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The diagnostics suggest that our patient,
Mr Smith has uncontrolled diabetes mellitus hence the forming of the infection
under the foot. Furthermore, the hole (also known as a ulcer) forming was due
to a bacteria referred to as Staphylococcus aureus. The ulcer would be treated immediately;
Flucloxacillin will be prescribed however as penicillin in present in Flucloxacillin
therefore some patients may be allergic therefore under antibiotics will could
be used. Metformin hydrochloride to treat the Mr Smith’s diabetes also other
antibiotics maybe prescribed if needed.


All the data will be added the patients’ paper health recorded/
medical record, such data is held on computers which are protected using the best
anti-virus/ theft software’s. Hospitals are allowed to store such data because
they are registered to process personal and sensitive information under the Data
Protection Act 1998. The data can be accessed by the doctor or healthcare specialist
handling the patient’s case. Data may be shared with other NHS organisations
for research purposes also can be accessed by the law if a court order is
given. Furthermore, the patient can ask for a copy of their data or have errors
corrected. It is responsibility, by law; of all NHS staff to sustain
the patients confidentially.  The data
will be reviewed by the doctor carrying out the test also will suggest
diagnosis and treatment however before any treatment can be forwarded the
doctor has to consult with the consultant on the case.  

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Point of care testing (POCT) is a medical testing
procedure which can be done on the bedside of a patient; these tests include
urine and blood testing and are done by trained healthcare professional. POCT
is done to gain accurate results, within and small time frame also in an area
close to the actual patient.

An example of a point of care test is the
glucose test. The blood glucose test is done using a blood glucose meter, this
is used to understand the concentration of glucose in the blood in the arteries,
capillary’s or venous of a patient. Such a test is done to diagnose diabetes mellitus
also to monitor.

The advantages are that accurate results
can be obtained within a small time frame also at the bedside of a patient therefore
any issues be dealt with instantly. The blood glucose meter is portable and
light weight therefore can be carried around with ease hence can be used when
needed without any hassle.

The disadvantages include; the cost of
single use and the actual portable meter can average out greater compared to
the large platform in a central lab. Furthermore, the storing of the data obtained
by the blood glucose meter can be more of a hassle as each individual set of
data will be needed to be recorded and added to a database which is actually
time consuming in comparison to glucose determination done in the central laboratory.

The health and safety regulations and
legislations are enforced on all personals working or just visiting the lab,
the regulators of such laws are the HSE (Health and Safety executive) in the UK.
To ensure safety even prior to actually entering the laboratory, the COSHH form
had to be read as this is acquired by the Control of Substances Hazardous to
health 2002. The COSHH form allows for health hazards to be identified and how
to prevent such health hazards. Due to the COSHH form I was able to work safely
as I was aware of the health hazards and how to handle them also the risk
assignment is another document which was required by me to read through before
entering or carrying out a practical as acquired by the Approved Code of
Practice for the Management of Health and Safety Regulations 1999.

The risk assignment allowed for me to work safely
as all possible risks where highlighted and explained also ways to handle such
risks were also given. When I entered the laboratory, I first wore the required
personal protective equipment (PPE) which was goggles, lab coat and gloves.
Such equipment allowed me to work safely within the lab and during the course
of the practical as my eyes was protected from liquids and objects which could
harm them from entering my eyes, the lab coat protect my clothes from being
stained which can damage them also the lab coat helped decrease the chance of
chemicals leaving the lab (as they may attach to clothing) which can harm the
outer environment. The gloves ensured safety as they protected my hands from
possible irritation, or other form of harm. This was acquired due to the
Personal Protective Equipment Regulation 2002 and the Personal Protective
Equipment at Work Regulation 2002.      


A multidisciplinary team is a group of specialist from different
fields. In the course of this diagnostics, myself and the members of the team worked
in a multidisciplinary team to understand Mr Smith’s condition. The tests
carried out were linked to Clinical microbiology, haematology and Clinical
biochemistry all tests carried out were done by the whole team however by
splitting the work load. We did this to minimize time wastage as it would have
taken longer to complete each procedure one by one also to decrease chance of
confusion as such a factor would have had a unwanted effect on the end result.

 During the Clinical biochemistry
experiment, I had the duty of pouring and handling the solutions as I have a
steady hand therefore decreasing the chance of resource wastage also decreasing
the chance of injuring due to slipping or irritation due to solution coming
into contact with skin. This was effective as the experiment was carried out to
understand and determine the level of cholesterol of the patient and we did so as
the results gained were approved by the lecturer/biomedical specialist present.
Also, there weren’t any spills therefore any need for unnecessary time wastage
due to cleaning also no one was injure. The practical was completed within the
time given.      

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