Schedule of Accreditation

Transcription

1 Schedule of Accreditation Organisation Name INAB Reg No Contact Name Address Saolta University Health Care Group Sligo University Hospital Microbiology Department 321MT Anne O'Toole Contact Phone No Website Microbiology Laboratory, Pathology Department, The Mall, Sligo, Sligo Accreditation Standard ISO Date Initially Awarded 25/02/2014 Scope Classification Services available to the public¹ Microbiology and virology No 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 Microbiology Laboratory Pathology Department, Sligo University Hospital, The Mall, Sligo, Sligo INAB Registration No. 321MT Page 1 of 8 Edition 1, 10/07/2018

2 Scope of Accreditation Microbiology Laboratory Microbiology and Virology Category: A Medical pathology field - Test 1011 Macroscopic examination and description 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) Test/assay Specimen Type Equipment/Technique Method (CE/Non- CE/In house developed/based on standard method) Sputum Culture Sputum Abscesses Culture Abscesses and Post Operative wound / Deep seated infections Blood Cultures Blood Culture Bone Culture Ear Culture Bone and Soft Tissue associated with Osteomyelitis Ear Swab / Middle Ear Effusion Eye Culture Eye swab / Canalicular Pus and Intraocular fluids / Corneal Scrapings Fluid Cultures Fluids from normally sterile sites, including CSF and Bile Range of measurement Std. ref & SOP LP-04 LP-19 LP-24 LP-01 LP-07 LP-12 LP-13 INAB Registration No. 321MT Page 2 of 8 Edition 1, 10/07/2018

3 1012 Preparation of films on glass slides followed by microscopic examination with or without fixation and staining with dyes as required -.02 Microscopic examination for parasites 1012 Preparation of films on glass slides followed by microscopic examination with or without fixation and staining with dyes as required -.03 Microscopic Respiratory Bacterial Pathogens other than Mycobacteria Specimens Sinus Aspirate / Antral Washout (AWO) Sputa / Bronchiolar Lavage / Brushings / Pleural Fluids / Cough Swabs / Nasopharyngeal Aspirates / Tracheal Aspirates Inverted Light Mouth Culture Mouth Swab Tissue Culture Tissue / Biopsies / Bone Marrow Wound Culture Detection of Cryptosporidium species Specimens Skin Superficial and non-surgical wounds / Ulcers Faeces Abscesses Culture Abscesses and Post Operative wound / Deep seated infections Fluorescent Inverted Light LP-06 LP-21 LP-05 LP-03 LP-16 LP-04 INAB Registration No. 321MT Page 3 of 8 Edition 1, 10/07/2018

4 examination for fungi Blood Cultures Blood Culture Bone Culture Ear Culture Bone and Soft Tissue associated with Osteomyelitis Ear Swab / Middle Ear Effusion Eye Culture Eye swab / Canalicular Pus and Intraocular fluids / Corneal Scrapings Fluid Cultures Respiratory Bacterial Pathogens other than Mycobacteria Yeasts Specimens Fluids from normally sterile sites, including CSF and Bile Sinus Aspirate / Antral Washout (AWO) Sputa / Bronchiolar Lavage / Brushings / Pleural Fluids / Cough Swabs / Nasopharyngeal Aspirates / Tracheal Aspirates Specimens from Clinically Indicated sites Inverted Light Mouth Culture Mouth Swab Tissue Culture Tissue / Biopsies / Bone Marrow Wound Culture Skin Superficial and non-surgical wounds / Ulcers LP-19 LP-24 LP-01 LP-07 LP-12 LP-13 LP-06 ID-29 LP-21 LP-05 LP-03 INAB Registration No. 321MT Page 4 of 8 Edition 1, 10/07/2018

5 1012 Preparation of films on glass slides followed by microscopic examination with or without fixation and staining with dyes as required -.04 Microscopic examination for mycobacteria 1013 Culture of organisms in liquid or agar based culture media with visual or instrument monitoring for growth -.01 Culture of general bacteria Investigations of AAFB Specimens from Clinically Indicated sites Abscesses Culture Abscesses and Post Operative wound / Deep seated infections Blood Cultures Blood Culture / Fluids Bone Culture Ear Culture Bone and Soft Tissue associated with Osteomyelitis Ear Swab / Middle Ear Effusion Eye Culture Eye swab / Canalicular Pus and Intraocular fluids / Corneal Scrapings Fluid Cultures Faeces for bacterial pathogens Respiratory Bacterial Pathogens other than Mycobacteria Fluids from normally sterile sites, including CSF and Bile Faeces / Rectal Swabs Sinus Aspirate / Antral Washout (AWO) Sputa / Bronchiolar Lavage / Brushings / Pleural Fluids / Cough Swabs / Nasopharyngeal Aspirates / Fluorescent / Light BacT / ALERT TP-11 LP-04 LP-19 LP-24 LP-01 LP-07 LP-12 LP-13 LP-16 LP-06 INAB Registration No. 321MT Page 5 of 8 Edition 1, 10/07/2018

