Laboratory Haematology

Details

Title

Laboratory Haematology

Type

Stage One

Module code

HLS021

Requirement

Compulsory

Module objective

By the end of the training period trainees will, in respect of laboratory haematology, be able to:

• analyse, synthesise, evaluate and apply knowledge
• perform a range of technical and clinical skills and procedures
• demonstrate the attitudes and behaviours necessary for professional practice as a consultant clinical scientist dealing with the complexities, uncertainties and tensions of professional practice at this level.

Knowledge and understanding

By the end of the training period the trainee will be able to demonstrate the ability to analyse, evaluate and synthesise relevant knowledge and its application to their professional practice in relation to:

Selection and validation of appropriate tests

• normal and abnormal peripheral blood films including those flagged as abnormal by laboratory staff or automated cell counter
• the appearance of blood films in neonates, infants and children
• bone marrow aspirates and trephine biopsies

Scientific quality assurance of test procedures

• the appearance of bone marrow in neonates, infants and children
• the indications for use of cytochemical staining, immunophenotyping and cytogenetic and molecular markers as applied to blood and bone marrow samples
• the need to describe lymph node histology and classification of lymphomas

Validity and reliability of test results and their application

• CSF cytological appearances
• the principles of laboratory management.

Technical and clinical skills

By the end of the training period the trainee will be able to demonstrate a critical understanding of current relevant research, theory and knowledge and its application to the performance of the following technical procedures and laboratory skills:

• accurately report red cell and platelet abnormalities
• recognise acute and chronic leukaemia and malarial parasites on blood films
• interpret results
• have basic knowledge of lymph node histology
• be familiar with current classifications of Hodgkin’s and non-Hodgkin’s lymphomas, e.g. the WHO/revised REAL classification
• interpret presence of malignant cells in CSF
• be familiar with:
  • quality control including EQA schemes and CPA accreditation
  • commercially available laboratory computer systems, including hospital blood banking systems
  • staff performance management and appraisals
  • the requirements of clinical governance and regulatory issues
  • haemovigilance and reporting to SHOT
  • issues and requirements of informed consent
  • clinical trial guidelines (GCP)
• UK blood safety and quality regulations (2005) and requirements for traceability.

By the end of the training period the trainee will be able to apply knowledge of laboratory haematology to perform the clinical skills necessary to manage under supervision:

• to perform the clinical skills necessary to examine and interpret specimens in a systematic way.