Day in the life: A specimen and the laboratory professionals who help diagnose outcomes at Core Lab
When you get blood drawn, there are a number of professionals who interact with your specimen to get the results necessary for continuing your care. From the phlebotomist who draws your blood to the clinical laboratory scientist (CLS) who analyzes your result, clinical laboratory professionals are the backbone of helping doctors to diagnose illness.
Northwell’s new state-of-the-art Core Lab performs 20 million routine tests that Northwell performs annually within our laboratories and hospitals. Spanning 101,000 square-feet, it’s the largest health system-based lab in the region and the largest Roche chemistry and hematology line of its kind in North America.
We followed the route a specimen takes and met with the lab team members who play a vital role in the outcomes.
The Phlebotomist draws the specimen
Before any testing can occur, the specimen needs to be collected. Northwell’s phlebotomists meet with patients to draw their blood at the beginning of their care. “It’s the first step for everything medical,” says Bulah Martin, lead phlebotomist who has worked at Northwell for more than 10 years. Once the blood has been drawn, phlebotomists like Bulah let it clot before placing it in the centrifuge, scanning it in the system, and preparing it for transport. From there it’ll head to Core Lab for routine testing like abnormal cell screens and white blood cell counts.
The Transporter moves the specimen
After the blood is taken, the specimen has to travel from one of Northwell’s centers to our Core Lab. That’s where staff professionals who are transporters come in. Picking up the samples, they’re able to make sure that the specimens are delivered in a timely and safe manner. “It goes beyond driving and transporting specimens,” says Gavendra Kuarlall, route service representative, “we’re part of helping patients at the onset of their medical needs.”
Lab Accessioner processes the specimen
Now that the specimen has been delivered, it’s time for processing. Lab accessioners have the important job of entering the specimen’s information, verifying the information to ensure accuracy, and sorting it into the right department. “Making sure the samples are correct and accurate impacts the patient care,” says Claudia Coronado, a senior accessioner who has worked at Northwell for more than 11 years, “and we take pride in what we do.”
Once the specimen has been processed and sorted, runners get the specimens where they need to go. A runner at the Core Lab, however, won’t have much need to actually run. This state-of-the-art facility has two parallel automatic testing lines to efficiently transport specimens for the laboratory’s chemistry and hematology testing.
Clinical Laboratory Scientists analyze the specimen
Advanced robotics testing systems and automatic testing lines within departments like Hematology allow clinical laboratory scientists to focus on monitoring accuracy and quality. “I’ve always wanted to be in the medical field using my scientific knowledge,” says Kelly Kim, a technical specialist in Hematology, Coagulation and Analysis. “This field is perfect for putting both together.”
Blood Bank Technologists analyze the specimen
Certain testing may require interaction with a blood bank technologist, like Trisha Jaikaran, who tests the sample for blood type, blood screens, and antibody screens. At the Core Lab, they test mainly the OB-GYN patient population and work with the doctors and Client Services to deliver patients their results.
“Being part of the Core Lab, you have the opportunity to learn about the other side of patient care,” says Trisha who has worked at Northwell for nearly three years, “The knowledge you gain from the more experienced technologists is great. There’s a lot of theoretical work beyond just the automated tests – you’re learning something new every day. It keeps you on your toes.”
Lab Client Services team provides specimen testing updates
When the specimen is done with testing, it’s time for the patients to get their results. That’s where Client Services come in. This team acts as a liaison between the clinical laboratory and the doctors. Handling around 2,000 inbound calls a day, Client Services helps doctors who are looking for results, status updates, pick-ups, or additional information. Suzana Mathew, an educator who has worked in Client Services for six years, likens it to being a detective, “There can be a lot of mystery solving to get the right answers for the doctors. I enjoy the technical side where I can help doctors understand their results, track down the answers they need and assist with next steps.”
As an educator, Suzana works with new employees through their six months of training and offers support beyond that period. “Working in Client Services is a great place to start because as you grow, you learn about every part of the lab. It trains you to be a well-rounded professional.”
While getting blood results may seem simple, there are a lot of clinical laboratory team members working behind the scenes to ensure results are delivered accurately, timely, and safely. From sample to results, our laboratory professionals work together to deliver the best patient care possible.
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