Personal Details - Institute of Biomedical Science · 2016. 6. 28. · Biomedical Science. This qualification confers eligibility to upgrade Institute membership to the class of Member,

Personal Details

Candidate Name:

IBMS Membership Number:

HCPC Registration Number:

Date of HCPC Registration:

Training Laboratory Address:

Telephone Number:

Date Specialist Training Commenced:

Name of Training Officer:

Confirmation of Completed Training

Date Training Completed Training Officer’s Signature Candidate’s Signature

Recommendation for Award of Specialist Diploma

Date of Examination External Examiner’s Signature External Examiner’s Name

1

MAIN CONTENTS

SECTION

PAGE

Introduction

3

Glossary

4

Section One: Haematology

6

Section Two: Hospital Transfusion Practice

10

Section Three: Clinical Chemistry

14

2

Introduction

The IBMS has developed the Diploma in Biomedical Science to enable the recognition of

structured, standardised post-registration training and assessment of registered biomedical

scientists in a newly emerging multi-disciplinary service.

The Diploma in Biomedical Science will be issued to current corporate members of the Institute

who have the support of their employer to ensure the provision of appropriate training and

assessment for completion of the portfolio.

Successful completion of the portfolio will lead to the award of a discipline specific Diploma in

Biomedical Science. This qualification confers eligibility to upgrade Institute membership to the

class of Member, provided the individual holds the correct number of years’ professional

experience.

This qualification can be used as evidence for biomedical scientists to demonstrate specialist

knowledge and skills required for career progression.

How to Use this Portfolio

This portfolio is comprised of core sections for each discipline. A minimum of two sections must

be completed; however, more section may be completed if appropriate. Selection of sections

should be guided by the service provision of the employer.

Each section has modules which address a range of knowledge and skill appropriate to the

discipline. Each candidate must complete all modules and fulfil the evidence of achievement

requirements.

The modules are informed by the IBMS Specialist diplomas but are not identical and as such there

is no formal top up mechanism available for members who wish to complete subsequent

additional modules from the specialist diplomas. However, as training is at the same level as the

specialist diplomas candidates will be able to transfer appropriate evidence across ensuring it

meets the evidence of achievement requirements of the relevant portfolio and remains current.

Please refer to the ‘IBMS Diploma in Biomedical Science Guidance Notes’ for further information.

3

GLOSSARY

The following terminology is used throughout the portfolio.

BE AWARE OF A general appreciation of the content of the key task.

KNOW A working knowledge (can describe) of the facts associated with the key task.

UNDERSTAND Thorough comprehension (can explain) of the principles and concepts of the content of the key task.

COMPETENT

Has the ability to perform a test, procedure or area of practice to a set standard on more than one occasion, in a consistent manner and with minimal or no supervision, together with a thorough comprehension of the principles and concepts of the content of the key task.

EVIDENCE OF ACHIEVEMENT

The qualification will only be awarded if there is supporting evidence (as indicated in the portfolio’s Evidence of Achievement section) that competence has been achieved. This evidence will be presented as a portfolio, logically and cross-referenced to the relevant module or sections it supports.

Suggested examples of evidence:

• Annotated photomicrographs

• Annotated copies of blood results

• Tutorial notes for question and answer sessions

• Case study

• Reflection on a training session

• Witness testimonies

4

CPA Clinical Pathology Accreditation

UKAS United Kingdom Accreditation Services

HCPC Health and Care Professions Council

WHO World Health Organisation

SOP Standard Operating Procedure

SoP Health and Care Professions Council Standards of Proficiency

Internal Assessor An individual responsible for reviewing the standard and confirming appropriate demonstration of competence and compilation of evidence

Trainer In individual who is able to provide training to the necessary level and assess competence

Trainee An individual undertaking a qualification. This does not refer to any staff title of grade

5

HAEMATOLOGY

6

CONTENTS

Standard

Page

1.1 Cell Counting and Haemoglobin Concentration Measurement

8

1.2 Erythrocyte Sedimentation Rates (ESR)/Plasma Viscosity

Not available in abridged reference copy

1.3 Identification and Enumeration of Peripheral Blood Cells by Microscopy


1.4 Infectious Mononucleosis


1.5 Sickle Cell


1.6 Malaria Parasites


1.7 Haemostasis Function


1.8 Fibrinogen


1.9 Fibrin Degradation Products


1.10 Anticoagulant Therapy


Reflective Log


7

1.1 Cell Counting and Haemoglobin Concentration Measurement

Be able to perform cell counting by automated methods.

