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INAB Registration No. 208MT

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Schedule of

Accreditation

Organisation Name

Rotunda Hospital

INAB Reg No

208MT

Contact Name

Susan Luke

Address

Department of Laboratory Medicine, Parnell Square, Dublin 1, Dublin

Contact Phone No

01 8171739

Email

[email protected]

Website

Accreditation Standard

ISO 15189

Date Initially Awarded

09/12/2008

Scope Classification Microbiology and virology

Scope Classification Blood Transfusion Science

Scope Classification Haematology

Scope Classification Histopathology and cytopathology

Scope Classification Chemical pathology

Services available to the public¹

¹ Refer to document on interpreting INAB Scopes of Accreditation

Sites from which accredited services are delivered

(the detail of the accredited services delivered at each site are on the Scope of Accreditation)

Name Address

1 Department of Laboratory Medicine

Department of Laboratory Medicine-Quality Office, Parnell Square, Dublin, D1


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Scope of Accreditation

Department of Laboratory Medicine

Blood Transfusion Science

Category: A

Medical pathology field - Test

Test/assay Specimen Type Equipment/Technique Method (CE/Non-CE/In house developed/based on standard method)

1020 Transfusion science - .01 Blood grouping including ABO, Rh(D) and other antigens by manual methods

ABO and Rh D grouping of blood

Red Cells Automated AutoVue Innova and Manual method.

Column Agglutination Technology (CAT) Microtitre Plate, Tube Technology

1020 Transfusion science - .03 Blood group antibody screen

Antibody Screening Plasma / Serum Manual method and Automated AutoVue Innova

Column Agglutination Technology (CAT) , Tube Technology

1020 Transfusion science - .04 Identification of blood group antibodies

Antibody Identification Manual / Biorad BioVue

Column Agglutination Technology (CAT)

1020 Transfusion science - .05 Cross match compatible donor units

Compatibility Testing Manual / Biorad BioVue

Column Agglutination Technology (CAT)

1020 Transfusion science - .06 Red cell phenotyping

Red Cell Phenotyping Red Cells Manual BioVue and Tube


1020 Transfusion science - .99 Miscellaneous tests

Antibody Titre Plasma / Serum Manual bioVue Column Agglutination Technology (CAT)

Direct Antiglobulin Test

Red Cells Automated AutoVue Innova and Manual method in tubes and BioVue.


FMH Estimation Beckman Coulter FC500

Flow Cytometry


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Chemical Pathology

Category: A


Test/assay Specimen Type Technique Equipment/Range of Measurement

1061 Clinical Chemistry - .01 Analytes in general use in cardiac, liver function, lipid, renal and other profiles and metabolic studies

Albumin Heparinised plasma Electrochemiluminescence Cobas 6000

Alkaline Phosphatase

Electrochemiluminescence Cobas 6000

ALT Electrochemiluminescence Cobas 6000

AMH Serum Electrochemiluminescence Immunoassay

Cobas 6000

Amylase Heparinised plasma Electrochemiluminescence Cobas 6000

AST Electrochemiluminescence Cobas 6000

Bile Acids Heparinised plasma /serum


CA125 Serum Electrochemiluminescence Immunoassay

Cobas 6000

Calcium Heparinised plasma Electrochemiluminescence Cobas 6000

Chloride Heparinised plasma / urine


Cholesterol Heparinised plasma Electrochemiluminescence Cobas 6000

Creatinine (enzymatic)

Heparinised plasma / urine


CRP Heparinised plasma Electrochemiluminescence Cobas 6000

Ferritin Serum Electrochemiluminescence Immunoassay

Cobas 6000

Folate Electrochemiluminescence Immunoassay

Cobas 6000

Fructosamine Heparinised plasma / serum


FSH Serum Electrochemiluminescence Immunoassay

Cobas 6000

FT4 Electrochemiluminescence Immunoassay

Cobas 6000

Gentamicin Heparinised plasma Electrochemiluminescence Cobas 6000

GGT Electrochemiluminescence Cobas 6000

Glucose Sodium Fluoride Electrochemiluminescence Cobas 6000

Glucose Whole Blood Photometric Hemocue 201 DM

HCG Serum Electrochemiluminescence Immunoassay

Cobas 6000

HDL Heparinised plasma Electrochemiluminescence Cobas 6000

Lactate Sodium Fluoride / CSF

Electrochemiluminescence Immunoassay

Cobas 6000

LDH Heparinised plasma Electrochemiluminescence Cobas 6000

LDL Calculation Cobas 6000


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LH Serum Electrochemiluminescence Immunoassay

