Midland Regional Hospital Portlaoise

Midland Regional Hospital Portlaoise
Pathology Laboratory, Portlaoise, Co. Laois
Medical Testing Laboratory
Registration number: 203MT
is accredited by the Irish National Accreditation Board (INAB) to undertake testing as detailed
in the Schedule bearing the Registration Number detailed above, in compliance with the
International Standard ISO/IEC 15189:2007 2nd Edition
“Medical laboratories – Particular requirements for quality and competence”
(This Certificate must be read in conjunction with the Annexed Schedule of
Accreditation)
Date of award of accreditation: 28:10:2008
Date of last renewal of accreditation: 17:05:2013
Expiry date of this certificate of accreditation: 17:05:2018
This Accreditation shall remain in force until further notice subject to continuing compliance
with INAB accreditation criteria, ISO/IEC 15189 and any further requirements specified by the
Irish National Accreditation Board.
Manager:
Chairperson:
Dr Adrienne Duff
Mr Tom O’Neill
Issued on 17 May 2013
Organisations are subject to annual surveillance and are re-assessed every five years. The renewal date on this
Certificate confirms the latest date of renewal of accreditation. To confirm the validity of this Certificate, please
contact the Irish National Accreditation Board.
The INAB is a signatory of the European co-operation for Accreditation (EA) Testing Multilateral Agreement (MLA) and
the International Laboratory Accreditation Cooperation (ILAC) Mutual Recognition Arrangement.
Edition 7, 22/04/2014
203MT
Page 1 of 9
Wilton Park House, Wilton Place, Dublin 2, Ireland
Tel +353 1 607 3003 Fax +353 1 607 3109
E-mail [email protected] Web www.inab.ie
Schedule of
Accreditation
(Annex to Accreditation Certificate)
Permanent Laboratory:
Category A
MIDLAND REGIONAL HOSPITAL PORTLAOISE
Co Laois
Medical Testing Laboratory
Initial Registration Date :
28-October-2008
Blood Transfusion Testing
Laboratory
Haematology Testing
19-October-2010
Laboratory
Biochemistry Testing
06-November-2012
Laboratory
Postal Address:
Pathology Laboratory
(Address of other
Midland Regional Hospital
locations as the apply)
Portlaoise
Co Laois
Telephone:
+353 (57) 8696269
Fax:
+353 (57) 8696275
E-mail:
[email protected]
Contact Name:
Ms Elizabeth Ryan
Facilities:
Public testing service
Edition 7, 22/04/2014
203MT
Page 2 of 12
Wilton Park House, Wilton Place, Dublin 2, Ireland
Tel +353 1 607 3003 Fax +353 1 607 3109
E-mail [email protected] Web www.inab.ie
Schedule of
Accreditation
Permanent Laboratory:
Category A
THE IRISH NATIONAL ACCREDITATION BOARD (INAB) is the Irish body for the accreditation of
organisations including laboratories.
Laboratory accreditation is available to testing and calibration facilities operated by manufacturing
organisations, government departments, educational institutions and commercial testing/calibration
services. Indeed, any organisation involved in testing, measurement or calibration in any area of
technology can seek accreditation for the work it is undertaking.
Each accredited laboratory has been assessed by skilled specialist assessors and found to meet criteria
which are in compliance with ISO/IEC 17025 or ISO/IEC 15189 (medical laboratories). Frequent audits,
together with periodic inter-laboratory test programmes, ensure that these standards of operation are
maintained.
Testing and Calibration Categories:
Category A:
Permanent laboratory calibration and testing where the laboratory is erected on a fixed
location for a period expected to be greater than three years.
Category B:
Site calibration and testing that is performed by staff sent out on site by a permanent
laboratory that is accredited by the Irish National Accreditation Board.
Category C:
Site calibration and testing that is performed in a site/mobile laboratory or by staff sent
out by such a laboratory, the operation of which is the responsibility of a permanent
laboratory accredited by the Irish National Accreditation Board.
Category D:
Site calibration and testing that is performed on site by individuals and organisations that
do not have a permanent calibration/testing laboratory. Testing may be performed using
(a)
portable test equipment
(b)
a site laboratory
(c)
a mobile laboratory or
(d)
equipment from a mobile or site laboratory
Standard Specification or Test Procedure Used:
The standard specification or test procedure that is accredited is the issue that is current on the date of the most
recent visit, unless otherwise stated.
Glossary of Terms
Facilities:
Public calibration/testing service:
Commercial operations which actively seek work from others.
Conditionally available for public
calibration/testing:
Established for another primary purpose but, more commonly than not,
is available for outside work.
Normally not available for public
calibration/testing:
Unavailable for public calibration/testing more often than not.
Laboratory users wishing to obtain assurance that calibration or test results are reliable and carried out to the Irish
National Accreditation Board criteria should insist on receiving an accredited calibration certificate or test report.
