Dr Piyush Tailor nchsls:c:clinical_pathology:document

nchsls:c:clinical_pathology:document:06

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for informing patients and users about the laboratory services NameUnique ID Edition/Date of Edition Procedure for informing patients and users about the laboratory servicesnchsls:c:Clinical Pathology:document:06 03-01-2015Preparing authority

nchsls:c:clinical_pathology:document:07

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for receiving examination request NameUnique ID Edition/Date of Edition Procedure for receiving examination request nchsls:c:Clinical Pathology:document:07 03-01-2015Preparing authorityApproving authorityReview periodAll teaching staffIn-charge Clinical Pathology

nchsls:c:clinical_pathology:document:08

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for primary sample collection & handling NameUnique ID Edition/Date of Edition Procedure for primary sample collection & handling nchsls:c:Clinical pathology:document:08 03-01-2015Preparing authorityApproving authorityReview periodAll teaching staff

nchsls:c:clinical_pathology:document:09

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for sample transportation NameUnique ID Edition/Date of Edition Procedure for sample transportation nchsls:c:Clinical Pathology:document:09(1) 03-01-2014Preparing authorityApproving authorityReview periodAll teaching staffIn-charge Clinical Pathology

nchsls:c:clinical_pathology:document:10

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for receiving of sample NameUnique ID Edition/Date of Edition Procedure for receiving of sample nchsls:c:Clinical pathology:document:10 03-01-2015Preparing authorityApproving authorityReview periodAll teaching staff of Pathology Department

nchsls:c:clinical_pathology:document:11

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for pre-examination handling, preparation and storage NameUnique ID Edition/Date of Edition Procedure for pre-examination handling, preparation and storagenchsls:c:Clinical pathology:document:11 03-01-2015Preparing authorityApproving authority

nchsls:c:clinical_pathology:document:12

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for selection, verification and validation of examination procedures NameUnique ID Edition/Date of Edition Procedure for selection, verification and validation of examination procedures nchsls:c:Clinical pathology:document:1203-01-2015Preparing authority

nchsls:c:clinical_pathology:document:13

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for examination NameUnique ID Edition/Date of Edition Procedure for examinationnchsls:c:Clinical Pathology:document:13 03-01-2015Preparing authorityApproving authorityReview periodAll teaching staff of pathology departmentIn-charge Clinical Pathology

nchsls:c:clinical_pathology:document:15

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for storage, retention and disposal of clinical samples NameUnique ID Edition/Date of Edition Procedure for storage, retention and disposal of clinical samplesnchsls:c:Clinical Pathology:document:15 03-01-2015Preparing authorityApproving authority

nchsls:c:clinical_pathology:document:16

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Processes requiring this procedure Post-Examination Process Purpose Purpose of procedure for reporting of results is to communicate results of examination to the clinician and patient unambiguously. Procedure Printed report * Program infoDiagnostica

nchsls:c:clinical_pathology:document:17

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Procedure for release of report Procedure 1. All reports are entered in info.diagnostica software by data entry operator/ technician which are password protected. 2. All printed reports are verified by authorized signatories and being released by the same.

nchsls:c:clinical_pathology:document:23

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP for Laboratory Information System (LIS) Clinical Pathology 1. Switch on computer. 2. Open Mozilla Firefox. 3. Go to address * Name of Software:infoDiagnostica * Software User Manual: 4. Login & Click on ‘new sample’ for entering details of patient.

nchsls:c:clinical_pathology:document:25

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Quality Indicator of Clinical pathology Clinical Pathology Laboratory QUALITY INDICATORS FOR CONTINUAL IMPROVEMENT

nchsls:c:clinical_pathology:document:common_sample_collection_centre

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

PROCEDURE FOR REGISTRATION (REGISTRATION WINDOW) * Patient at the Common Collection Center registration window are having their case file & request form. Request forms will be filled up by respective treating doctors. Patient should submit their request form at registration window & form will be examined, if any of the required information is lacking, and then ask correction from referring doctor.