Cobas 6000

Magnesium Heparinised plasma Electrochemiluminescence Cobas 6000

Oestradiol Serum Electrochemiluminescence Immunoassay

Cobas 6000

Phosphate Heparinised plasma Electrochemiluminescence Cobas 6000

Potassium Heparinised plasma / urine


Progesterone Serum Electrochemiluminescence Immunoassay

Cobas 6000

Prolactin Electrochemiluminescence Immunoassay

Cobas 6000

Protein Creatinine Ratio

Urine Calculation Cobas 6000

SHBG Serum Electrochemiluminescence Immunoassay

Cobas 6000

Sodium Heparinised plasma / urine


Testosterone Serum Electrochemiluminescence Immunoassay

Cobas 6000

Total & Direct Bilirubin

Heparinised plasma Electrochemiluminescence Cobas 6000

Total Protein Heparinised Plasma / urine / CSF


TPO Antibody Serum Electrochemiluminescence Immunoassay

Cobas 6000

Triglycerides Heparinised plasma Electrochemiluminescence Cobas 6000

TSH Serum Electrochemiluminescence Immunoassay

Cobas 6000

Urate Heparinised plasma Electrochemiluminescence Cobas 6000

Urea Electrochemiluminescence Cobas 6000

Vitamin B12 Serum Electrochemiluminescence Immunoassay

Cobas 6000

1061 Clinical Chemistry - .05 CO-oximetry

O2Hb Whole Blood Potentiometric Cobas b221/b123

tHb Potentiometric Cobas b221/b123

1061 Clinical Chemistry - .06 Blood pH and gas tensions

Bicarbonate Potentiometric Cobas b221/b123

CoHb Potentiometric Cobas b221/b123

HHb Potentiometric Cobas b221/b123

MetHb Potentiometric Cobas b221/b123

PCO2 Potentiometric Cobas b221/b123

PH Potentiometric Cobas b221/b123

PO2 Potentiometric Cobas b221/b123

SO2 Potentiometric Cobas b221/b123

1061 Clinical Chemistry - .07 Other analytes performed on a blood gas analyser

Bilirubin Potentiometric Cobas b221/b123

Calcium Potentiometric Cobas b221/b123

CL Potentiometric Cobas b221/b123


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Glucose Potentiometric Cobas b221/b123

Haematocrit Potentiometric Cobas b221/b123

K Potentiometric Cobas b221/b123

Lactate Potentiometric Cobas b221/b123

Na Potentiometric Cobas b221/b123

1061 Clinical Chemistry - .35 Assays of neonatal specimens

Albumin Heparinised plasma Electrochemiluminescence Cobas 6000

Alkaline Phosphatase


ALT Electrochemiluminescence Cobas 6000

AMH Serum Electrochemiluminescence Immunoassay

Cobas 6000

Amylase Heparinised plasma Electrochemiluminescence Cobas 6000

AST Electrochemiluminescence Cobas 6000

Calcium Electrochemiluminescence Cobas 6000

Chloride Heparinised plasma/urine


Cholesterol Heparinised plasma Electrochemiluminescence Cobas 6000

CK Electrochemiluminescence Cobas 6000

Creatinine (enzymatic)

Heparinised plasma/urine


CRP Heparinised plasma Electrochemiluminescence Cobas 6000

Ferritin Serum Electrochemiluminescence Immunoassay

Cobas 6000

Folate Electrochemiluminescence Immunoassay

Cobas 6000

FSH Electrochemiluminescence Immunoassay

Cobas 6000

FT4 Heparinised plasma/serum


Gentamicin Heparinised plasma Electrochemiluminescence Cobas 6000

GGT Electrochemiluminescence Cobas 6000

Glucose Sodium Fluoride Electrochemiluminescence Cobas 6000

HDL Heparinised plasma Electrochemiluminescence Cobas 6000

Lactate Sodium fluoride / CSF


LDH Heparinised plasma Electrochemiluminescence Cobas 6000

LH Serum Electrochemiluminescence Immunoassay

Cobas 6000

Mg Heparinised plasma Electrochemiluminescence Cobas 6000

Na Heparinised plasma/urine


Oestradiol Serum Electrochemiluminescence Immunoassay

Cobas 6000

Phosphate Heparinised plasma Electrochemiluminescence Cobas 6000

Potassium Heparinised plasma/urine


Progesterone Serum Electrochemiluminescence Immunoassay

Cobas 6000


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Prolactin Electrochemiluminescence Immunoassay

