Local Operating Procedure — Results

Requesting a test — at Greyswood Practice, St Johns Therapy Centre, Tooting South Medical Centre, Thurleigh Road Practice, Southfield Group Practice

A clinician requesting a test would need to ensure the correct templates are completed within EMIS in consultation mode. These templates include test request options that are linked to read codes enabling searches to pick up this information.

Test requests such as bloods and radiology are hand written, sent off and scanned back into the patients notes.

Requesting a test— at Bolingbroke Medical Centre

The clinicians can hand write but there is also a test request option on EMIS which can be generated through the following steps:

·  Go to “consultation” on EMIS , click on “add” then “test request” and “online test re- quest

·  Fill in the slots on the tabs named “request” and “order” then click on “finish

·  Make sure the correct paper for the test request is in the printer and place the pathol- ogy request face down with the triangle on the form facing you and print.

Retrieving pathology results from EMIS

Every fortnight a report is run to pick up the codes attached to the consultations where these tests have been requested.

The process is as follows:

Running the report

·  Go to EMIS tab on the top left hand corner

·  Select reporting and then population reporting

·  From the left hand side column select—Pathology Reports

·  Click on “Pathology to date” and select run, this should take a minute or so to load

·  Click on view results which should re direct you to a next page

·  Click on “Export results”, “Excel” and click on the tick boxes that say “replicate column headers” and “replicate patient details for each one”

·  Save this excel spread sheet as “Pathology” and the date for the day. (E.g. Pathology 01.01.01)

Editing data:

·  Open the sheet that you have saved in order to filter the information

·  Sort data by date column and delete any past recent test request data

·  Filter consultations column and delete all “blanks, no blood requested, report only, other referral”.

You should now be left with a current list of data that should be “Blood Sample request- ed”, “Pathology requested” and “Biopsy referral”, bear in mind that both dermatology doctors as well as MICAS clinicians request pathology tests.

·  Copy and paste all the information into a spread sheet named “Admin_PATHOLOGY 2015”, the sheet is colour coded and you can find the meaning of each colour on the sheet itself.

Retrieving results from EPR:

·  Log on to St Georges website (EPR) and with the patients NHS number search for the results by clicking on the tab named “Pathology reports”.

·  Once you have found the results follow the colour coding on the sheet appropriately and add the results to the patients record on EMIS.

Reporting of results:

·  The test results are then attached to an email sent to the clinician who initially requested the test.

·  The admin team will ensure that these results are uploaded to the patients record on EMIS.

·  The clinician will acknowledge receipt of the results and inform the admin team whether any action is required or not.

·  Depending on the result the clinician will ask for a patient to be contacted for a fol- low up appointment routine or urgent, referred on or discharged back to their GP with outcomes and all correspondence.

·  If you are not able to find the results you add a comment to the sheet and follow the colour coding appropriately, search again in two weeks time and if still no result is found you call the patient and ask if they have gone for their test.

If the referring clinician is on annual leave Shazia Ovaisi becomes responsible for reviewing all DERM results and Peter Thomson for MICAS.