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					6. Laboratory      ' The laboratory must provide a routine and emergency service for Hb/Hct estimation and for the transfusion of blood.
                     All blood to be transfused must be grouped, cross matched and tested for HIV, Hep B and C, syphilis and malaria.'

6. Laboratory                                                                         Y   N   N/S N/A   Comments
   6.1 Infrastructure and safety
      Can access to the lab be restricted to hospital staff on professional
6.1.1
      business?
      Are specimens of blood, body fluids or faeces for lab testing collected,
6.1.2 stored and disposed of in a way which mnimizes potential risk to
      patients, staff and visitors ?
   6.2 Supplies and equipment
        Check the fridge where blood is stored:
        - is it a fridge specifically designed for blood storage (with temperature
6.2.1   recorder and alarm) and
        - is it clean and
        - is it only used for the storage of blood or blood products ?
        Check the fridge where reagents are stored:
        - is it clean and
6.2.2   - is there a thermometer showing the correct temperature for storing
        reagents (4-80C) and
        - are the reagents within their expiry date ?
        Has there been any disruption in routine/emergency Hb/Hct test or
6.2.3   blood transfusion due to lack of or breakdown in specialist lab
        equipment during the last 3 months?
        Has there been and disruption in routine/emergency Hb/Hct test or
6.2.4   blood transfusion due to the lack or shortage of essential specialist lab
        supplies during the last 3 months ?
   6.3 Blood testing and transfusion
        Is there a written record in the lab of the number, type and results of all
6.3.1
        blood tests performed ?
        Do these records show that all units of blood are grouped and cross
6.3.2
        matched prior to transfusion ?
        Do these records show that all units of blood are tested for HIV and
6.3.3   Hepatitis B and Hepatitis C and syphilis
        (and malaria where appropriate)?
        Are units of blood found to be positive for any of the above tests
6.3.4
        destroyed ?
        Are all specimens for testing labelled with the date, the patients name,
6.3.5
        hospital number or otherwise uniquely identified ?
6. Laboratory     ' The laboratory must provide a routine and emergency service for Hb/Hct estimation and for the transfusion of blood.
                    All blood to be transfused must be grouped, cross matched and tested for HIV, Hep B and C, syphilis and malaria.'

6. Laboratory                                                                        Y   N   N/S N/A   Comments
   6.4 Organisation
6.4.1 Is there a designated person in charge of the laboratory ?
      Is there a lab technician available 24 hours for the routine and
6.4.2
      emergency testing and transfusion of blood ?
6.4.3 Do the doctors consider that the results of laboratory tests are reliable?
                        Laboratory total score (max possible = 14)
Please summarise the main points of your comments below, focussing on the main problems and the most positive points.
Any important additional information not covered by the questions may be included here
Laboratory Summary:

				
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posted:7/30/2010
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