Users should contact the laboratory directly to ensure that this scope of accreditation is current. INAB will on
request verify the status and scope.
Edition 7, 22/04/2014
203MT
Page 3 of 12
Scope of
Accreditation
Midland Regional Hospital Portlaoise
Permanent Laboratory:
Category A
Blood Transfusion Testing Laboratory
INAB Classification number (P9)
Materials/products tested
1020
.01
Type of test/properties
measured
Range of measurement
Immunohaematology
Standard specifications
Equipment/techniques used
Red Blood Cells
P/BT/SOP/002
Plasma / Serum
Manual (Tube and Gel card)
Blood grouping including
ABO Rh (D)
1020
Immunohaematology
Plasma / Serum
P/BT/SOP/002
Manual Gel method
.03
Blood group antibody
screen
1020
Immunohaematology
.04
Identification of blood
Plasma / Serum
P/BT/SOP/004
Manual Gel method
group antibodies
1020
.05
Immunohaematology
Plasma / Serum and red blood
P/BT/SOP/003
cells
P/BT/SOP/002
Determination of
P/BT/SOP/004
compatibility of donor
P/BT/SOP/007
units using appropriate
Manual Gel method
techniques including the
investigation of
transfusion reactions
Edition 7, 22/04/2014
203MT
Page 4 of 12
Scope of
Accreditation
Midland Regional Hospital Portlaoise
Permanent Laboratory:
Category A
Blood Transfusion Testing Laboratory
INAB Classification number (P9)
Materials/products tested
Type of test/properties
measured
Range of measurement
Standard specifications
Equipment/techniques used
1020
Red blood cells
P/BT/SOP/004
Immunohaematology
Manual Gel and Tube
.06
Red cell phenotyping
1020
Immunohaematology
methods
Red blood cells
P/BT/SOP/006
Manual Gel method
.99
Direct Coombs Test
Note: Midland Regional Hospital Portlaoise Blood Bank has been assessed and is competent to
comply with articles 14 and 15 of the EU Directive 2002/98/EC (S.I.No. 360 of 2005 and S.I. No.
547 of 2006)
Edition 7, 22/04/2014
203MT
Page 5 of 12
Scope of
Accreditation
Midland Regional Hospital Portlaoise
Permanent Laboratory:
Category A
Haematology Testing Laboratory
INAB Classification number (P9)
Materials/products tested
Type of test/properties
measured
Range of measurement
Standard specifications
Equipment/techniques used
1030
Full Blood Count including
P/HAEM/SOP/001
Haematology
White Cell Count
.01
Blood Counts
Red Cell Count
Haemaglobin
Mean Cell Volume
Platelet Count
1030
Haematology
Visual examination of Blood
P/HAEM/SOP/005
Films including White Cell
.02
Blood films
Differential and cell
morphology
1030
Haematology
Erythrocyte Sedimentation Rate
P/HAEM/SOP/003
(semi automated)
.03
1030
Erythrocyte
Erythrocyte Sedimentation Rate
Sedimentation Rate
(Manual) in blood
Haematology
Automated Differential
P/HAEM/SOP/001
Leucocyte Counts including
.05
Automated Differential
Neutrophils, Lymphocytes,
Leucocyte Counts
Monocytes, Eosinophils and
Basophils
1030
Haematology
.06
Automated Reticulocyte
Automated Reticulocyte Counts
P/HAEM/SOP/001
Counts
Edition 7, 22/04/2014
203MT
Page 6 of 12
Scope of
Accreditation
Midland Regional Hospital Portlaoise
Permanent Laboratory:
Category A
Haematology Testing Laboratory
INAB Classification number (P9)
Materials/products tested
Type of test/properties
measured
Range of measurement
Standard specifications
Equipment/techniques used
1030
Blood film examination for
P/HAEM/SOP/009
Haematology
malarial parasites
.09
Examination for Malarial
Parasites
Edition 7, 22/04/2014
203MT
Page 7 of 12
Scope of
Accreditation
Midland Regional Hospital Portlaoise
Permanent Laboratory:
Category A