nchsls:c:clinical_pathology:document:sop_of_bence_jonce_protein_myoglobin_and_chyle

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP OF BENCE-JONES PROTEIN * Take 10 ml of urine in a test tube. * Heat the upper part of the test tube. * If protein is present in specimen, it will precipitate on heating at around 40 - 60º C * Again continue heating the specimen till boiling level at 1000 C.

nchsls:c:clinical_pathology:document:sop_of_body_cavity_fluid_examination

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP OF BODY CAVITY FLUID EXAMINATION PURPOSE OF EXAMINATION: For the diagnosis of certain diseases like * Infection- bacterial pneumonia, Tuberculosis, meningitis, encephalitis. * Inflammatory diseases- Rheumatoid arthritis, SLE, multiple sclerosis, Guillain Barre syndrome.

nchsls:c:clinical_pathology:document:sop_of_centrifuge-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Centrifuge * Insert the power cord & switch on the power supply. * RPM & time display will blink last run RPM & time. * Time setting : Push SET time key, the timer display starts incrementing till 99 & after that it starts from 1 again. Range of time – 1-99 min.

nchsls:c:clinical_pathology:document:sop_of_computer-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Computer > PARTS OF COMPUTER * CPU * MONITOR * UPS * PURPOSE: Computer is used for data entry, data analysis, record keeping and to generate computerized reports of clinical pathology laboratory. * LOCATION: II )Hematology processing room-1

nchsls:c:clinical_pathology:document:sop_of_criteria_of_acceptance_of_results_between_two_examiners_in_case_of_ilc_as_well_as_iqc

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

CRITERIA OF ACCEPTANCE OF RESULTS BETWEEN TWO EXAMINERS IN CASE OF ILC AS WELL AS IQC * Variation of +1 on the either side of the results is acceptable in chemical semi-quantitative assessment of urine. * In microscopy total counts value is categorized in clinically significant groups. e.g. <10 , 10-100, 100-500, 500-1000 and >1000.

nchsls:c:clinical_pathology:document:sop_of_emergency_duty

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Night Duty(Emergency duty) Policy * One 1st 2nd and 3rd year resident doctors and two technicians are posted for emergency duty daily. Timings- Monday to Friday- 4 pm to 8 am. Saturday-1 pm to Monday 8 am. * 1St year residents are given 1 week observation posting and for 3 month regular posting in clinical pathology along with hematology, during which, training for all clinical pathology investigations are taken by post M.D person during routine hours.

nchsls:c:clinical_pathology:document:sop_of_housekeeping-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP FOR HOUSE KEEPING OBJECTIVES: * Housekeeping is important in any work area. * A clean, well-maintained work area improves safety by preventing accidents and can enhance the overall efficiency of work performed. * This SOP provides general safety procedures for laboratory housekeeping.

nchsls:c:clinical_pathology:document:sop_of_microscope-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

0 BINOCULAR MICROSCOPE * PURPOSE: Binocular microscope is used for viewing urine microscopy. * LOCATION: Clinical pathology reporting room / Incharge room. * OPERATION: * The slide is placed on stage gently holding back the spring arm with the specimen side up and center of the smear to be examined as accurately as possible over the hole in the center of the stage. The spring arm mechanism can get easily damaged if the surface of the stage or the under surface of the slide is wet or h…

nchsls:c:clinical_pathology:document:sop_of_new_lot_validation

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP of validation of new lot of Reagent strip Objective * To validate new lot of reagent strips before use Requirement * New lot * Validated lot in use * Testing sample Procedure * We validate every new batch of reagent strips by running the urine sample first with the old reagent strips of same parameters which is validated and in use and then re running it with new reagent strips and results are compared.

