Roche Infinity Patient Results Review Delta Check, Critical values, serum indices, auto dilution

Delta Check

  • Access the patient's laboratory results history.
  • Compare current results to previous results side by side.
  • Identify any significant differences exceeding the predefined thresholds.
  • Note the nature and direction of changes (increase/decrease).
  • Locate the timestamp for each laboratory test.
  • Verify the chronological order of tests.
  • Ensure that both tests are from the same laboratory or testing method.
  • Document any discrepancies in timing.
  • Refer to established clinical guidelines for delta check limits.
  • Cross-check current results against these limits.
  • Highlight any results that fall outside acceptable ranges.
  • Consult with the lab or clinical guidelines if unsure.
  • Record all significant findings in the patient's file.
  • Include details of the results compared and the implications.
  • Notify relevant healthcare providers of significant changes.
  • Ensure documentation is clear and accessible for future reference.

Critical Values

  • Review patient results for critical value thresholds.
  • Use the laboratory's critical value list for reference.
  • Highlight or mark results that meet critical criteria.
  • Double-check values for accuracy to prevent false alerts.
  • Use established communication channels (phone, pager).
  • Provide the healthcare provider with patient details.
  • Clearly communicate the critical result and its implications.
  • Confirm receipt of the information with the provider.
  • Document the exact time and date of notification.
  • Use the patient's chart or electronic health record.
  • Ensure the entry is clear and legible.
  • Include the name of the healthcare provider notified.
  • Review any follow-up actions taken post-notification.
  • Document interventions or changes in treatment plan.
  • Include any additional tests or consultations ordered.
  • Maintain accuracy and timeliness in documentation.

Serum Indices

  • Review test results for serum indices.
  • Identify any flags indicating abnormalities.
  • Classify abnormalities as hemolysis, icterus, or lipemia.
  • Record and communicate any significant findings.
  • Check patient history for potential causes.
  • Consult with laboratory personnel if needed.
  • Evaluate sample handling and storage conditions.
  • Confirm the integrity of the sample prior to testing.
  • Assess the degree of abnormality in indices.
  • Determine if retesting is clinically warranted.
  • Follow laboratory protocols for repeat testing.
  • Document the rationale for retesting.
  • Record all observed serum indices and interpretations.
  • Note any communication with healthcare providers.
  • Include details of any repeat tests conducted.
  • Ensure documentation is clear and accessible.

Auto Dilution

  • Access the patient results report.
  • Identify any results marked with a dilution flag.
  • Cross-reference with the original sample values.
  • Ensure correct identification of diluted results.
  • Locate the dilution factor in the report.
  • Verify the factor applied matches the protocol.
  • Ensure documentation is clear and accessible.
  • Record any comments regarding the dilution process.
  • Compare diluted results to established reference ranges.
  • Document any out-of-range findings.
  • Consult with relevant guidelines for threshold values.
  • Flag any results needing further investigation.
  • Identify and document any inconsistencies.
  • Determine the significance of discrepancies.
  • Follow escalation protocol as per guidelines.
  • Communicate findings to the appropriate personnel.