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Bacteriology - The Future

Bacteriology - The Future. Problems and solutions Stuart Matthews Laboratory Manager Department of Medical Microbiology Salisbury District Hospital. Bacteriology - The Future. Service Requirements: To provide a 24 hour 7 day service To remain within budget To conform to CPA standards

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Bacteriology - The Future

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  1. Bacteriology - The Future Problems and solutions Stuart Matthews Laboratory Manager Department of Medical Microbiology Salisbury District Hospital

  2. Bacteriology - The Future • Service Requirements: • To provide a 24 hour 7 day service • To remain within budget • To conform to CPA standards • To reduce overtime costs • To recruit and retain quality staff • To maximise the efficient and effective use of staff and resources • To increase the quality of life of existing staff

  3. Bacteriology - The Future • The Problems: • Insufficient qualified staff • Rising workload • Increased overtime costs • Recruitment problems • Late arrival of specimens • Vacancies increase pressure on existing staff • Requirement to cover for absences of medical staff • Danger of increase in stress related sickness

  4. Bacteriology - The Future • The Problems: • Quality of work going down • Internal quality control being performed intermittently • Non-essential work not being done • Danger of losing CPA accreditation • Increased use of locum staff (£42644, ‘03 to date) • Only four qualified staff to cover out of hours service • Requirement to do overtime every night

  5. Bacteriology - The Future Solutions: 1. Increase the staff establishment to cope with the work 2. Move all bacteriological processing to a nearby hospital laboratory 3. Invest in total laboratory automation

  6. Bacteriology - The Future • Solution 1 ~ Increase establishment • Would need to increase our staffing levels by 4.6 wte (2 BMS 1 and 2.6 MLA) just to cope with current workload • These figures are based on average staff establishment in European laboratories • This assumes we could recruit qualified staff given the national shortage • This would greatly increase our budgetary requirements • We do not favour this approach

  7. Bacteriology - The Future • Solution 2 ~ Sub-contract • Can another laboratory cope with our workload? • Cost of couriers? • Requirement for a ‘hot-lab’? • Transport delays • Delivery of results back to requestors • Effects on service delivery • Where would the medical staff be based? • Loss of staff here and recruitment problems at contracting laboratory

  8. Bacteriology - The Future • Solution 3: • Automation - The Paradigm Shift !!! • Senior staff believe this to be the future of bacteriological processing • Allows more efficient use of scarce resources (staff) • Allows current staff to cope with workload • Raises the quality of life of staff • Lessens the need to increase establishment • Eliminates the requirement for overtime to deal with the current workload

  9. Bacteriology - The Future • Solution 3: • Automation - The Paradigm Shift !!! • The Kiestra approach: • A truly new approach to bacteriological processing • Kiestra works in partnership with the laboratory • System being constantly developed • System flexible to reflect workload • No extra space required

  10. Bacteriology - The Future • Solution 3: • Automation - The Paradigm Shift !!! • Will complement other automation such as the blood culture urine analyser • Full audit trail to comply with CPA • Can be interfaced with our LIMS (Telepath)

  11. Bacteriology - The Future • What can Kiestra offer us? • A way to cope with increased demand during a time of skills and financial shortage • A more efficient use of scarce staff resource • Selection, labelling and presentation of plates to staff ready for inoculation • Selection of plates post incubation for further work or discard • Photographic record of each plate presented to the BMS for interpretation or you can work from the plates • A full audit trail

  12. Bacteriology - The Future So what does it look like? The system is configured to suit the individual requirements of each laboratory Some examples of this are:

  13. Bacteriology - The Future General view showing tracking and stackers

  14. Bacteriology - The Future Tracking system and workstations

  15. Bacteriology - The Future Plate sorters

  16. Bacteriology - The Future Bench height can be adjusted to individual needs

  17. Bacteriology - The Future Workbench showing display screen

  18. Bacteriology - The Future Laboratory view showing work stations

  19. Bacteriology - The Future Printing barcodes onto plates

  20. Bacteriology - The Future Plates entering the incubator

  21. Bacteriology - The Future Plates are moved within the incubator on the tracks

  22. Bacteriology - The Future Scanning images of plates

  23. Bacteriology - The Future Discard door, track, and discard bin

  24. Bacteriology - The Future The plan for the Salisbury laboratory

  25. Bacteriology - The Future

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