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Laboratory manager


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SEROLOGY QC

All new reagents lots will be tested using samples and/or commercially available reference material (where available) before being placed in service.

All Serology tests require QC run in parallel with each clinical sample test run. Refer to the appropriate tests for procedure and method.
Record all QC results into the LIS.
Inform the charge technologist or senior technologist of all out-of-range results for the appropriate corrective action. The lab will be notified through LIS e-mail if needed.
Record all corrective action into the LIS.

QUALITY CONTROL REVIEW

Inform all out-of range results to the Charge Technologist, Senior Technologist or Quality Assurance Technologist.


Charge technologists are responsible for reviewing overdue Quality Control procedures weekly with responsible bench technologists.

Obtain lists of overdue QC procedures from the LIS - micqc program:

From micqc main menu


  1. go to 1-Tasks

  2. select “Results Verification”

  3. select from pick list “Bacteriology QC Pending List”, “QC Pending List”, “Virology QC Pending List” or “VITEK Bench QC Pending List”.

  4. F12

  5. F6 to print list

  6. Select printer from printer list

Charge technologist, Senior Technologist or Quality Assurance Technologist will verify all Quality Control results weekly. All procedures will be verified on-line.



  • Obtain lists for verification from the LIS - micqc program:

From micqc main menu

  1. go to 1-Tasks

  2. select “Results Verification”

  3. select from pick list “Bacteriology Verification List”, “Heating Block Verification List” or “Virology Verification List”.

  4. Press "enter"

  5. F12

  6. Press F6 on the procedure line

If there are abnormal results, follow Steps 7 and 8. If there is no abnormal results continue to Step 9

  1. F7 to review action if there are abnormal results

  2. F5 to add new comment/action if needed

  3. F8 to verify all

  4. F12

  5. "y" to confirm editing

  6. Repeat steps 6 to 11 for further procedures.

  7. F1 to exit when done.




  • For Serology tests, QC verifications are done on worksheet for each assay of each run and documented in the LIS (see LIS Manual section for procedure).

The Laboratory Supervisor will perform Monthly review of all Quality Control procedures.



  • Print the list of abnormal results from LIS-micqc:

From micqc main menu

  1. go to 1-Tasks

  2. select “Abnormal Res. Rep.”

  3. select from pick list “monthly Abnormal Log”

  4. F12

  5. F7 for report printing

  6. Select printer from printer list

  7. Sign and file this report in the QC Review folder.




  • Review on-line all QC procedures from LIS-micqc:

From micqc main menu

  1. go to 1-Tasks

  2. select “Results Verification”

  3. F2

  4. select from pick list “Supervisor Monthly Verification List”

  5. F12

  6. F7 for report

  7. Select "View" from printer list. Wait for 1 minute.

  8. Scroll down list to review

  9. "M" then use down arrow to mark a few lines.

  10. "P" to print the marked page

  11. Select printer from printer list

  12. Sign the printed page and file it in the QC Review folder.




  • For Serology procedures QC:

  1. Log on to qc

  2. 1. Result

  3. Result Maintenance

  4. Display

  5. F2 to list instruments, arrow down to select: AXSYM; INSTB (HTLV); MON; VD or VZ

  6. Enter to select (asterisk)

  7. F12

  8. F2 to list tests (8CMS, 8HAB….8VD, 8VZ)

  9. Enter to select (asterisk)

  10. F12

  11. F2 to display QC lots (also displays expiratory dates)

To print or to display more information such as QC verification:

  1. Enter to select (asterisk)

  2. F12 to pick date range

  3. F12, F7 to print

  4. Sign this report and file it in the QC Review folder.






Planting

Blood Cultures

Genitals

C.difficile

Gram Stain

Urine

Vitek

Wounds




























Daily

Cabinet pressure

Catalase x 2

Catalase

Kit Control (M-F)

Gram

Catalase

Reader temp

Catalase x 4




Isoplator

Oxidase x 2

Oxidase




Kohler

Oxidase

Change tape

Oxidase x 4




N2 tank pressure

Staph agglu.x 2

Staph agglu.







Staph agglu.

QUAD Screen

Staph agglu.x 4




Gram stain slide

BacT/Alert temp

Heating Block







Isoplater Reading X2

Oxacillin Screen

Tube coagulase




WASP x2

BacT/Alert tape










Heating Block




Germ tube







Cabinet pressure
















Heating Block







Tube coag

























TDNase

























Gram stain

























Heating Blocks



















Weekly

Isoplator

Cefinase













Sensi cards QC







WASP X2
















KB QC


























































When use













Eosinophil stain




Dispenser calibration



















ZN
































































Monthly

WASP X2












































































On receipt



















ID and sensi cards

























(on receipt)





















































































Every 6 months




















































Other duties































Respiratory

Infection Control

Mycology




QC




Technician

Serology

Virology































Daily

Catalase x 2

Catalase x 3

Calcofluor (M-F)

s/c CO2 Controls







Temp. (M-F)

Cabinet pressure

Cabinet pressure




Oxidase x2

Oxidase

Cabinet pressure

(every other day)













Temp. check




Staph agglu. x 2

Staph agglu. x 3

Oxgall

Heating Blocks



















Bile solubility

PYR

Kohler






















ALA




Cornmeal






















Heating Block























































Weekly

Cefinase

Denka




Tibutyrin

Prepared media




CO2 check




Nitrogen tank level













MUG/Indole

TREK










CO2 check













Optochin




























NA




























CF




























Bile solubility
















When use

ALA

GenProbe
















All test kits

PCP/batch







Xylose



















CMV antigenemia/ batch







LAP




















































Monthly










Equipment PM







Clean incubator




Clean incubator













Subculture QC




























Isolates from freezer




























Antisera QC






















Respiratory

Infection Control

Mycology




QC




Technician

Serology

Virology































On receipt







Fungal media

3% NaCl

Indole (TSB)

QUAD







Media










Rapid Yeast

ALA

KV

SMAC






















Antisera QC

LAP

Spot Indole






















API

MAC

Staph agglutination






















BEAA

MCPOD

Strep Grouping






















Bile Esculin

MGP Broth

TCBS






















Bile Solubility

ML

Thermonuclase






















Brilliance VRE

Motility media

Thermometers






















Campylobacter

MR-VP

Tibutyrin






















CARROT Broth

MSAOX

TSI






















Catalase

Mueller Hinton

Tube coagulase






















Cefinase

MUG/Indole

Urea






















CF

NA

VISA






















Choc

NaCl

ZN






















Denium Blue

Novobiocin

























EBM

OCBL

























Eosinophil

ONPG

























EV

Ornithine broth

























GMSL

Optochin

























Gram stain

Oxacillin screen

























GT

Oxidase

























HI

Phadebact

























IMA

PYR











































Every 6 months










Pipette check

(send-out)






























Centrifuge check














































Other duties










Trouble shoot QC problems




























New product evaluation


















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