Scribd
Upload
70 views1 page

Accreditation Report.

This report summarizes the progress made towards laboratory accreditation from December 2016 to March 2017. Key achievements include developing standard operating procedures, staff training, and improvements to laboratory organization and safety. Areas still needing work are opening personnel files, monitoring waste amounts and storage temperatures, and ensuring privacy in phlebotomy. Support is requested from administration such as a computer, restricted access to phlebotomy, equipment for weighing waste and blood, thermometers, and service contracts.

Uploaded by

Migori Art
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
70 views1 page

Accreditation Report.

This report summarizes the progress made towards laboratory accreditation from December 2016 to March 2017. Key achievements include developing standard operating procedures, staff training, and improvements to laboratory organization and safety. Areas still needing work are opening personnel files, monitoring waste amounts and storage temperatures, and ensuring privacy in phlebotomy. Support is requested from administration such as a computer, restricted access to phlebotomy, equipment for weighing waste and blood, thermometers, and service contracts.

Uploaded by

Migori Art
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

LABORATORY ACCREDITATION PROGRESS REPORT.(DEC 2016---MAR 2017).

Achievements made

Development of technical SOPs.


Conducting regular staff meetings and CME's.
Establishment of Hospital Transfusion Committee.
Training all staff on Biosafety and Biosecurity.
Development of Equipment maintenance logs.
Bench shining and redesigning laboratory workflow.
Opening files for equipment service contract.
Opening files for laboratory monitoring indicators.
Purchasing First aid kit and spill kit.
Proper segregation of medical waste.

What is in progress.

Mentorship on system Sops and developing them.


Opening files for the system SOPs.
Training staff on all the documents produced.

What needs to be done.

Opening of personnel files.


Weighing waste generated from the laboratory.
Proper IQC and EQA of lab equipment to get accurate results.
Monitor the temperature of storerooms and working areas.
Safe storage of blood.
Ensuring privacy in the phlebotomy section.
Sign a service contract for all our machines.
Establish a fire Assembly point for the hospital.
Train the drivers handling laboratory samples and the cleaner on biosafety biosecurity.

Support needed from the administration.

1) A computer and a printer for easy development of the documents.


2) Close the entrance to the phlebotomy only to be accessed by authorized personnel
3) Purchase a weighing balance for wastes and blood.
4) Purchase digital thermometers to monitor the temperatures of storerooms and working areas.
5) Identify companies/suppliers to sign a service contract.
6) Calibration of laboratory equipment.

Prepared by--------------------------------Designation----------------.sign-----------Date------------------

You might also like