KNOWLEDGE

• Understand the principles and practice of optical and impedance automated cell counting methods for:

o Leucocytes;

o Erythrocytes;

o Platelets;

o Reticulocytes;

o White cell differentials.

• Understand the use of calibration and control materials and how to deal with out of limit values.

• Know the correct preparation of samples for testing and pre-analytical factors that could affect accuracy of the results.

• Know the effects of haemolysis, lipaemia, icterus and storage conditions on laboratory results.

• Understand the use of reference values and the significance of abnormal results.

• Be aware of the limitations of tests and further investigations that may be required.

• Know the relevant internal and external quality assurance procedures.

COMPETENCE

You must be able to:

• Check the suitability of sample quality for analysis.

• Match sample to patient unique identification and confirm urgency of analysis.

• Prepare and operate named automated analysers for routine use.

• Perform analysis In accordance with standard laboratory procedure.

• Critically evaluate results.

• Complete all relevant documentation (paper or electronic) in accordance with quality assurance and audit requirements.

8


This section requires the trainer to sign that the specialist trainee has successfully achieved fitness to practice as a biomedical scientist at the specialist level. The specialist trainee is required to present the supporting evidence indicated below as a separate specialist portfolio of evidence.

Assessed by trainer to work in accordance with standard laboratory procedures.

Date of completion:

Trainer’s name:

Trainer’s signature:

Answered questions set by trainer on the principles and practice of named procedure.

Date of completion:

Trainer’s name:


One other piece of evidence chosen by the candidate as an example of their fitness to practice in performing the named procedure.

Date of completion:

Trainer’s name:


Evidence of competence for this standard has been assessed and passed by the internal person who has checked that the requirements in the Evidence of Achievement section have been met.

Internal Assessor’s signature:

Internal Assessor’s name:

Date:

9

HOSPITAL TRANSFUSION PRACTICE

10

CONTENTS

Standard

Page

2.1 Routine ABO/D typing and antibody screening

12

2.2 ABO and RhD Anomalies


2.3 Antibody Identification


2.4 Red Cell Phenotyping


2.5 Selection of Red Cells and Components


2.6 Procedures for Establishing Compatibility


2.7 Issuing of blood components and products


2.8 Blood Stocks Management


2.9 Adverse Reactions and Events in Transfusion


2.10 Antenatal Testing and Procedures


2.11 Haemolytic Disease of the Fetus and Newborn


2.12 Investigation of Red Cell Autoantibodies


Reflective Log


11

2.1 Routine ABO/D typing and antibody screening

Be able to perform patient ABO/D typing and antibody screening

KNOWLEDGE

• Understand the basis of the major blood group systems - genes, antigens, and antibodies, and their clinical significance in transfusion medicine.

• Know the principles of the indirect antiglobulin test (IAT), and of commonly used technologies available for detection of clinically significant antibodies.

• Know the factors affecting antigen-antibody reactions in-vitro.

• Know the principles of serological tests used in manual and automated blood grouping and antibody screening, their appropriate use and potential sources of error.

• Understand the increased security afforded by the electronic transfer of ABO/D and antibody screening results from automation to the LIMS.

• Know the specifications of reagents for patient blood grouping and antibody screening, the rationale behind their selection, and controls required depending on the testing system and methods used.

• Understand the use of potentiators in routine reagents and the potential difficulties in result interpretation.

• Know how to validate reagents prior to use and actions to take in any cases where validation fails.

• Know the minimum specifications for blood grouping in emergency situations, and before the issue of group compatible blood.

• Know the relevance of erroneous and anomalous results patient testing.

• Know the relevant internal and external quality assurance procedures.

• Be aware of local policies and procedures and national guidelines covering all of the above.

COMPETENCE


• Apply sample acceptance criteria and demonstrate understanding of the risks associated with inadequately labelled samples in transfusion

• Perform indirect antiglobulin tests (IAT) and demonstrate an understanding of possible sources of error dependent on the technology used and the patient’s clinical condition.

• Perform blood grouping and antibody screening tests using manual and automated methods.

• Complete all relevant documentation accurately and in accordance with quality control and audit requirements, use IT and follow procedures to minimize the risk of transcription error.

