• Iizuka Hospital
  • Kochi Medical School Hospital
  • The Fraternity Memorial Hospital
  • Gifu University Hospital
  • Kitano Hospital
  • Iwate Medical University Hospital
  • Yamaguchi University Hospital
  • Kurashiki Central Hospital
  • Goto Central Hospital
  • Kishiwada City Hospital
  • Aso Iizuka Hospital
  • Kochi Medical School

Laboratory Reports

Kishiwada City Hospital Sep.2002

I. Preface

The Kishiwada City Hospital has started in 1936 with the philosophy “providing high-quality advanced medical service from the heart”. In 1996, the new hospital was built to provide higher medical service with the set up of an emergency medical system. Between 2001 and 2002, they updated the Laboratory Automation System and expanded the operation rooms.
We are pleased to introduce the laboratory of Kishiwada City Hospital.

<Kishiwada City Hospital>

Address: 1001, Gakuhara-cho, Kishiwada-shi, Osaka 596-8501
TEL 0724-45-1000
No. of Dept.: 24
No. of Beds: 350
No. of Staff: 482

Kishiwada City Hospital

II. Outpatient Blood Collection Room

The outpatient blood collection room where we come in contact with patients is designed to be an open and bright space. The laboratory is located in the back where samples are sent to immediately.

Outpatient Blood Collection Room

III. Laboratory Automation System

Clinical Chemistry and Serum Immunology Tests with LAS

Chief Technologist Asayama:
The connected unit was expanded from only clinical chemistry to serum immunology when the system was renewed in 2002. It increased efficiency that enabled us to set up a Counseling Room for test inquiries and information which will be explained below.

LAS

zoom

Samples are put into LAS after centrifugation. The sample goes to the aliquot unit to make a daughter sample for the Modular Analytics <E> and off-line analyzer. Afterwards, it is passed to the following analyzers, TBA-200FR (x2), EA06U (x2), 502X, Lumipulse f, and Modular Analytics <E>. After testing, a stored sample is prepared by APS-3100 and stored in the terminal stocker.

Clinical Chemistry Area
Clinical Chemistry Area

Modular Analytics<E>
Modular Analytics<E>

Lumipulse f
Lumipulse f

APS-3100
APS-3100

Items

TBA-200FR GOT,GPT,ALP,LDH,G-GTP,T-BIL,D-BIL,CH-E,TP,ALB,BUN,
CRE,UA,T-CHO,HDL-CHO,LDL-CHO,TG,Ca,IP,Mg,GLU,AMY,
P-AMY,CK,CKMBact,UIBC,Fe,CRP,RPR,TPAb
EA06U Na,K,Cl
502X ASO,RF,IgA,IgG,IgM,C3,C4,BMG,Ferritin,Phny,Phno,Carb,
Valp,Theo,Digo,BTR Amino.,BTR Tyrosine,Urine CRE,Urine UN,
Urine UA,Urine Ca,Urine IP,Urine Mg,Urine GLU,Urine AMY,
Urine TP,Urine M-ALB, Urine BMG,Urine NAG
Lumipulse f HBsAg,HBsAb,HBeAg,HBeAb,HBcAb,HCVAb,HIVAb,HTLVAb
Modular Analytics<E> TSH,FT3,FT4,T3,T4,TNT,MYO,CKMBpro,AFP,CEA,CA19-9,
CA15-3,CA125,T-PSA,F-PSA

Off-line analyzers

CTE-700 PF
Picolumi PIVKA
IMX SCC
INTEGRA Vanc
Manual Test Mycoplasma, Cold agglutinin, LE factor, Isozyme

Blood Test

Blood Test

The sample is measured by HST-N402 and smear is prepared. The microscopy area is located in front of the analyzer for efficient work operations.

IV. LIS and Zonal Verification Method

The Fujitsu’s LIS that operates the ordering system is used. The acquired data by the analyzer connected to LAS is supervised by LAS and sent to LIS in a mass. A&T’s Zonal Verification Method set at LAS verifies independent results which has decreased rerun frequency.

LIS Servers
LIS Servers

Servers for Zonal Verification Method
Servers for Zonal Verification Method

V. Counseling Room for Test Inquiries and Information

There is a room next to the blood collection room. It provides information on testing for patients as well as for other departments in the hospital. At present, mainly two technologists provide services but once we prepare a manual, we will have other technologists involved.

Counseling Room

VI. From Chief Technologist Asayama

Chief Technologist Asayama:
With the implementation of immunoassay in addition to the conventional clinical chemistry testing in LAS at the time of system renewal in 2002, we have been able to provide extensive service to patients through the counseling room service due to operations which became even more efficient.
If laboratories and technologists merely produced test results, our existence value could be questioned. Our aim is to be actively involved outside of the laboratory as part of the “medical team” as we further improve on efficiency so that our existence as a laboratory become even more invaluable. (Photo shows Chief Technologist Asayama who is also the Vice President of the Japanese Association of Medical Technologists <JAMT>.)

Chief Technician Asayama

Special thanks to Chief Technologist Asayama and the laboratory staff of Kishiwada City Hospital.