you had throughout the pathology process.
(e.g. with the veterinarian or owner)

B. Biochemistry (performed in-house)
1. The Team
Describe your role in the pathology team
(What do you do? What do other people do?)

2. Patient Details
Describe the patient
(Name, type of animal, age, sex, health condition, etc)

Why was the biochemistry test required?
(Provide a brief reason e.g. PAS, illness)

3. Pathology Samples
Describe how you prepared the pathology equipment.
(Mention cleaning, infection control, maintenance and setup, diagnostic equipment and instruments, calibration)
Describe  the process for collecting the sample
(Mention patient restraint, skin preparation, needles, syringes and blood tubes selected + WHY)
It is very important to state here why a particular tube was chosen
Describe what you did with the samples
(Mention the process for preparing the samples for testing)
Are biochemistry tests in your clinic done immediately and if not, what is done with the samples?
4. Pathology Tests
Describe the tests you performed.
Describe what you did with the results.
(Mention recording and reporting test result)
What WHS precautions as per clinic policy were necessary?
(Mention sharps safety, PPE, awareness of potential zoonoses)

How was any clinical waste disposed of?
5. Other
Describe any communication you had throughout the pathology process.
(e.g. with the veterinarian or owner)
C. A different pathology procedure
A wide range of possibilities exist for this procedure. It could be skin scraping, faecal floatation, blood smear, SNAP or Heska test, participating in a post-mortem, a fungal test or preparing for a biopsy or cytology test.

1. The Team
Describe your role in the pathology team
(What do you do? What do other people do?)

2. Patient Details
Describe the patient
(Name, type of animal, age, sex, health condition, etc)
Why was pathology required?
(Provide a brief reason e.g. suspected heart worm infestation, a tumour etc.)

3. Pathology Samples
Describe how you prepared the pathology equipment.
(Mention cleaning, infection control, maintenance and setup, of microscopes, slides, diagnostic equipment, any instruments, calibration, test kits required)
Describe the process for collecting the sample.
(Mention restraint of patient and any preparation of the site, needles, syringes or other collection devices and any containers used.)
What sample was collected?
Describe what you did with the samples.
(Mention preparing the samples for testing)

4. Pathology Tests
Describe the test you performed.
Describe what you did with the results.
(Mention recording and reporting test result)
What WHS precautions as per clinic policy were necessary?
(Mention sharps safety, PPE, awareness of potential zoonoses)

How was any clinical waste disposed of?
5. Other
Describe any communication you had throughout the pathology process.
(e.g. with the veterinarian or owner)
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NB: If performing a post-mortem use the following.

Post Mortems
Describe your actions following the death of the patient.
(Mention how you notified the veterinarian and prepared the animal and equipment)
Describe what you did during the post mortem.
(Mention instructions, taking samples, storing samples, recording details and WH&S considerations)
Describe what you did with debris and waste.
(What did you do with disposable items, biological waste etc.? Were there any infection control issues?)
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General Laboratory Issues
Look at the laboratory set-up in your clinic. How do you think it could be improved?
(Other equipment required, maintenance issues, WHS issues, layout, accessibility of the equipment, etc.)

Are there any clinical pathology processes performed at the clinic you need to learn? How do you imagine you would get that training?

How could you assist others to acquire the skills you have?

What is the step by step process in your clinic for sending samples to an external laboratory?
(Include the form-filling, phone calls, where the samples are placed and the out-of-hours collection)
Ensure you have included a mock form

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