Haematology Testing Laboratory
INAB Classification number (P9)
Materials/products tested
Type of test/properties
measured
Range of measurement
Standard specifications
Equipment/techniques used
1030
Sickle Cell screen (Qualitative
P/HAEM/SOP/010
Haematology
Solubility Test) in EDTA and
.30
Tests for
Blood
Haemoglobin Variants
1030
Haematology
Kleihauer Test, Manual (Visual
P/HAEM/SOP/011
examination of blood films)
.31
Tests for foetal Hb
1030
Haematology
Prothrombin Time
Internationalised Normalised
.41
General haemostasis
Ratio
related tests
Activated Partial
P/COAG/SOP/004
Thromboplastin Time
P/COAG/SOP/004
Fibrinogen
D dimer
P/COAG/SOP/005
In EDTA, Blood and Citrate
Plasma
P/COAG/SOP/006
P/COAG/SOP/007
1030
Haematology
Screening test for Infectious
P/HAEM/SOP/014
Mononucleosis Qualitative test
.57
Screening test for
infectious mononucleosis
1012
Parasitology
Detection of parasitic antigens
P/HAEM/SOP/009
Qualitative antigen test for
.04
Detection of parasitic
malaria
antigens
Edition 7, 22/04/2014
203MT
Page 8 of 12
Scope of
Accreditation
Permanent Laboratory:
Midland Regional Hospital Portlaoise
Category A
Medical Testing Laboratory
BIOCHEMISTRY DEPARTMENT
INAB
Classification
Number (P9)
1061 General
Chemistry
.01
Analytes in
general use
Test/Assay Name
Specimen Type
Method
Equipment
SOP
Alkaline Phosphatase
(ALP)
Serum, Heparin
Plasma
Colourimetric
Roche
Modular P
P BIO SOP 023
Alanine Amino-transferase
(ALT)
Serum, Heparin
Plasma
IFCC w/o pyridoxal
phosphate
Roche
Modular P
P BIO SOP 024
Aspartate Aminotransferase (AST)
Serum, Heparin
Plasma
IFCC w/o pyridoxal
phosphate
Roche
Modular P
P BIO SOP 026
Creatine Kinase (CK)
Serum, Heparin
Plasma
UV
Roche
Modular P
P BIO SOP 031
Total Bilirubin (TB) (TBil)
Serum, Heparin
Plasma
Colourimetric
Roche
Modular P
P BIO SOP 058
Direct Bilirubin(DB)
Serum, Heparin
Plasma
Diazonium
Roche
Modular P
P BIO SOP 027
Gammaglutamyltransferase (GGT)
Serum, Heparin
Plasma
IFCC enzymatic
colourimetric
Roche
Modular P
P BIO SOP 038
Cholesterol (Chol)
Serum, Heparin
Plasma
Enzymatic
colourimetric
Triglyceride (Trig) (Tg)
Serum, Heparin
Plasma
Enzymatic
colourimetric
Roche
Modular P
Roche
Modular P
Low Density Lipid (LDL)
Serum, Heparin
Plasma
Enzymatic
colourimetric
Roche
Modular P
P BIO SOP 044
High Density Lipid (HDL)
Serum, Heparin
Plasma
Enzymatic
colourimetic
Roche
Modular P
P BIO SOP 040
Lactate Dehydrogenase
(LDH)
Serum, Heparin
Plasma
Photometric
Roche
Modular P
P BIO SOP 043
Uric Acid (UA)
Serum, Heparin
Plasma Urine
Enzymatic
Roche
Modular P
P BIO SOP 055
Serum, Heparin
Plasma, Urine
ISE indirect
Roche
Modular I
P BIO SOP 041
Potassium (K)
Serum, Heparin
Plasma,Urine
ISE indirect
Roche
Modular I
P BIO SOP 041
Chloride (Cl)
Serum, Heparin
Plasma,Urine
ISE indirect
Roche
Modular I
P BIO SOP 041
Amylase (AMY)
Serum, Heparin
Plasma
IFCC
Roche
ModularP
P BIO SOP 025
Calcium (Ca)
Serum, Heparin
Plasma, Urine
Colourimetric
Roche
Modular P
P BIO SOP 057
Sodium (Na)
Edition 7, 22/04/2014
203MT
Page 9 of 12
P BIO SOP 030
P BIO SOP 051
Scope of
Accreditation
Permanent Laboratory:
Midland Regional Hospital Portlaoise
Category A
Medical Testing Laboratory
BIOCHEMISTRY DEPARTMENT
INAB
Classification
Number (P9)
1061 General
Chemistry
.01
Analytes in
general use
Test/Assay Name
Specimen Type
Method
Equipmen
t
SOP
Magnesium (Mg)
Serum, Heparin
Plasma, Urine
Colourimetric
Roche
Modular P
P BIO SOP
045
Inorganic Phosphate
(i Phos) (Phos)
Serum, Heparin
Plasma, Urine
Ammonium Molybate
Roche
Modular P
