Competency information

Details

Interpret laboratory data in light of clinical details and prepare basic interpretive written reports on patients with at least two of the following:

  • Polycythaemia
  • Peripheral blood with >20% blast cells
  • Pancytopenia
  • Lymphocytosis
  • Thrombocytosis

Considerations

  • The clinical features and haematological characteristics of:
    • Differential diagnosis of primary and secondary polycythaemia
    • Haematological malignancy
    • Pancytopenia can be a presenting feature of non-malignant as well as leukaemia/MDS, consider, HCL, severe sepsis, PNH etc
    • Lymphocytosis consider reactive v malignant
    • High platelets consider reactive v malignant
  • Relevant specific national/international guidelines
  • The information to be included in an interpretative report
  • How to construct an interpretative report and the format required for presentation
  • The lines of communication and responsibility for reporting reactions or complications both in the clinical management of the reaction and the documentation and reporting of the incident
  • Limits of responsibility in the authorisation and issue of interpretative reports
  • Normal and abnormal results and their significance to the clinical question or condition
  • Importance of pre-analytical variables
  • Reference values and the significance of abnormal results
  • Limitations of interpretation and reporting
  • How to deal with out-of-range quality control values

Relevant learning outcomes

# Outcome
# 1 Outcome Receive, prepare and process specimens for solid tumour investigation To include supervised dissection, tissue selection cutting, fixation and staining, as appropriate
# 2 Outcome Receive, prepare and process specimens for haematological malignancy investigation To include sampling methods, correct sample procedures, collection and storage of samples nucleic acid extraction and quality assessment
# 5 Outcome Perform a range of laboratory techniques used in screening and investigating histopathological and haematological malignancy disorders
# 6 Outcome Apply the principles of internal quality control and external quality assessment and draw conclusions about assay performance
# 7 Outcome Use laboratory IT systems for the safe handling, processing and storage of patient data
# 8 Outcome Interpret results of clinical diagnostic tests