Our Lady's Children's Hospital Department of Paediatric Laboratory Medicine, Crumlin, Dublin 12. Medical Testing Laboratory Registration number: 325MT is accredited by the Irish National Accreditation Board (INAB) to undertake testing as detailed in the Schedule bearing the Registration Number detailed above, in compliance with the International Standard ISO 15189:2012 3rd Edition “Medical laboratories – Requirements for quality and competence” (This Certificate must be read in conjunction with the Annexed Schedule of Accreditation) Date of award of accreditation: 09:09:2014 Date of last renewal of accreditation: n/a Expiry date of this certificate of accreditation: 09:09:2019 This Accreditation shall remain in force until further notice subject to continuing compliance with INAB accreditation criteria, ISO 15189 and any further requirements specified by the Irish National Accreditation Board. Manager: ____________________ Chairperson: Dr Adrienne Duff ____________________ Mr Tom O’Neill Issued on 10 June 2015 Organisations are subject to annual surveillance and are re-assessed every five years. The renewal date on this Certificate confirms the latest date of renewal of accreditation. To confirm the validity of this Certificate, please contact the Irish National Accreditation Board. INAB is a signatory of the European co-operation for Accreditation (EA) Multilateral Agreement (MLA) and the International Laboratory Accreditation Cooperation (ILAC) Mutual Recognition Arrangement, for Testing. Edition 7, 29/03/2017 325MT Page 1 of 25 Schedule of Accreditation (Annex to Accreditation Certificate) Permanent Laboratory: Category A Our Lady's Children's Hospital, Crumlin Department of Paediatric Laboratory Medicine. Medical Testing Laboratory Department: Microbiology, Haematology, Clinical Chemistry, Histopathology. Initial Registration Date : 9-September-2014 Histopathology 9-June 2015 Postal Address: Department of Paediatric Laboratory Medicine, (Address of other locations Crumlin, as they apply) Dublin 12 Telephone: +353 (1) 4096430 Fax: +353 (1) 4096218 E-mail: [email protected] Contact Name: Mr. Kevin Read Facilities: Public testing service Edition 7, 29/03/2017 325MT Page 2 of 25 Schedule of Accreditation Permanent Laboratory: Category A THE IRISH NATIONAL ACCREDITATION BOARD (INAB) is the Irish body for the accreditation of organisations including laboratories. Laboratory accreditation is available to testing and calibration facilities operated by manufacturing organisations, government departments, educational institutions and commercial testing/calibration services. Indeed, any organisation involved in testing, measurement or calibration in any area of technology can seek accreditation for the work it is undertaking. Each accredited laboratory has been assessed by skilled specialist assessors and found to meet criteria which are in compliance with ISO/IEC 17025 or ISO 15189 (medical laboratories). Frequent audits, together with periodic inter-laboratory test programmes, ensure that these standards of operation are maintained. Testing and Calibration Categories: Category A: Permanent laboratory calibration and testing where the laboratory is erected on a fixed location for a period expected to be greater than three years. Category B: Site calibration and testing that is performed by staff sent out on site by a permanent laboratory that is accredited by the Irish National Accreditation Board. Category C: Site calibration and testing that is performed in a site/mobile laboratory or by staff sent out by such a laboratory, the operation of which is the responsibility of a permanent laboratory accredited by the Irish National Accreditation Board. Category D: Site calibration and testing that is performed on site by individuals and organisations that do not have a permanent calibration/testing laboratory. Testing may be performed using (a) portable test equipment (b) a site laboratory (c) a mobile laboratory or (d) equipment from a mobile or site laboratory Standard Specification