P BIO SOP
047
Urea
Serum, Heparin
Plasma
Kinetic UV Urease
Roche
Modular P
P BIO SOP
054
Enzymatic
colourimetric
Roche
Modular P
P BIO SOP
042
UV Hexokinase
Roche
Modular P
P BIO SOP
037
Enzymatic
Colourimetric
Roche
Modular P
P BIO SOP
033
Cobas
E411
P BIO SOP
049
P BIO SOP
046
Lactate (Lact)
Glucose (Glu)
Creatinine (Creat)
1061 General
Chemistry
.02
Quantitative
analysis of
proteins
Sodium Fluroide
Plasma
Sodium Fluroide
Plasma,
Heparin Plasma
Serum, CSF
Serum, Heparin
Plasma, Urine
Troponin T hs STAT
(Trop)
Serum, Heparin
Plasma
Immunoassay
Nt-proBNP (BNP)
Serum, Heparin
Plasma
Immonoassay
Osmolality
Serum, Urine
Freezing point
Albumin (ALB)
Serum, Heparin
Plasma
Colourimetric
Bromocresol Green
Cobas
E411
Fiske OneTen
Micorosmo
mete
Roche
Modular P
C Reactive Protein (CRP)
Serum, Heparin
Plasma
Immunoturbidimetri
c
Roche
Modular P
P BIO SOP
034
Total Protein (TP)
Serum, Heparin
Plasma
Colourimetric Biuret
reaction
Roche
Modular P
P BIO SOP
050
CSF/Urine Protein
CSF, Urine
Benzethonium
Chloride
Roche
Modular P
P BIO SOP
052
Urine
Immunoturbidimetri
c
Roche
Modular P
P BIO SOP
021
Microalbumin (Malb)
Edition 7, 22/04/2014
203MT
P BIO SOP
008
P BIO SOP
020
Page 10 of 12
Scope of
Accreditation
Midland Regional Hospital Portlaoise
Permanent Laboratory:
Category A
Medical Testing Laboratory
BIOCHEMISTRY DEPARTMENT
INAB
Classification
Number (P9)
Test/Assay Name
Specimen Type
Method
Equipment
SOP
1061 General
Chemistry
.14 Alcohol for
non-legal
purposes
Ethanol
Serum, Heparin
Plasma
Enzymatic
Roche
Modular P
P BIO SOP 035
Acetaminophen (Acet)
Serum, Heparin
Plasma
Colourimetric
Roche
Modular P
P BIO SOP 022
Salicylate (Sal)
Serum, Heparin
Plasma
Colourimetric
Roche
Modular P
P BIO SOP 048
Urine
Fluorescent
Immunoassay
Triage
Meter Plus
P BIO SOP 011
Urine
Fluorescent
Immunoassay
Triage
Meter Plus
P BIO SOP 011
Barbiturates (Bar)
Urine
Fluorescent
Immunoassay
Triage
Meter Plus
P BIO SOP 011
Benzodiapenes (BZO)
Urine
Fluorescent
Immunoassay
Triage
Meter Plus
P BIO SOP 011
Cocaine (Coc)
Urine
Fluorescent
Immunoassay
Triage
Meter Plus
P BIO SOP 011
Methadone (MTD)
Urine
Fluorescent
Immunoassay
Triage
Meter Plus
P BIO SOP 011
Opiates (Opi)
Urine
Fluorescent
Immunoassay
Triage
Meter Plus
P BIO SOP 011
Marijuana (THC)
Urine
Fluorescent
Immunoassay
Triage
Meter Plus
P BIO SOP 011
Urine
Fluorescent
Immunoassay
Triage
Meter Plus
P BIO SOP 011
1061 General
Chemistry
.15 Drugs for
Toxicological
purposes
1061 General
Chemistry
.15 Drugs for
Toxicological
Purposes
Amphetamines (Amp)
Methamphetamines (Met
Amp)
Tricyclic Antidepressants
(TCA)
Edition 7, 22/04/2014
203MT
Page 11 of 12
Scope of
Accreditation
Midland Regional Hospital Portlaoise
Permanent Laboratory:
Category A
Medical Testing Laboratory
BIOCHEMISTRY DEPARTMENT
INAB
Classification
Number (P9)
Test/Assay Name
Specimen Type
Method
Equipment
SOP
1061 General
Chemistry
.20 Hormones
Total human Chorionic
Gonadotropin (hCG)
Serum, Heparin
plasma
Immunoassay
Cobas E411
P BIO SOP 039
1061 General
Chemistry
.40 Iron Studies
Iron (Fe)
Serum, Heparin
plasma
Colourimetric
Roche
Modular P
P BIO SOP 036
Unconjugated Iron Binding
Capacity (UIBC)
Serum, Heparin
plasma
Photometric
Roche
Modular P
P BIO SOP 053
1061 General
Chemistry
.06 Blood pH
and gas tensions
pH
Whole Blood
Potentiometric
Roche
Omni S2
P BIO SOP 007
p02
Whole Blood
Clarke measurement
of current
Roche
Omni S2
P BIO SOP 007
pCO2
Whole Blood
Potentiometric
Roche
Omni S2
P BIO SOP 007
Edition 7, 22/04/2014
203MT
Page 12 of 12