usafsam immunodiagnostics laboratory 25 march 2010 presenters: ssgt shoup, ssgt eccleston...
TRANSCRIPT
USAFSAMIMMUNODIAGNOSTICS
LABORATORY
25 March 2010
Presenters: SSgt Shoup, SSgt Eccleston
Distribution Statement A: Approved for Public Release; distribution is unlimited. 311ABG/PA No. 10-083, 12MAR2010
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Departments of Epidemiology LaboratoryFirst to move – Immunodiagnostics
Sections of Immunodiagnostics
Phasing of personnel and instrumentationModular facility for testingPreparations both at Brooks City-Base and at Wright-Patterson AFBTransition of testingThe effects of moving in relation to customer care – minimal ADVON team
“We’re Moving – Not Closing”
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Brooks City-Base Lab
Departments of the Epi Laboratory
Immunodiagnostics
Microbiology
Virology
Bacteriology
Parasitology
Molecular
Shipping/Receiving
Customer Service
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Immunodiagnostics
Largest department in the Epi Laboratory
Performs over 90% of patient workload
Chosen to relocate first due to size of instrumentation and workload volume
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PHE FY 2009 WORKLOADTotal Tests: 2,039,587
Immunodiagnostics Tests: 1,896,006Other PHE Tests: 143,581
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Sections of Immunodiagnostics
HIV
HEPATITIS
EIA
BIOPLEX
IFA
GC/CHLAMYDIA
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Sections of Immunodiagnostics
HIVAutomated testing performed on Siemens Centaur XP analyzer: HIV Screens
Semi-Automated testing performed using BioRad AutoBlot 3000: HIV Western Blots
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Sections of Immunodiagnostics
HepatitisAutomated testing performed on Siemens Centaur Classics: Hepatitis (A, B, C) Panels
Reflex testing for Hepatitis B positive results
Manual HBeAg/HBeAb ELISA testing
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Siemens Centaur Classic/XP
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BioRad AutoBlot 3000
Semi-Automated Western Blot analyzer
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Sections of Immunodiagnostics
Enzyme Immunoassay (EIA)
Tests performed on Trinity-Biotech DSX analyzer: CMV G/M, H. Pylori, Lyme AB, Rubeola, Mumps, Varicella
Tests performed on BioRad Bioplex analyzer: ANA, EBV G/M, HSV I/II, Syphilis
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Trinity DSX and BioRad Bioplex
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Sections of Immunodiagnostics
Immunofluorescent Assay (IFA)
Confirmatory methods performed: CMV M and WB Lyme M
Manual tests performed: Auto-Antibody, Coccidioides, FTA-ABS, Mycoplasma, Q Fever G/M, Rickettsia, VDRL
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Sections of Immunodiagnostics
Miscellaneous Testing
Automated testing performed on Gen-Probe Tigris analyzer: Gonorrhea/Chlamydia
Automated testing performed on Siemens Centaur XP analyzer: Rubella G/M, Toxoplasma, Thyroid AB
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Gen-Probe Tigris
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BRAC Personnel
Movement of military and civilian personnel in 3 phases
Phase 1– ADVON team 6 mil, 2 civ PCS June 2010, Lab Director PCS Oct 2010
Phase 2– 3 mil, 2 civ PCS December 2010
Phase 3– 2 civ PCS January 2011
TDY– 2 civ for validation studies on instrumentation
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BRAC Analyzers
Movement of instrumentation in 2 phases
Phase 1 – July 2010 2 Bioplex analyzers (1 from BCB to
WP,1 new one from BioRad) 2 Tigris analyzers – brand new from
GenProbe 4 Centaur analyzers – brand new from
Siemens
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BRAC Analyzers
Movement of instrumentation in 2 phases
Phase 2 – Jan 2011 1 Bioplex analyzer (BCB) 1 Tigris analyzer (BCB)
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Preparations while at BCB
Upfront plans completed prior to move
Interop CHCS test files
Contracts – Equipment (new and reagent rental, Personnel, Supplies)
Accreditations (CAP, CDC, etc.)
OIs/SOPs, Policies, Procedures
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Preparation for Testing at WP
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Moving trucks arrive Jul 2010
Unpacking/Laboratory Set-up
Computer set-up/access
Vendors and analyzers
ValidationVendors
Technical Supervisors
Initial testing scheduled to begin Oct 2010
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Testing Samples
Transition of patient samples to WP
Timeline30% – 15 Oct 2010
60% - 15 Nov 2010
100% - 15 Dec 2010
VolunteersFirst come, first serve!
CAP Inspection
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Streamlined Process
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Dual-Operations
Full transition to Wright-Patterson
6 month process
Turn-Around Times
Maintained
Modular Bldg
18-month contract – Jan 2012
Transition to new facility after everyone else
Instrumentation
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Streamlined Process
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Summary
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Breakdown of the Epi labs departments and sections
Analyzers used for testing
Transition of personnel and equipment to Wright-Patterson
Testing samples and streamlining the ability to perform dual-operations
Your ADVON team members
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ADVON Team Members
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Back: TSgt Mario Sulit, SSgt Andrew Eccleston, SSgt LeVaughn
Grant, Clay Huddleston
Front: Lt Col Kathy Taylor, SSgt Jennifer Shoup, Annette Compton,
SSgt Robert Bennett, Elsie Martinez
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Questions?
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United States School of Aerospace Medicine
Epidemiology Laboratory Service(USAFSAM/PHE)2730 Louis Bauer DriveBrooks City-Base, TX 78235-5132
EPI Lab Customer Service TeamDSN: 240-8378Commercial: 210.536.8378Email: [email protected]: https://kx.afms.mil/epi/