Cobas 6000

Testosterone Electrochemiluminescence Immunoassay

Cobas 6000

Total and Direct Bilirubin

Heparinised plasma Electrochemiluminescence Cobas 6000

Total Protein Heparinised plasma/urine


Triglycerides Heparinised plasma Electrochemiluminescence Cobas 6000

TSH Heparinised plasma / serum


Urate Heparinised plasma Electrochemiluminescence Cobas 6000

Urea Electrochemiluminescence Cobas 6000

Electrochemiluminescence Immunoassay

Cobas 6000

Vitamin B12 Serum Electrochemiluminescence Immunoassay

Cobas 6000

1061 Clinical Chemistry - .50 Protein and peptide tumour markers

CA125 Electrochemiluminescence Immunoassay

Cobas 6000

1061 Clinical Chemistry - .61 Hb A1c

Haemoglobin A1C Whole Blood EDTA HPLC HA-8180

1061 Clinical Chemistry - .99 Miscellaneous tests

Thyroid peroxidase antibody

Serum Electrcheiluminescence Immunoassay

Cobas 6000


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Haematology

Category: A


Test/Assay Specimen Type Technique Range of Measurement/Equipment

1030 Haematology - .01 Blood counts

Full Blood Count including reticulocytes and white cell differential (automated) includes neutrophils, lymphocytes, monocytes, eosinophils and basophils.

EDTA Blood / Na Citrate / Blood / Thromboexact blood

Automated dye cellular staining optical, impedence and flow cytometery methods

Cell Dyn 3200 and Cell Dyn Sapphire

Haemaglobin estimation

Whole Blood Photometric Hemocue 210DM

1030 Haematology - .02 Visual examination of blood films

Blood Film and white cell differential (manual) includes neutrophils, lymphopcytes, monocytes, eosinophils, basophils and red cell morphology.

EDTA Blood Microscopic examination with or without fixation and staining with dyes for enumeration and description of human cells

Aerospray stainer / microscopy

1030 Haematology - .05 Automated differential leucocyte counts

Automated differential leucocyte counts

EDTA Blood Automated dye cellular staining optical, impedence and flow cytometery methods

Cell Dyn 3200 and Cell Dyn Sapphire

1030 Haematology - .08 Blood film examinations involving special staining procedures

Manual reticulocyte estimation

Microscopic examination with or without fixation and staining with dyes for enumeration and description of human cells

Manual Microscopy

1030 Haematology - .09 Examination of malarial parasites

Malaria Parasites Examination

Blood Film Microscopic examination with or without fixation and staining with dyes for enumeration and description of parasites

Manual Microscopy

Rapid Diagnosis of Malaria

EDTA Blood Immuno -chromatographic using monoclonal antibodies

Manual technique

1030 Haematology - .30 Tests for haemoglobin variants and thalassaemia

Adult and Paediatric Haemoglobinopathy screening

EDTA Blood / Clotted Blood

Capillary Electrophoreseis

Sebia

1030 Haematology - .31 Tests for foetal Hb (Kleihauer)

Kleihauer (tests for foetal Hb)

EDTA Blood Microscopic examination with or without fixation and staining with dyes for enumeration and description of human cells

Manual Microscopy


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1030 Haematology - .40 Limited haemostasis related tests

Lupus Anticoagulant Factor VIII Activated Protein C resistance Anti Thrombin Protein C activity

Sodium Citrate Blood

Colourimetric / absorbance

ACL Top 500

1030 Haematology - .41 General haemostasis related tests

Coagulation Screen: prothrombin time, prothombin time international ration, activated partial thromboplastin time, activated partial thromboplastin ratio, fibrinogen estimation

Colourimetric / absorbance

ACL Top 500


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Histopathology and Cytopathology

Category: A



1051 Histopathology - .01 Processing fixed specimens for Histopathological testing

Automated Haematoxylin & Eosin

Human tissue DRS stainer

Coverslipping coverslipper, sorbline

Cut-Up microwriter, digital recording system, Kern balance

Embedding embedding centre, heated forceps

Microtomy microtomes, waterbaths, ovens, hotplate

Tissue Processing VIP tissue processor

1051 Histopathology - .02 Processing fresh specimens for frozen section examination

Frozen Sections cryostat

1051 Histopathology - .03 Histochemistry

Special Stains: Pas x 3, Alcian Blue, Grocott, Brown & Brenn, Cold ZN, Perl's Prussian Blue, Masson-Fontana, Von Kossa's, PTAH, Masson Trichrome, Modified Glees, MSB, Verhoeff's Elastic, Miller's Elastic, Verhoeff's Van Gieson, Oil Red O, Celestin Blue Haem Alum, Haematoxylin & Eosin, Rapid H&E, Congo Red, Churukian Schenk, Grimelius silver, Papanicolaou, Grams Twort, Warthin Starry

