#06-5558 Accrd Manual V7 - COLA

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CRITERIA FOR QUALITY LABORATORY PERFORMANCE>PRE 7 RClinical information, including gender, age, specimen source (when appropriate), and other relevant and necessaryinformation if applicable?Gender and age are important for interpretation of test results to correctly identify the patient normal range.Other relevant and necessary information to include will be dependent up on the test requested. For example:• For glucose or lipids, indicate whether the patient is fasting,• For drug levels, indicate the dosage of medication the patient is on and the time the last dose was taken• For cultures, indicate the source of the specimen and whether the patient is already on antibiotics or mayhave just completed a course of antibiotics.PRE 8 RSpace for date and time of primary specimen collection?PRE 9 RSpace for date and time of receipt by laboratory?It is important to know how long it took the specimen to arrive in the laboratory. Many specimens have limitedtransport or storage time at room temperature. If storage or transport conditions are not followed, thiscan impact the quality of results obtained.For some practices the time of collection and receipt may be the same. However there are almost alwayssome situations where patients may collect specimens at home or they may be collected at another site andsent to the laboratory. Be sure that, in these situations, staff is aware of the importance of capturing bothtime of collection and time of receipt.PRE 10 RAre ALL test requisitions maintained for at least two years?PRE 11 RDo you have written instructions for specimen collection, labeling, preserva¬tion, and conditions regardingspecimen transport available for your clients?You should provide a specimen collection manual to each client who refers tests. This will substantiallyreduce the chance of invalid results caused by pre-analytic variability.PRE 12 RDo you have and follow written policies and procedures for the collection and, handling, transportation andstorage of specimens?Be sure to include the following items as you develop your policy and procedures:Collection:• Instructions for collecting different types of specimens (finger stick, venipuncture, throat cultures, urines(clean catch, cath, mid-stream, etc…)• Instructions for the proper way to identify the patient and the items to be used in addition to the patient’sname to ensure positive identification. (Phlebotomists should say “Please tell me your name” rather than“Are you Ms. Jones?” Some patients may be hard of hearing, in a phase of dementia, or on medications andnot always give accurate or appropriate answers.)• Type of collection tube or container and order of collection based on tests requested.• Minimum sample volumes required for specific tests.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FOR MORE INFORMATION CONTACT <strong>COLA</strong> PHONE 800.981.9883 | FAX 410.381.8611 | ON-LINE www.cola.org15
CRITERIA FOR QUALITY LABORATORY PERFORMANCEHandling:• criteria for properly mixing tubes with anti-coagulants to prevent clotting• centrifugation requirements (immediate or delayed)• accessioning or processing steps required prior to transport, storage, or testing• timing requirements between collection and testing Transportation:• Method of transport• Packaging of specimens• Temperature requirements during transport (on ice, room temp)Storage:• temperature and time requirements prior to testing• temperature and time requirements after testing if specimens retained• proper containers for storageThe manufacturer’s package insert or operator’s manual should define specimen handling and storagerequirements for each individual test. If your laboratory has additional or different requirements they mustbe specified.Many labs elect to write general policies and procedures for specimen collection, handling, and transportthen refer to the specific test procedure for more detailed requirements.PRE 13 RIs the manual provided by the reference laboratory for specimen collection and handling readily available topersonnel involved in the collection of specimens?Refer to procedure manual questions related to Pre-analyticPRE 14 RIf special tests are performed, do you provide containers with proper preservatives?This only applies to laboratories that perform special tests in-house, either for their own patients or for otherlaboratories. Your reference laboratory should provide containers with proper preservatives to your laboratoryfor any special tests that you send them.PRE 15 RIf patients collect their own specimens, are they given written instructions describing how to do so?To get the proper specimen, you should have written directions regarding the timing of collections (e.g., fora 24-hour urine, the patient should empty bladder at X o’clock and discard the specimen. Then collect allspecimens, including the one voided at X o’clock the next day). Information about medications, fasting,preservation, etc., should be included.PRE 16 EPrior to the collection of a patient’s specimen, is the patient’s identity verified using two separate identifiers?Laboratories should be aware of the emphasis in the medical community to reduce medical errors due to misidentificationof the patient. One mechanism to affect this is to utilize at least 2 patient identifiers (such asname, birth date, medical record number, or social security number) to verify that specimens are being collectedfrom the correct patient.Patients may be asked to state their name and birth date as a means of verifying their identity. In hospitalsettings identity may be verified verbally and/or by confirming the identification with the patient’s armband.16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FOR MORE INFORMATION CONTACT <strong>COLA</strong> PHONE 800.981.9883 | FAX 410.381.8611 | ON-LINE www.cola.org
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#06-5558 Accrd Manual V7 - COLA

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