or Test Procedure Used: The standard specification or test procedure that is accredited is the issue that is current on the date of the most recent visit, unless otherwise stated. Glossary of Terms Facilities: Public calibration/testing service: Commercial operations which actively seek work from others. Conditionally available for public calibration/testing: Established for another primary purpose but, more commonly than not, is available for outside work. Normally not available for public calibration/testing: Unavailable for public calibration/testing more often than not. Laboratory users wishing to obtain assurance that calibration or test results are reliable and carried out to the Irish National Accreditation Board criteria should insist on receiving an accredited calibration certificate or test report. Users should contact the laboratory directly to ensure that this scope of accreditation is current. INAB will on request verify the status and scope. Edition 7, 29/03/2017 325MT Page 3 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Microbiology Laboratory INAB Classification Number (P9) 1011 Bacteriology .02 .04 .05 .02 .04 .05 .02 .04 .05 .02 .04 .05 .02 .04 .05 .02 .05 Test/Assay Name Nasal specimens Eye and canalicular specimens LP-MIC-THROAT Nasal swabs Culture and susceptibility testing Culture and susceptibility testing Culture and susceptibility testing Culture and susceptibility testing Culture and susceptibility testing PCR LP-MIC-Nasal PCR LP-MIC-PCR-BORDSP PCR LP-MIC-PCR-BORDSP PCR LP-MIC-PCR-BORDSP Mouth specimens Gastric aspirates Gastric aspirates Bordetella Nasopharyngeal aspirate/pernasal swab Nasopharyngeal aspirate/pernasal swab/Sputum Nasopharyngeal aspirate/pernasal swab/ Sputum Detection of Bordetella bronchiseptica Detection of Bordetella holmesii Edition 7, 29/03/2017 SOP Culture and susceptibility testing Eye and canalicular specimens Mouth swabs Detection of Bordetella parapertussis Method Throat swabs Throat specimens Detection of Bordetella pertussis .08 Specimen Type Nasopharyngeal aspirate/pernasal swab/Sputum Nasopharyngeal aspirate/pernasal swab/Sputum 325MT LP-MIC-EYE LP-MIC-mouth LP-MIC-GasAsp LP-MIC-Bordetella LP-MIC-PCR-BORDSP Page 4 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Microbiology Laboratory INAB Classification Number (P9) 1011 Bacteriology .02 .03 .04 .02 .04 .01 .02 .03 .04 Test/Assay Name Diphtheriae Transfusion reaction culture of donated blood unit Deep wound culture Specimen Type Swab or tissue Blood sample Swabs/ pus Aspirates Ear swabs and associated specimens Swabs Peritonitis Swabs/Fluid .02 .03 .04 Fluids from sterile sites fluids .01 .02 .03 .04 .01 .02 .03 .04 Tissues and biopsies Tissue and Biopsy Sinus aspirates Fluids Cannulae and associated specimens Removed IV and arterial cannulae/ line .02 .04 .02 .03 .04 .02 .04 Edition 7, 29/03/2017 325MT Method SOP Culture and susceptibility testing LP-MIC-Diphtheria Culture and susceptibility testing Culture, Microscopy and susceptibility testing Culture and susceptibility testing and microscopy Culture and susceptibility testing and microscopy Culture and susceptibility testing and microscopy Culture and susceptibility testing and microscopy Culture and susceptibility testing and microscopy Culture and susceptibility testing and microscopy LP-MIC-TransReact LP-MIC-WOU-DEEP LP-MIC-EAR LP-MIC-PERITONIT LP-MIC-FLUID LP-MIC-Tissue LP-MIC-SinusAsp LP-MICIVCANNULAE Page 5 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Microbiology Laboratory INAB Classification Number (P9) Test/Assay Name Specimen Type Method SOP Identification of H. pylori Biopsy sample Culture and susceptibility testing LP-MIC-HP .06 H. pylori antigen assay Faeces Immunoassay LP-MIC-HPANTI .02 .04 Bile Bile Genital and associated specimens Swabs Skin and superficial wounds Swabs Culture and susceptibility testing LP-MIC-WouSup .02 .04 Homograft tissue and fluid Homograft tissue and fluid Culture and susceptibility testing LP-MIC-Homograft .01 .02 .03 .04 Continuous Ambulatory peritoneal