1051 Histopathology - .06 Histological interpretation-perinatal pathology

Diagnostic interpretation and reporting of human tissue specimens - specialist areas inlcuded: perinatal pathology (confined to histological examination of placental tissue and gravid uteri). Specialist areas excluded: medical

Microscope


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renal pathology, paediatric pathology, neuropathology & breast screening pathology)

1051 Histopathology - .09 Immunohistochemistry

Dual Stain P16/ki67 Ventana Benchmark & microscope

CE marked

P63 lletzes & cervical biopsies

Ventana Benchmark & micrscope

CE marked

1052 Cytopathology - .02 Non gynaecological cytology

H&E and PAP Non-gynaecological fluids

Thin prep 2000, & viper vortex

1052 Cytopathology - .05 Immunocytochemistry

P57kip, EMA, CLA (CD45), SMA, AE1/3, GFAP, beta-inibin, alphainibin, HCG, HPL, CK7, CK20, vimentin, S100, CD68, CD8, CD20cy, CD79a, CD10, Ki67, P16, P53, Monoclonal CEA & Polyclonal CEA, Calretinin, CD31, CD3, CMV, Parovirus, P63

Human tissue Ventana benchmark, & microscope


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Microbiology and Virology

Category: A



1012 Preparation of films on glass slides followed by microscopic examination with or without fixation and staining with dyes as required - .01 Microscopic examination for general bacteriology purposes (including enumeration and description of human cells)

Microscopic examination of General Bacteriology

All swabs, bronchial lavage / brushings, endotracheal tubes, other body fluids, pus, pleural fluids, sputum, tissue, urine, blood, CSF, middle ear, effusion, cannual, associated exudates, NICU surveillance, adverse transfusion environmental specimens, semen for culture.

Light microscope Microscopic examination with or without fixation and staining with dyes for enumeration and description of human cells.

1012 Preparation of films on glass slides followed by microscopic examination with or without fixation and staining with dyes as required - .03 Microscopic examination for fungi

Microscopic examination of Fungi

Light microscope Microscopic examination with or without fixation and staining with dyes for enumeration and description of human cells.

1013 Culture of organisms in liquid or agar based culture media with visual or instrument monitoring for growth - .01 Culture of general bacteria

Culture of General Bacteria

BacTAlert 3D System / Microscope

BacTAlert / Manual

1013 Culture of organisms in liquid or agar based culture media with visual or instrument monitoring for growth - .02 Culture of fungi

Culture of Fungi BacTAlert 3D System / Microscope

BacTAlert / Manual

1015 Detection and/or identification of bacterial, parasite, fungal and viral nucleic acids - .01 Nucleic acid probe hybridization, CE marked commercial systems

Neisseria Gonorrhea, chlamydia, C. Diff toxin, SA/MRSA, Influenza A and B, Group B Streptococcal

Eye / HVS Swabs, urine Stools, blood culture, nasal swabs / aspirate / washings

Cobas 480 GeneXpert

PCR

1016 Identification of cultured bacteria and fungi using non-nucleic acid based techniques - .04 Identification using MALDI-TOF Spectroscopy

Identification of Organisms

All swabs, bronchial lavage / brushings, endotracheal tubes, other body fluids, pus, pleural fluids, sputum, tissue, urine, blood, CSF, middle ear, effusion, cannual, associated exudates, NICU surveillance, adverse transfusion environmental specimens, semen for

MaldiTof Spectroscopy


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culture.

1017 Measurement of antimicrobial activity and application of clinical interpretive criteria to general bacteria (rapidly growing aerobes) - .01 Anaerobes

Aerobes / Anaerobes Vitek 2 Compact Biochemical Testing

Vitek 2 Compact and Manual

MIC / Disk Diffusion

1018 Detection of antibody response to infection using appropriate CE marked commercial techniques - .04 Line immunoassay, using CE marked commercial systems

CMV IgG Serum Abbott Architect Immunoassay

Hepatitis B Core Antibodies Anti-HBc

Abbott Architect Immunoassay

Mini Vidas Immunoassay

Hepatitis B Surface Antigen (HBsAg)


Hepatitis C Antibodies Anti-HCV


HIV Combo Ab/Ag Abbott Architect Immunoassay

Rubella IgG Abbott Architect Immunoassay


Syphilis RPR (rapid plasma reagin)


Varicella Zoster IgG Abs

Diaorin Liaison Immunoassay


1029 Miscellaneous - .01 Semen analysis (Screening Test)

Semen Analysis Semen Sperminator Equipment

Count, volume, motility.

1029 Miscellaneous - .99 Miscellaneous tests

Pregnancy Testing Urine Surescreen Diagnostic Stick

Chromatography immunoassay

accreditation - inab.ie · pdf fileother antigens by manual methods abo and rh d ... acl top...

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