Departments also include the following:
Support Services Department
The support service area of the laboratory is responsible for blood specimen collection throughout the hospital and in outpatient draw stations. Phlebotomists
drawing specimens from pediatric patients receive advanced training in pediatric procedures and techniques. Clerical staff enters outpatient laboratory orders in the information system and responds to customer service inquiries. They also compile data for accurate admission and billing of hospital outpatients and clients. LIS staff maintains the laboratory database in Ulticare and is responsible for Informedics in the transfusion service. They also provide hardware support throughout the department.
School of Medical Technology
The Saint Francis Hospital School of Medical Technology, established in 1964, is accredited by the National Accrediting Agency for Clinical Laboratory Sciences
. The program provides clinical education for students seeking a baccalaureate degree in laboratory medicine. The program has graduated 250 students with over 50 percent employed at Saint Francis Hospital. Graduates of the program routinely place in the top 15 to 25 percent nationwide on the ASCP certification examination. The program currently accepts
up to 10 students annually.
Point-of-Care Testing and Ancillary Laboratory Department
The Laboratory oversees the Point of Care (POC) testing program throughout the hospital. Waived testing, as defined by Clinical Laboratory Improvement Amendments
, is under the direction and certificate of Patient Care Services. Non-waived testing is under the direction and accreditation of the Laboratory. The Laboratory is consulted when new POC tests or sites are evaluated; selection of equipment is a joint responsibility. Blood gas/electrolyte equipment maintained by the laboratory is available in all critical units. Oversight of testing performed at off-site locations and laboratories is conducted by this department.
The general chemistry section provides the range of tests offered in most large facilities, including quantitative proteins. The toxicology subsection provides therapeutic drug monitoring and qualitative screening for all commonly abused legal and illegal drugs. Troponin I levels for immediate evaluation of chest pain patients are performed according to established cardiology criteria. The laboratory also supports numerous research and experimental drug protocols.
Microbiology utilizes numerous rapid detection systems in order to provide turnaround time of 24 to 36 hours for the identification of many organisms. DNA probes are used to enhance performance for selected organisms. Testing is offered in all specialties: Bacteriology, Mycology, Parasitology, Mycobacteriology and Virology.
Transfusion Service Department
The laboratory operates a comprehensive transfusion service. It is staffed 24 hours a day by medical technologists certified by the American Society for Clinical Pathology
, including two with specialty certification in Blood Bank. The director of the transfusion service department is board certified in Clinical and Anatomic Pathology with a subspecialty in Immunohematology.
The transfusion service processes and transfuses over 20,000 components a year. The cross match to transfusion (C:T) ratio for Saint Francis Hospital
is 1.2:1. Blood products are supplied by the Oklahoma Blood Institute
(OBI). The hospital maintains an inventory of at least 100 units with a 30-minute response time from OBI. In addition, the transfusion service department provides storage and reinfusion support for the autologous bone marrow and peripheral blood progenitor cell harvest and transplantation programs.
Hematology performs routine hematology, coagulation, urinalysis and bone marrow tests. Special coagulation studies and factor assays are conducted to fully evaluate bleeding disorders. PTT testing for patients on weight-based heparin therapy protocols is closely coordinated with nursing personnel for rapid response.