pathology

The Department of Pathology at Good Samaritan Hospital consists of the Anatomic and Clinical Laboratory Services. It is a full service department providing tests for inpatients and outpatients. The Department is accredited by the Joint Commission on Accreditation of Healthcare Organizations, licensed by the State of New York and registered with the Food and Drug Administration. The laboratory operates 24 hours a day, seven days per week and is staffed with three pathologists and a skilled mix of 60 technicians, technologists and lab assistants, who utilize state-of-the-art technology that provides rapid, accurate, high quality test results. Pathologists are medical doctors who specialize in the diagnosis of disease, especially cancer and pre-cancerous conditions.

The Anatomic Pathology Service provides diagnostic reports on surgically removed specimens and a full spectrum of non-gynecologic cytologic material. The most current technologies, including Immunohistochemistry and Flow Cytometry, are available for analysis of solid tissue, fluids and blood specimens complimenting traditional diagnostic techniques. Performance of fine needle aspirations (FNA) and interpretation of the FNA are performed by the department. Cytogenic testing and Fluorescence In-Situ Hybridization are available through a reference laboratory with results generally available in five business days.

Pathology Associate of Rockland County, P.C. prides itself on the commitment to delivering timely and accurate diagnostic information to its physicians and patients. The pathologists are board certified, trained at internationally recognized university medical centers and have broad experience and subspecialty training. They maintain a professional relationship with the physicians at Good Samaritan Hospital and are always available to consult and discuss patient care. Because they are hospital-based they can review each biopsy with the physician and provide individualized attention to each patient. The Department Pathologists report on approximately 20,000 surgical and cytology specimens each year, one quarter of which originate in physicians' offices.

The pathology group includes three full-time pathologists, five consulting pathologists and one full-time pathology assistant committed to exceptional quality care.

The Clinical Pathology Service includes the following sections:

  • Hematology/Coagulation
  • Blood Bank/Donor Room
  • Chemistry/Serology
  • Microbiology

The Hematology Laboratory offers a varied test menu of hematology and coagulation assays. The primary hematology assay is the complete blood count, or CBC. The CBC is an excellent screening test and can aid the physician in the diagnosis of many medical conditions, including the various anemias and hematological malignancies. Additionally, the CBC can be used to monitor chemotherapy and radiation treatments.

Routine coagulation tests are used to detect clotting factor deficiencies and other conditions, which result in abnormal bleeding. Coagulation testing constitutes an important part of any screening used for surgical patients. Coagulation assays are also essential in the proper monitoring of patients receiving anticoagulant therapy for the treatment of thrombotic disease.

The Blood Bank is always staffed and a pathologist is on call at all times. Specimens are available for crossmatch for three days after collection. The Blood Bank maintains strict standards for specimen collection to ensure safe blood transfusion. Patients should be wearing a hospital armband that contains the patient's first and last names, date of birth and Medical Record Number.

Good Samaritan Hospital laboratory operates the only hospital-based blood donor collection facility in the region. This allows Good Samaritan Hospital to better meet the blood transfusion needs of their busy surgical, trauma, oncology, dialysis and medical services.

Collection of donor units for general inventory, as well as a special service for autologous (self) and directed donations and performance of therapeutic phlebotomy, is provided by the Donor Room staff. Community blood drives are run several times each month and can be arranged with the Blood Bank Supervisor.

The Clinical Chemistry laboratory tests for a broad range of analytes including general chemistries, therapeutic drug monitoring, immunochemistry, serum protein electrophoresis, immunoelectrophoresis, quantitative and qualitative pregnancy testing, serology, urinalysis, occult blood, urine triage drug testing. Blood-borne tumor markers are also assayed. The department oversees all point of care, notably glucose bedside testing. Esoteric testing is sent to a national laboratory, so virtually any laboratory test needed can be obtained through the department. Clinical Chemistry manages the processing of specimens.

The Microbiology laboratory performs diagnostic bacterial culture and antimicrobial susceptibility testing. In addition, the department performs fungus cultures identifying yeast only, examines specimens for ova and parasites and performs direct AFB smears daily, as well as testing for CDT, RSV and Influenza A & B antigen.

Results are entered into the Laboratory Information System (LIS), which is interfaced with the Hospital Information System (HIS). Nursing units can access results via the HIS. Stat printers are in the ED and on Acute Care units and results print immediately after verification in the laboratory. Results will be faxed if requested. Cumulative charts are printed and delivered daily to the nursing units. Final Chart copies print in the department of Health Information Management Reports. Final results are placed in physicians mailboxes, or mailed to non-staff physicians.

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