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A fond farewell to pathology after 48 years

A fond farewell to pathology after 48 years

A successful career in pathology came to an end recently for Shan Tredinnick, a hospital scientist at NSW Health Pathology’s Orange Laboratory. She has retired after 48 years in the health sector, including 35 years with NSWHP, leaving a lasting legacy for those she has helped to train over the decades.

After 48 years work­ing in the health sec­tor, hos­pi­tal sci­en­tist Shan Tredin­nick has hung up her lab coat and cel­e­brat­ed her retire­ment with col­leagues at NSW Health Pathology’s Orange Laboratory.

She began her career at Orange Base Hos­pi­tal in Cen­tral West NSW in 1974.

Shan says she did­n’t real­ly know what the job would be but loved it from the moment she set foot in the laboratory.

Over the years, she has worked in the pri­vate sec­tor in var­i­ous loca­tions, Shoal­haven Dis­trict Hos­pi­tal in Nowra, Grif­fith, Bathurst and then return­ing to Orange where she has worked for the last 12 years.

As a mul­ti-skilled sci­en­tist, Shan has worked in all depart­ments from Haema­tol­ogy to Chem­istry, Trans­fu­sion, and Microbiology.

“In lat­er years my pas­sion was Haema­tol­ogy Mor­phol­o­gy,” she said.

“I loved train­ing mem­bers of staff in the review of blood films.

“It gave me great sat­is­fac­tion to see my staff grow in con­fi­dence as they improved their skills.”

She also served as chair­per­son of the South West divi­sion of the Aus­tralian Insti­tute of Med­ical and Clin­i­cal Sci­en­tists (AIMS) from 2004 to 2016, coor­di­nat­ing con­fer­ences each year and net­work­ing with com­pa­nies, speak­ers and lab staff from across NSW.

Shan is now hop­ing to find time to trav­el, get back to the gym and swim­ming pool, and indulge in crafts like lead­light­ing, knit­ting, sewing, and quilting.

We wish her all the best for her retirement!

Forensic Medical Imaging

The role of CT scanning in helping to determine cause of death.

Images pro­duced by CT scan­ners pro­vide valu­able sup­port to Foren­sic Pathol­o­gists as they inves­ti­gate the clin­i­cal caus­es of deaths referred to the NSW Coroner.

Under the NSW Coro­ners Act, post-mortem exam­i­na­tions must be con­duct­ed using the least inva­sive meth­ods and the work of foren­sic radi­og­ra­phers and radi­ol­o­gists may, in some cas­es, reveal the cause of death with­out the need for more inva­sive procedures.

In this video, foren­sic pathol­o­gist Dr Allan Cala and foren­sic radi­og­ra­ph­er Tony Bux­ton dis­cuss the val­ue of CT scan­ning for foren­sic medicine.

#foren­sicmedi­cial­imag­ing #foren­sicmed­i­cine #CTscan #post­morte­mex­am­i­na­tion

Establishing reproductive genomics in NSW

Our groundbreaking reproductive genomics help give families confidence and automony at what can be a stressful time.

NSW Health Pathol­o­gy’s team at our Rand­wick Genomics lab­o­ra­to­ry at the Prince of Wales Hos­pi­tal has bro­ken new ground in Aus­tralian med­i­cine over the past 5 years, estab­lish­ing a range of crit­i­cal repro­duc­tive genom­ic in NSW.

The Pre­Gen project pro­vides diag­nos­tic genom­ic test­ing for fetus­es with ultra­sound anom­alies in high-risk preg­nan­cies. Demon­strat­ing a clear genet­ic cause of dis­ease gives the abil­i­ty to describe the like­ly qual­i­ty of life out­comes in those con­di­tions, which sup­ports cou­ples’ deci­sion-mak­ing at a stress­ful time.

The Repro­duc­tive Car­ri­er Screen project allows cou­ples to screen for the risk of up to 1,280 dif­fer­ent con­di­tions pri­or to preg­nan­cy and then use this  infor­ma­tion for preim­plan­ta­tion genet­ic test­ing to enable par­ents to have a child with­out the disorder.

The project has per­formed approx­i­mate­ly 3,000 cou­ple screens. Cou­ples found to be at high risk of hav­ing a child with a genet­ic con­di­tion are offered the oppor­tu­ni­ty for preim­plan­ta­tion genet­ic screen­ing and IVF so they can have an unaf­fect­ed child with high confidence.

These projects play a crit­i­cal role in reduc­ing the like­li­hood a cou­ple will deliv­er a new­born child with a severe genet­ic disorder.

We are grate­ful we have the know-how to play an impor­tant role in giv­ing indi­vid­u­als and cou­ples repro­duc­tive con­fi­dence and auton­o­my to estab­lish their families.

Happy to lend a hand

It’s good to know that when you need a hand, your colleagues are happy to help.

We’ve always got each other’s back at NSW Health Pathol­o­gy, nev­er more so than in ear­ly 2022 when our Bowral lab­o­ra­to­ry need­ed a hand and their col­leagues in Camp­bell­town, Bankstown and Liv­er­pool hit the road to help them out.

Bowral has a mul­ti­dis­ci­pli­nary lab­o­ra­to­ry with a small team which ser­vices two hos­pi­tals in the South­ern High­lands. In mid-March, Bowral faced crit­i­cal staff short­ages, which was caus­ing fatigue and a decrease in staff morale. On top of their usu­al shifts, staff were main­tain­ing the on-call ser­vices out of hours, with call-backs a reg­u­lar occurrence.

