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Clinical Lab Tour - Hematology
A Clinical Laboratory Scientist in Hematology examines patient's whole blood to see that it is functioning normally. CLS's can examine blood smear for anemia, leukemia, cell reactions and other disorders.
 
Once a result is generated on an analyzer, a CLS uses a microscope to confirm the findings. All questionable blood smears are refered by the CLS to a pathologist.


Advia
 
The ADVIA 120 is a diagnostic instrument in hematology that analyzes whole blood to provide the following types of results:
 
 
advia
A complete Blood Count (CBC) including white cell differential
and a reticulocyte count (including the absolute count and indices).
 advia 120
Body Fluids
 
In the body fluids section of hematology, technologists examine fluids such as CSF and joint fluid for the presence of cells and correlate that information with normal values.
 
 
 bodily fluids
Joint fluids are also examined for crystals as seen in gout.
monosodium urate
Coagulation
 
The coagulation division of hematology utilizes the BCS and the Electra 1600C.
Tests that can be performed include PT, aPTT, thrombin time, factor assays, etc. to check how well blood-thinning medications (anti-coagulants such heparin or coumadin therapy) are working to prevent blood clots. 
 
bcs
These tests can also be performed as part of an investigation of a bleeding or thrombotic episode or to help evaluate the risk of excessive bleeding prior to a surgical procedure.
electra 1600c
Differentials
 
Differentials in hematology are performed by a technologist and not an analyzer.
Although the Advia can perform WBC differentials, when some parameter is flagged as being out of range, the technologist must examine the blood smear under the microscope to confirm the results.  
manual differentials
The technologist may be looking for platelet clumps or abnormal white blood cells. When any abnormal results are seen, the technologist refers the results to a pathologist.
blood
 

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