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Inspecting Urinalysis Processes/Areas for Observation Specimen Collection and Handling o Instructions Posted and under document control o 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 limitations o 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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Page 1: Inspecting Urinalysis - cap.org Folders... · Inspecting Urinalysis . ... o Correlation of macroscopic vs microscopic results Patient Reports or Patient Charts (reference ranges)

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