REAGENT STRIPS Student of the Month试剂盒学生的一个月.pptVIP

QUALITY ASSURANCE Facilities and Resources OSHA compliance Proficiency Testing Personnel Qualifications, education and training, competency Review Procedure Manual NCCLS GP2-A2 Controls, Standards, Reagents Equipment and Instruments Reporting of Results COMPETENCY ALERTS REAGENT STRIP TESTING Directly Observe Followed SOP and manufacturer’s instruction labeled date received, opened, expired Removed strip immediately before test run Replaced cap Performed test on well mixed, unspun urine Performed daily maintenance/function checks Interpretation of color changes for strips or tablets Performed confirmatory testing as indicated Performed Clinitest on nursery or pediatric urines Followed SOP step-by-step COMPETENCY ALERTS (continued) Monitor and Review Compliance with QC as defined in SOP Results logged on scheduled frequency of use Parallel testing PM and service logs signed Critical values reported on interim worksheets: WHO, WHAT, WHEN. Standard units of measure defined in SOP are used to report qualitative and quantitative results. COMPETENCY ALERTS (continued) Assessment of Test Performance Proficiency testing Internal blind samples of known chemical concentration Problem Solving Resolve discrepant results Investigate and resolve delta checked results Specimen referred for definitive testing (UA culture) based on reagent strip results. Policy defined in SOP. Resolution of “out-of-control” results for known reference controls. MICROSCOPIC EXAM of URINARY SEDIMENT CLIA’88 Complexity Moderate Provider Performed Microscopy (PPM) physician, midlevel practitioner, or dentist brightfield or phase microscopy Specimen of Choice Fresh first morning, midstream, clean catch Examine within 2 hours Specific gravity 1.010 pH acid IDENTIFIABLE SEDIMENT ENTITIES Hematopoietic cells Red blood cells (RBC) dysmorphic white blood cells (WBC) glitter eosinophils lymphocytes , histiocytes and macrophages Epithelial cells Transitional (urothelial) Squamous Renal tubular