6 Tracheal Aspirates 1013 Culture of organisms in liquid or agar based culture media with visual or instrument monitoring for growth -.02 Culture of fungi Meningococcal Screening Pernasal or oropharyngeal swabs Mouth Culture Mouth Swab MRSA Screening Nasal Swabs / Throat swabs / Perineal Swabs / Wound Swabs / Nasal Culture Nasal Swabs Screening for Streptococcal Group B carriage Anorectum swabs / Cervical Swabs Throat Culture Throat Swab Tip Culture Intravascular cannulae, CVP, Hickman lines, Cannula associated swabs Tissue Culture Tissue / Biopsies / Bone Marrow Culture VRE Screening Wound Culture Faeces / Rectal Swabs/Swabs from other sites as clinically Skin Superficial and non-surgical wounds / Ulcers Abscesses Culture Abscesses and Post Operative wound / Deep seated infections Blood Cultures Blood Culture / Fluids Bone Culture Ear Culture Bone and Soft Tissue associated with Osteomyelitis Ear Swab / Middle Ear Effusion Eye Culture Eye swab / Canalicular Pus and Intraocular fluids / Corneal Scrapings Fluid Cultures Fluids from normally sterile sites, including CSF and Bile BacT / ALERT LP-29 LP-21 LP-15 LP-28 LP-32 LP-34 LP-08 LP-05 LP-36 LP-03 LP-04 LP-19 LP-24 LP-01 LP-07 LP-12 LP-13 INAB Registration No. 321MT Page 6 of 8 Edition 1, 10/07/2018

7 1014 Detection of bacterial, parasite, viral or fungal antigens using specific antibodies and appropriate techniques -.03 Enzyme immunoassay, 1014 Detection of bacterial, parasite, viral or fungal antigens using specific antibodies and appropriate techniques -.04 Immunochromatographic methods, Respiratory Bacterial Pathogens other than Mycobacteria Sinus Aspirate / Antral Washout (AWO) Sputa / Bronchiolar Lavage / Brushings / Pleural Fluids / Cough Swabs / Nasopharyngeal Aspirates / Tracheal Aspirates Mouth Culture Mouth Swab Throat Culture Throat Swab Tip Culture Intravascular cannulae, CVP, Hickman lines, Cannula associated swabs Tissue Culture Tissue / Biopsies / Bone Marrow Culture Wound Culture Detection of C.difficile Toxin Detection of Urinary Legionella Antigen Detection of Urinary Pneumo-coccal Skin Superficial and non-surgical wounds / Ulcers Faeces LP-06 LP-21 LP-34 LP-08 LP-05 LP-03 BC-59 IFU-14 IFU-7 TP-39 TP-49 INAB Registration No. 321MT Page 7 of 8 Edition 1, 10/07/2018

8 Antigen 1016 Identification of cultured bacteria and fungi using non-nucleic acid based techniques -.01 Biochemical methods, CE marked commercial systems 1016 Identification of cultured bacteria and fungi using non-nucleic acid based techniques -.04 Identification using MALDI-TOF Spectroscopy 1017 Measurement of antimicrobial activity and application of clinical interpretive criteria to general bacteria (rapidly growing aerobes) -.01 Anaerobes Faeces for Rotavirus / Adenovirus Identification of Cultured Bacteria and Fungi Antimicrobial Sensitivity (AMS) Antibiotic Susceptibility Test (AST) Faeces Significant isolates cultured from listed in classification section 1013 VITEK 2 Compact VITEK MS / Biomic VITEK 2 Compact E Tests Rapid detection of B-Lactamase IFU-20 TP-40 LP-75 TP-57 TP-29 LP-75 IFU-75 IFU-123 IFU-19 INAB Registration No. 321MT Page 8 of 8 Edition 1, 10/07/2018