nchsls:c:clinical_pathology:document:sop_of_quality_control-urine

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP OF QUALITY CONTROL OF EXAMINATION A] INTERNAL QUALITY CONTROL 1) Daily two urinalysis control samples (Positive & Negative) run on automated urine analyzer * Use of the control is intended to monitor the precision of urine analysis test procedures

nchsls:c:clinical_pathology:document:sop_of_refrigerator-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Refrigerator * PURPOSE: This instrument is used to store samples, reagents, QC samples * LOCATION: Hematology Processing room * OPERATION: * The refrigerator is switched on. * The refrigerator is started to use after the temperature has reached to the required temperature which is shown on the thermometer kept inside the refrigerator.

nchsls:c:clinical_pathology:document:sop_of_sample_handling_during_covid_19-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SAMPLE HANDLING DURING COVID 19 * Samples are received in double packaging from transport team. * Routine test is carried out as per routine SOP for handling of patient specimen. * For centrifugation , the sample after being taken in the test tube was plugged by a cotton ball.

nchsls:c:clinical_pathology:document:sop_of_urine_examination-autoanslyser

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP FOR URINE EXAMINATION BY AUTOMATED URINE ANALYZER PURPOSE OF EXAMINATION It is Quick, simple and Cost effective test to diagnose and monitor various diseases of Urinary tract as well as systemic disorders like Diabetes. PRINCIPLE OF EXAMINATION

nchsls:c:clinical_pathology:document:sop_of_urine_examination_manual_and_strip_method

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP OF URINE EXAMINATION (ROUTINE & MICROSCOPIC) (MANUAL METHOD & STRIP METHOD) A)Purpose of examination: * To find out metabolic or endocrine disturbances of the body like hepatic disease or diabetes * To detect intrinsic condition that may adversely affect the urinary tract.

nchsls:c:clinical_pathology:document:sop_of_work_flow_indoor

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP of Workflow of clinical pathology(indoor section) * First of all the samples and request forms are received at the reception counter. They are checked for appropriate information and patient details. Provided request form is matched for patient details and other desired data. If sample is rejected according to the written criteria it is mentioned in rejection register along with reason for rejection and action taken.

nchsls:c:clinical_pathology:document:sop_of_work_flow_outdoor

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

SOP of Workflow of clinical pathology (outdoor section) * First of all the patient comes at registration window with case paper & request form with desired investigations and registered at the registration desk. * Registration includes name, age, sex, referred OPD, MRD number, investigations desired along with the unique lab ID number. This unique ID number is noted on patient’s main hospital registration form for future reference.

nchsls:c:clinical_pathology:document:standard_operating_procedures_of_clinical_pathology

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Standard Operating Procedures of Clinical Pathology * SOP of Work flow outdoor * SOP of Work flow indoor * SOP of Urine examination Manual and strip method * SOP of Urine examination-Autoanslyser * SOP of Quality control-Urine * SOP of Bence Jonce Protein, Myoglobin and chyle * SOP of Body cavity fluid examination * SOP of criteria of acceptance of results between two examiners in case of ILC as well as IQC * SOP of Centrifuge-CP * SOP of Refrigerator-CP * SOP of Computer-C…

nchsls:c:clinical_pathology:document:wdi_of_body_cavity_fluid_examination

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

WDI OF BODY CAVITY FLUID EXAMINATION Physical examination See for the following physical characteristics * Volume * Colour * Appearance Microscopic Examination Cell count should be made soon after collection of fluid.Leukocyte cell count is done with the help of Neubaur’s chamber and micropipette.

nchsls:c:clinical_pathology:document:wdi_of_centrifuge-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

WDI FOR LAB CENTRIFUGE [TEST TUBE] Procedure 1. Switch on the main power supply. 2. Then put the balanced test tube inside and then start on the switch of centrifuge. 3. For Urine the RPM is 2000 for 10 min. 4. After finish the work Switch off the main power supply.

nchsls:c:clinical_pathology:document:wdi_of_computer_printer-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

WDI OF COMPUTER * At first, switch on the power supply. * Then switch on the CPU and Monitor in that order. * When the screen of monitor is displayed, it will require password to enter onto desktop. * Then, start any work related to the computer and save each and every work before logging off.

nchsls:c:clinical_pathology:document:wdi_of_housekeeping-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

