Pathology

Lab services (Pathology and Blood Bank)

The Department of Pathology and Blood Bank provides diagnostic facilities essentially to confirm/ establish the diagnosis for appropriate management of patients admitted in various wards including Emergency, Obstetrics and Gynae/ LR, HDU as well as the outdoor patients. It also facilitates the necessary laboratory screening of patients attending ANC, Diabetic clinic, Cardiac clinic, Skin clinic, Thalassemia unit & Adolescent clinic.

The Pathology Department of Swami Dayanand Hospital has nine sections, namely Histopathology, cytopathology, hematology& HPLC Lab, clinical pathology, biochemistry, and microbiology section,Emergency Lab/OPD Lab,ANc Lab.

  • The department is not only providing diagnostic and prognostic information via the patient reports but also is involved in preventive and health promotion actions for the society. These actions include, screening for Thalassemia carriers thereby preventing Thalassemia majors in the society. Screening of cervical pap smears helps in diagnosis of early cancers thereby preventing the advanced cervical cancers.
  • Considering the need for uniformity and standardization in the Cytology  reporting  the cytopathology section of Swami Dayanand hospital is reporting FNA of breast lesions according to the guidelines laid down in the NHS UK Breast Cancer Screening Programme. The pathology department is issuing various reports only after thorough internal quality control.
  • The department is actively involved in the Prevention of Hospital Acquired Infection.

The department is actively participating & rendering its services for the early cancer detection Program, PAP smear screening, HIV screening & Thalassemia Trait screening under DSACS project & Thallassemia control project of all ANC cases attending the hospital.

EQUIPMENTS: -

The Pathology and Blood Bank Department laboratory are equipped with the latest technology, microprocessor based fully automatic/ semiautomatic machines and gazettes for efficient processing, accuracy, quality control & precision of results. These equipments include computerized machines such as

  • Histopathology Grossing table
  • Hematology Analyzers (Three parts Differential Count 53 part
  • Up gradable Electrolytes analyzer (Esch, German)
  • Automatic Biochemistry Analyzer (Transasia)
  • Elisa Reader with Automatic plate washer – 2 NOS (Tecan Austria)
  • Micro typing centrifuge machine (Tulip)
  • Coagulation Analyzer (Transasia)
  • Laminar flow
  • Bacteriology incubators
  • Laboratory centrifuge & Ovens
  • Autoclave machine
  • Binocular & Trihead  Microscope
  • Laboratory Airpurifer machine, etc
  • Deep freezer (-30°) (Terumo Pempol)
  • ILR & Laboratory refrigerator with digital temp display and thermograph recorder
  • Tissue block cabinets & slide cabinets, etc.
  • Automatic Tissue Processor (Leica Japan)
  • Five part differential count Hematology Analyzer (SYSMEX)
  • Fully automatic biochemistry analyzer (TRANSASIA) (1+1)
  • Platelet Inculator & Agitator Machine (2)
  • Bio- mixers for blood collection (2)
  • Dielectric sealers
  • Plasma thawing & separation machine.
  • Refrigerated Centrifuge
  • Biosafety Cabinet
  • HPLC Machine
  • Kit Storage Refrigerator
  • Plasma expressor with sensor
  • Bench top tube seater.
  • All these equipments are serviced regularly under AMC contract & calibrated as per protocol :
  • Apheresis

– Embedding Station

– Scale for blood bag

-Electronic weighing cum balance scale for Blood Bank

AUGMENTATION OF EXISTING SERVICES :-

During the financial year 2017-18 the department of pathology has taken a great leap forward to strengthen and augment the existing services for better efficiency, accuracy & quality control of tests conducted in the various sections of the Laboratory. This was possible with the acquisition and installation of equipments in the department during the period-

1.      Histopathology Lab: -
  • Hot Plate
  • Water bath
  1. Microbiology
  • Immuno Analyzer
  • Autoclave Machine
  • Incubator
  1. Biochemistry
  • Fully Automatic Bio Chemistry Analyzer

Ongoing Technician Training/CME’s :-

  • The department conducts in house training program for the reorientation of the laboratory technician’s w.r.t the recent development, standardization of various laboratory tests and techniques aimed at further improvement of the quality and standards of laboratory practices.
  • BMW Meetings are held every month to reinforce the technical staff to follow the instructions w.r.t. proper segregation & disposal of biological wasptes in accordance with the guidelines.
  • All the officers in the department actively participate in the interactive CME’s conducted periodically by the scientific committee of SDN Hospital.
  1. Medical Officer, Mr, Junaid Alam & Mrs. Preeti have done One day Blood Bank Training in RML Hospital.
  • Medical officer participated in Quality assurance in Hematology organised by BIORAD.
  • Specialist pathology and Medical Officer have participated in the quality assurance and management for lab services at DHSM.
  • 2 CEMS were conducted by Blood Bank in year 2017 by inviting the speaker from RGSH and IHBAS on recent advance on Blood banking.

Quality Control: -

  • The quality controls of various laboratory tests, techniques, reagents & equipment, have been maintained on daily basis under the supervision of the respective in charges/specialists.
  • All the expensive equipments are under AMC & serviced on quarterly basis and on demand whenever required. Calibration of these machines is done periodically.
  • Internal and External Controls are put in place for maintaining Quality Assurance of the tests by participating in EQAS (CMC vellore & Jaipur)
  • The kits and reagents are observed for deterioration & contamination.
  • The tests for specificity, sensitivity, avidity & titer are being put on every new batch/lot of reagents and kits in Blood bank.
  • The results of Lab investigations specially Histopathology Cytology & all abnormal reports are done by the Specialist.
    1. Dr. Awanindra Kumar (HOD Pathology)
    2. Dr. Deepti Aggarwal (Pathology)
    3. Dr. Shelly Sehgal, (Sr. Resident)
    4. Dr. Mohit Kumar (MO)
    5. Dr. Shruti (Pathology)
    6. Dr. Megha
    7. Dr. Shaheeen (Microbiology)
    8. Dr.Ravi Ranjan (Pathology)

Dr. Awanindra  Kumar with the help of Dr. Mohit kumar managed day-to-day administrative activities of Department of Pathology & Transfusion Medicine.

  • The technical staffs are directed to strictly follow the SOP’s at their assigned workstation to ensure standard processing techniques. These SOP’s are reviewed and modified by the respective in charges by incorporating the manufacturer instruction on the kits being used and the cut off values specified on the available kits for precise interpretation.

Miscellaneous:-

  • Medical officer, Blood Bank Technicians managed various blood donation camps round the year.
  • There are 26 patients registered in the Thallassemia Day Care Unit. It has been functioning from the Department premises and over 782 units of supervised blood (packed red cell concentrate) transfusion were given to the children registered at this unit. These children have been screened for transfusion ‘transmissible’ infectious markers particularly HBs Ag, HCV, HIV & also Hemogram.

 

S.No Name of Doctor Designation Phone (Hosp.) / Ext
1. Dr. Awanindra Kumar HOD 22581036 / 204/ 207
2. Dr. Mohit Kumar MO Blood Bank 22581036 / 201

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