• Select and apply appropriate controls, recognise control failures and identify further actions required.

• Interpret patient blood grouping and antibody screening results, recognise anomalies and identify further actions required.

• Provide safe blood components for patients (if clinically necessary) before a confirmed ABO/D result can be established.

12




Date of completion:

Trainer’s name:



Date of completion:

Trainer’s name:



Date of completion:

Trainer’s name:





Date:

13

CLINICAL CHEMISTRY

14

CONTENTS

Standard

Page

3.1 Laboratory Automation

17

3.2 CRP


3.3 Sodium


3.4 Potassium


3.5 Acid Base Disorders


3.6 Urea


3.7 Creatinine


3.8 Osmolarity


3.9 Bilirubin


3.10 Alkaline Phosphatase


3.11 Transaminase Enzymes (ALT and AST)


3.12 Gamma Glutamyltransferase ( GT or GGT)


3.13 Glucose


15

3.14 Glycated Haemoglobin (HbA1c)


3.15 Lipids


3.16 Troponins


3.17 Creatinine Kinase


3.18 Investigations for Disorders of Calcium, Phosphate and Magnesium Homeostasis


3.19 Urates


3.20 Core Drugs


3.21 Carbon Monoxide


3.22 Ethanol


3.23 Paracetamol


3.24 Salicylate


3.25 Thyroid Hormones


3.26 Sex Hormones


3.27 Adrenal hormones


Reflective Log


16

3.1 Laboratory Automation

Be able to perform a standard range of analyses on automated analysers commonly found in clinical chemistry laboratories.

KNOWLEDGE

• Know which tests can be analysed on the automated analysers utilised in clinical chemistry laboratories both broadly in terms of applied technique and specifically in the employing laboratory.

• Know the key automated steps within the analyser.

• Know the name, location and function of the key mechanical components of automated analysers and how they contribute to the analytical process.

• Know the pre and post analytical laboratory processes that can be automated either as stand-alone automation or integrated with the analysers, for example with tracking systems.

• Understand the scientific principles and application of the analytical techniques employed on the automated instrumentation:

o Spectrophotometry;

o Immunoassay;

o Electrochemistry.

• Know the range of samples that may be analysed on general chemistry and immunoassay analysers.

• Know the structure of the instrument software/ user interface.

• Know the function and design of the basic instrument and chemistry parameters.

• Be aware of factors affecting sample integrity and appropriate corrective action.

• Know specific health and safety risks associated with the analyser’s general and specific

reagents.

• Know the procedures associated with running internal quality control and the interpretation

of the QC data.

• Know which maintenance procedures are undertaken on a daily, weekly, fortnightly or less frequent interval on general chemistry and immunoassay analysers.

17

COMPETENCE


• Undertake standard maintenance of automated analysers.

• Calibrate and quality control a standard repertoire of tests on automated instruments, including the interpretation of calibration and quality control data

• Assess the suitability of clinical samples for analysis on the appropriate laboratory analyser and take appropriate action if not.

• Perform named test in accordance with standard laboratory procedure.

• Monitor results, consider possible interference, and take appropriate action.

• Identify abnormal results and likely significance to clinical detail.

• Complete all relevant documentation in accordance with quality control and audit requirements.

18




Date of completion:

Trainer’s name:



Date of completion:

Trainer’s name:



Date of completion:

Trainer’s name:





Date:

19

About this document

Title: Diploma in Biomedical Science (abridged reference copy)

Produced by: Education Department

Version: Version 1

Active date: January 2015

Review date: January 2016

Contact: Education Department

T: +44 (0)20 7713 0214

E: [email protected]

Copyright and disclaimer

This document and its contents including the IBMS logo are the property and trademarks of the Institute of Biomedical Science. The copyright on this material is owned by the IBMS (unless otherwise explicitly stated). This document or no part of it may be copied, reproduced, republished, downloaded or transmitted in any way, other than for your own personal, non-commercial use. Prior written permission must be obtained from the IBMS, using the contact details on the final page, for any other use of this material. All rights are reserved.

copyright © Institute of Biomedical Science 2011

About IBMS Publications

The Institute publishes a wide range of professional and scientific publications and guidance. Further information and downloadable publications: wwww.ibms.org/publications

20

Documents

Personal Details - Institute of Biomedical Science · 2016. 6. 28. · Biomedical Science. This qualification confers eligibility to upgrade Institute membership to the class of Member,