The lab­o­ra­to­ry man­agers at Bankstown and Camp­bell­town col­lab­o­rat­ed with Oper­a­tions to jump into action, with a plan to deploy staff between three lab­o­ra­to­ries to allow the staff at Bowral some much need­ed respite.

The oper­a­tion saw Camp­bell­town staff pro­vide dai­ly cov­er­age to Bowral lab­o­ra­to­ry while Bankstown and Liv­er­pool staff back­filled their absences to ensure a con­tin­u­a­tion of ser­vices at all laboratories.

This was an excit­ing team build­ing oppor­tu­ni­ty where staff were able to work in lab­o­ra­to­ries they had­n’t vis­it­ed before. Recent stan­dard­i­s­a­tion of equip­ment and mid­dle­ware meant staff could move seam­less­ly between lab­o­ra­to­ries. Peo­ple were able to put a face to a name at the end of the phone and see how the oth­er lab­o­ra­to­ries func­tioned, bring­ing their learn­ings back to their own laboratories.

The Bowral team was very grate­ful to see how will­ing their col­leagues were to help. Many staff mem­bers went above and beyond, com­mut­ing over 2,000 kms over the course of the month to cov­er shifts, even com­plet­ing over­time to meet ser­vice demands and ensure con­tin­u­a­tion of high qual­i­ty, patient-cen­tred services.

We’re proud of our amaz­ing teams for step­ping up to lend a hand when it’s most needed.

All in a day’s work for Wollongong Transfusion Laboratory

The Aeromedical Retrieval Team has nothing but praise for NSW Health Pathology’s Wollongong Transfusion Laboratory for the vital role they played in providing blood products to a critically injured patient.

When the Aeromed­ical Retrieval team was forced to acti­vate a Retrieval Trans­fu­sion Pro­to­col (RTP) for a trau­ma patient expe­ri­enc­ing mas­sive blood loss, NSW Health Pathology’s Wol­lon­gong trans­fu­sion team sprang into action.

An RTP is used in rare cir­cum­stances when the three red blood cell units on board have been used but the patient needs more.

With immense respon­si­bil­i­ty on their shoul­ders the trans­fu­sion team made sure the cor­rect blood prod­ucts were avail­able and administered.

The para­medics treat­ing the patient at the scene required a fur­ther three units of blood. The trans­fu­sion team coor­di­nat­ed with mem­bers of the NSW Police who picked up the blood prod­ucts and rushed to the scene.

The para­medics con­tin­ued resus­ci­tat­ing the patient when it soon became clear that even more blood prod­ucts were required. They were start­ing to wor­ry, but then they heard the sirens of Police vehi­cles car­ry­ing more units of blood.

As the para­medics urgent­ly trans­port­ed the patient to St George Hos­pi­tal a fur­ther six units were request­ed with two more units wait­ing at the heli­pad, allow­ing a trans­fu­sion to be admin­is­tered on route to theatre.

The patient was even­tu­al­ly sta­bilised despite los­ing more than his total blood volume.

The treat­ing para­medics went out of their way to praise the pathol­o­gy trans­fu­sion team, par­tic­u­lar­ly Eri­ca and Nathan, for their organ­i­sa­tion and effi­cien­cy that played a valu­able role in sav­ing a life.

This event dra­mat­i­cal­ly high­light­ed the impor­tant role the Wol­lon­gong Trans­fu­sion Lab­o­ra­to­ry team plays in deter­min­ing pos­i­tive patient out­comes each day.

While the focus is large­ly on the hero­ic work of our nurs­es, para­medics and doc­tors, it is impor­tant to cel­e­brate the ded­i­cat­ed lab­o­ra­to­ry staff who work mag­ic behind the scenes.

Digital classrooms bridge the COVID divide

Gillian Rozenberg proved that COVID-19 was no obstacle as she hit the digital highway in her mission to upskill NSW Pathology staff.

In ear­ly 2020, Gillian Rozen­berg, Senior Med­ical Sci­en­tist in Haema­tol­ogy at NSW Health Pathol­o­gy-Rand­wick, was plan­ning on hang­ing up her lab coat after more than 40 years in NSW’s pub­lic pathol­o­gy service.

But before her tran­si­tion into a well-earned retire­ment, she felt a call­ing to pass on her exten­sive knowl­edge in the area of mor­phol­o­gy by going on the road for a year to teach rur­al and region­al staff her craft in two-day face-to-face workshops.

Unfor­tu­nate­ly, Gillian’s plans for a statewide train­ing road trip were brought to a grind­ing halt with the out­break of COVID-19.

With the world at a stand­still, Gillian was deter­mined to sol­dier on and still deliv­er her exper­tise to NSW Pathol­o­gy staff all over the state. The solu­tion was deliv­er­ing her cours­es through video con­fer­enc­ing via zoom.

Gillian received valu­able sup­port from the Learn­ing and Devel­op­ment and Human Resources teams, in par­tic­u­lar, Siob­han Cun­liffe who helped devel­op a course that could be seam­less­ly deliv­ered online to a diverse work­force. The course offered five, two-hour zoom ses­sions over a three-week peri­od. Each par­tic­i­pant received an exten­sive book­let that con­tained slides for future reference.

In under 12 months Gillian and the team were able to reach 118 staff across NSW which helped ensure her wealth of knowl­edge was passed on to our cur­rent and emerg­ing sci­en­tists and technicians.

This achieve­ment recent­ly earned Gillian and Siob­han the Sup­port­ing Our Peo­ple Team Award in the 2021 NSW Health Pathol­o­gy Awards.

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