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Inspecting Urinalysis
Processes/Areas for
Observation
Specimen Collection and Handling
o Instructions Posted and under document controlo Preservation and Storage Areas, e.g., refrigeration
o Specimen Labeling
Key Documents to
Review
Specimen Collection and Handling
o Timely examination of specimen
Instruments and Equipment
o Routine Maintenance and Function Checks records (eg, centrifuge,
microscope, refractometer)
o Manual, automated, semi-automated urinalysis testing
o Calibration records
o Controls / Corrective Action records
o Criteria defined for dipstick reader limitationso Criteria for erroneous results /interferences
Urinalysis Microscopy
o Criteria for microscopy
o Reference materials, posters or atlas
o Consistency of morphologic observation policy/records
o Correlation of macroscopic vs microscopic results
Patient Reports or Patient Charts (reference ranges)
Waived vs. Non-waived Requirements
o Twice per year correlation between more than one instrument/method to test
for a given analyte applies only to
non-waived tests.
© College of American Pathologists. January 2016
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