ST.

ANDREW HOSPITAL

SAH-LAB CLINICAL LABORATORY

Tumaway, Talisay, Batangas

Revision Code: 002 Page 1 of 2

Section: Laboratory Effectivity Date: July 2022
Document Title:

POLICY AND PROCEDURES FOR RETENTION OF RECORDS

I. Purpose

To lay out maintenance period rules on archives, records, documents, slides, and specimens as
indicated by its capacity condition and to forestall over-burdening of the stockpiling limit of the
laboratory .

II. Scope

This policy shall apply to all sections in the laboratory.

III. Definition of Terms

1. Documents- allude to written information regarding policies, processes, and procedures

in the clinical laboratory to impart to all lab work force and clients, which should be
refreshed or kept up with.
2. Records- allude to gathered information produced by the laboratory during the time
spent performing and reporting lab tests that are permanent and are effectively
recovered by the lab staff.
3. Retention period- alludes to the timeframe laid out by the DOH as the life expectancy of
documents, records, slides, and specimens which they are considered prepared for
permanent stockpiling or removal as per the legal and administrative prerequisites.
4. Slides- allude to thin level bits of glass used to hold a piece of tissues or body liquids for
assessment under the microscope.
5. Specimens- allude to parts of human body liquids or tissues taken for assessment,
study, or investigation of at least one amounts expected to apply in general.

IV. Responsibilities

The head of the laboratory will guarantee lab approaches for all documents, records, slides, and
specimens are kept up with and accessible for the specific time spans as determined in AO
2022-0007 in the event that the lab stops its activity.

Prepared by: Recommended by: Approved by:

Monalyn Marabi, M.D. Zenaida S. Mendoza, M.D. Mark Anthony S. Mendoza, M.D.
Laboratory Head Hospital Administrator Hospital Director
 ST. ANDREW HOSPITAL

SAH-LAB CLINICAL LABORATORY

Tumaway, Talisay, Batangas

Revision Code: 002 Page 2 of 2

Section: Laboratory Effectivity Date: July 2022
Document Title:

POLICY AND PROCEDURES FOR RETENTION OF RECORDS

V. Policy

1. All documents under Analytical Systems and Quality Improvement files such as Annual
Review of Processes and Procedures Records are kept when active for 2 years.
2. Equipment And Instruments Preventive Maintenance Records are kept for 2 years after
the equipment has been returned rendered unserviceable.
3. Inspection, Audit and Assessment Records ae kept for minimum of 5 years.
4. Management Review Records are kept for 2 years.
5. Method manuals ( Work Instructions) and Laboratory Worksheet and Method/ Process
Validation are kept at least 2 years after the procedure has been discontinued.
6. Qualification, Competency and Training of Laboratory Staff Records are kept for at least
3 years after the last day of employment.
7. Quality Control Records, Reagents, Materials and Supplies Records, Registration and

Prepared by: Recommended by: Approved by:

Monalyn Marabi, M.D. Zenaida S. Mendoza, M.D. Mark Anthony S. Mendoza, M.D.
Laboratory Head Hospital Administrator Hospital Director