1 / 25

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

flacroix
Download Presentation

Bacteriology - The Future

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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

More Related