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AUBF LEC - History
AUBF LEC - History
1
PREANALYTICAL FACTORS QC procedures are performed to ensure that acceptable
Specific information on specimen collection and handling standards are met during the process of patient testing.
should be stated at the beginning of each procedure. Control results must be recorded in a log, either paper or
electronic.
REQUISITION FORM CONTENT:
Actual date and time TYPE OF QUALITY CONTROL
Preservation technique EXTERNAL QUALITY CONTROL
Time received and performed Are used to verify the accuracy and precision of a test and
Tests requested are exposed to the same conditions as the patient samples.
Patient identification External controls are tested and interpreted in the
laboratory by the same person performing the patient
testing.
ANALYTICAL FACTORS
The analytical factors are the processes that directly affect
the testing of specimens.
o It include:
reagents Competency of Personnel and Facilities
Instrumentation Quality control is only as good as the personnel performing
Procedure and monitoring it.
QC Personnel must understand the importance of QA.
Competency of personnel performing the tests Documentation of continuing education must be
maintained.
Reagents
An adequate, uncluttered, safe working area is also
All reagents and reagent strips must be properly labeled essential for both quality work and personnel morale.
with the date of preparation or opening, purchase and
received date, expiration date, and appropriate safety
POST-ANALYTICAL FACTORS
information.
Postanalytical factors are processes that affect the
Reagents are checked daily or when tests requiring their
reporting of results and correct interpretation of data.
use are requested
It include:
INSTRUMENTATION AND EQUIPMENT Reporting of Results
The most frequently encountered instruments: o Standardized reporting formats
o Refractometers o Electronic transmission is now the most common
o Osmometers method for reporting results.
o Automated reagent strip readers Interpretation of Results
o Automated microscopy instruments
o All known interfering substances should be listed for
o Refrigerators
evaluation of patient test data.
o Centrifuges
o Microscopes
o Water baths.
Procedure
concise testing instructions are written in a step-bystep
manner
Quality Control
Refers to the materials, procedures, and techniques that
monitor the accuracy, precision, and reliability of a
laboratory test.
2
BIOLOGICAL HAZARDS
The health-care setting provides abundant sources of
potentially harmful microorganisms.
Understanding how microorganisms are transmitted is
essential in preventing infection.
The CHAIN OF INFECTION is a continuous link between a
source, a method of transmission, and a susceptible host.
3
Specific requirements of this OSHA standard include the CHEMICAL HANDLING
following: Chemicals should never be mixed together unless specific
o 1. Requiring all employees to practice UP/Standard instructions are followed and they must be added in the
Precautions order specified.
o 2. Providing PPE to employees
o 3. Providing sharps disposal containers and prohibiting CHEMICAL HYGIENE PLAN
recapping of needles Required by OSHA
o 4. Prohibiting eating, drinking, smoking, and applying
cosmetics, lip balm, and contact lens in the work area Purpose of the plan:
o 5. Labeling all biohazardous material and containers o 1. Appropriate work practices
o 6. free immunization for HBV o 2. Standard operating procedures
o 7. daily disinfection protocol for work surfaces o 3. PPE
o 8. Providing medical follow-up for employees who have o 4. Engineering controls (fume hoods, safety cabinets,
been accidentally exposed to blood-borne pathogens etc…)
o 9. Documenting regular training in safety standards for o 5. Employee training requirements
employees. o 6. Medical consultation guidelines
4
Equipment that has become wet should be unplugged and
allowed to dry completely before reusing.
Equipment also should be unplugged before cleaning.
FIRE/EXPLOSIVE HAZARDS
JCAHO requires that all health-care institutions post
evacuation routes and detailed plans to follow in the event
of a fire.
o Rescue
o Alarm
o Contain
o Extinguish
PRECAUTIONS:
Flammable chemicals should be stored in safety cabinets
Explosion-proof refrigerators and cylinders of compressed
gas should be located away from heat and securely
fastened to prevent accidental capsizing.
Fire blankets should be present in the laboratory.
GENERAL PRECAUTIONS:
Avoid running in rooms and hallways
Watch for wet floors
Bend the knees when lifting heavy objects
Keep long hair pulled back
Avoid dangling jewelry
Maintain a clean and organized work area.
Wear closed-toe shoes