WDI FOR HOUSE KEEPING * A cleaning routine is established for the work area daily and thorough cleaning once a month. * Area is kept as clean as the work allows. Work surfaces are kept as clean as possible, with only those items needed for the immediate project on that surface.

nchsls:c:clinical_pathology:document:wdi_of_microscope-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

CARE AND MAINTENANCE OF MICROSCOPES * Handle the microscope carefully and gently to avoid sharp knocks. * Microscope should be placed at such an area which is free of dust, vibration, high temperature, moisture and direct sunlight. * Do not leave dirt, dust or finger marks on the lens surface.

nchsls:c:clinical_pathology:document:wdi_of_occupational_exposure_and_post-exposure_prophylaxis-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

WDI OF OCCUPATIONAL EXPOSURE AND POST-EXPOSURE PROPHYLAXIS An “exposure” that may place a Health Care Provider (HCP) at risk of blood borne infection is defined as a percutaneous injury (e.g. needle-stick or cut with a sharp instrument), contact with the mucous membranes of the eye or mouth, contact with non-intact skin (particularly when the exposed skin is chapped, abraded, or afflicted with dermatitis), or contact with intact skin when the duration of contact is prolonged (e.g. several minut…

nchsls:c:clinical_pathology:document:wdi_of_preparation_of_1_hypochlorite_solution

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Preparation of 1% Sodium Hypochlorite solution Materials required * Measuring Cylinder * 5% Sodium Hypochlorite Solution * Water METHOD OF PREPARATION * Take 200ml of 5% Sodium Hypochlorite solution in measuring cylinder * Add 800ml of water in it

nchsls:c:clinical_pathology:document:wdi_of_refrigerator-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

WDI FOR REFRIGERATOR SWITCH ON PROCEDURE: * First switch on the main power supply. * Switch on refrigerator switch. RUN PROCEDURE * Adjust the temperature at 2-6°C temperature by using control panel. * Note: - Do not switch off the Refrigerator

nchsls:c:clinical_pathology:document:wdi_of_universal_precaution-cp

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

UNIVERSAL PRECAUTION 1.Protection of staff against laboratory infection * All laboratory personnel are informed of the hazards including transmission of viral infection involved in working in a laboratory. Possible route of infection may be skin abrasion or puncture or through body orifices.

nchsls:c:clinical_pathology:document:wdi_of_urine_examination_by_automated_urine_analyser

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Urine Examintion by AUTOMATED URINE ANALYSER * Completely immerse all the reagents area into fresh , well mixed , uncentrifuged urine .Drip briefly and remove immediately to avoid dissolving out reagents. * While removing the strip run the edge against the rim of the urine container to remove excess urine.

nchsls:c:clinical_pathology:document:wdi_of_urine_examination_by_manual_method

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

Urine Examintion (Routine & Microscopic) by manual method Physical Examination - see for the following physical characteristics; * Volume * Color * Appearance * Sediment formation- allow the urine to stand for some times and see at the bottom for sediment formation

nchsls:c:clinical_pathology:document:wdi_of_urine_quality_control_examination

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

WDI of Urine Quality Control Examination * This is done by running the BIO RAD quality control samples (level 1& level 2) daily once on auto analyzer. * Put drops of control sample level 1 on each reagent area of reagent strip with pipette. * Blot by touching the edge of strip to Tissue paper to remove excess control sample.

nchsls:c:clinical_pathology:document:work_desk_instructions_for_clinical_pathology

Anonymous (anonymous@undisclosed.example.com) — 2022-08-13T07:34:35+00:00

WDI of Clinical Pathology * WDI of urine examination by manual method * WDI of urine examination by automated urine analyser * WDI of centrifuge-CP * WDI of refrigerator-CP * WDI of Microscope-CP * WDI of Computer & printer-CP * WDI of Housekeeping-CP * WDI of preparation of 1% Hypochlorite solution * WDI of Universal precaution-CP * WDI of Body cavity fluid examination * WDI of urine quality control examination * WDI of Occupational exposure and Post-exposure prophylaxis-cp