dialysis fluid Culture and susceptibility testing LP-MIC-PDF .02 .04 Allograft bone culture Allograft bone .02 .03 .04 Urine Urine 1011 Bacteriology .02 .04 .01 .02 .03 .04 .01 .02 .03 .04 Edition 7, 29/03/2017 CAPD fluid 325MT Culture and susceptibility testing Culture, susceptibility testing and microscopy. Culture and susceptibility testing Culture and susceptibility testing and microscopy LP-MIC-Bile LP-MIC-Genital LP-MIC-BoneAllo LP-MIC-urine Page 6 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Microbiology Laboratory INAB Classification Number (P9) 1011 Bacteriology .01 .02 .03 .04 .01 .02 .03 .04 Test/Assay Name Bronchoalveolar Lavage and Associated specimens Specimen Type Bronchoalveolar Lavage and Associated specimens Method Culture, Susceptibility Testing and microscopy Culture, Susceptibility Testing and microscopy Culture, Susceptibility Testing and microscopy SOP LP-MIC BAL Sputa Sputa .02 .03 .04 Cystic fibrosis sputa Cystic fibrosis sputa and Throat swabs .01 .02 .03 .04 Investigation of CSF Cerebrospinal fluid Culture, Susceptibility Testing and microscopy LP-MIC-CSF Sputa and Throat swabs PCR LP-MIC-PCRPAER Detection of Pseudomonas aeruginosa Detection of Pseudomonas aeruginosa clonal strain IRL-CS-1 .08 Detection of Salmonella Shigella Detection of Campylobacter Detection of Escheria Coli STEC Cystic fibrosis sputa and Throat swabs LP-MIC-CFSputa LP-MIC-PCRPACS PCR Faeces Faeces LP-MIC-EBIOGP2 PCR LP-MIC-EBIOGP2 Faeces PCR LP-MIC-EBIOGP2 Detection of Mycoplasma pneumoniae Sputa, Naspharyngeal Aspirate. Pernasal swab .99 CSF Protein Cerebrospinal fluid .02 .04 Cerobrospinal fluid shunt .01 .02 .04 Blood cultures Edition 7, 29/03/2017 PCR LP-MIC-Sputum Removed Cerobrospinal fluid shunt Aerobic and anaerobic blood cultures 325MT PCR Randox Total Protein Culture and Susceptibility Testing Culture and Susceptibility Testing/microscopy LP-MIC-PCRMYCO LP_MIC-CSFPR LP-MIC-CSFshunt LP-MIC-BC BacT/ALERT 3D Page 7 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Microbiology Laboratory INAB Classification Number (P9) 1011 Bacteriology .01 .02 .03 .04 .06 Test/Assay Name Specimen Type Method SOP Faeces Faeces Culture and Susceptibility Testing and microscopy Isolation and or identification of VTEC Faeces Culture and identification LP-MIC-O157 Clostridium difficle antigen Faeces Rapid membrane immunoassay LP-MIC-F-CDT Clostridium difficle toxin and antigen Faeces Rapid membrane immunoassay LP-MIC-F-CDT Faecal occult blood Faeces Stool Blood test Trislide - Cenogenics LP-MIC-F-FOB VRE screening Swab .02 .04 MRSA Swab .02 .04 Carbapenamase Producing Enterobacteriae Faeces .02 .04 .99 .02 .04 Edition 7, 29/03/2017 325MT Culture and Susceptibility Testing Culture and Susceptibility Testing Culture and Susceptibility Testing LP-MIC-Faeces LP-MIC-ECC LP-MIC-MRSA LP-MIC CRE Page 8 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Microbiology Laboratory INAB Classification Number (P9) 1011 Bacteriology .02 .04 .99 .04 1012 Test/Assay Name Specimen Type Method Culture and identification SOP ESBL screening Faeces Antibiotic Assay Gentamicin and Vancomycin Blood EDTA/Heparin sample Antibiotic and antifungal susceptibility testing Bacterial or fungal Isolate Automated susceptibility testing LP-MICVITEK2XL using EUCAST guidelines Bacterial isolate Susceptibility testing LP-MIC-AMUST EUCAST Bacterial isolate MIC determination by E test LP-MIC-Etest Bacterial /Yeast/fungal isolate Vitek LP-MIC-VITEKMS Antibiotic susceptibility testing by disc diffusion Determination of the MIC(minimum inhibitory concentration) by E test Identification of bacteria, yeast and fungi Investigation of specimens other than blood for parasites Edition 7, 29/03/2017 Immuno assay Microscopy LP-MIC-AMUST LP-MICArchitect LP-MICPARASITE Faeces 325MT Page 9 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Virology Laboratory INAB Classification Number (P9) 1013 Virology .01 .01 .03 Test/Assay Name Specimen Type Method SOP RSV rapid screening Nasopharyngeal aspirate Immunochromatographic assay LP-MIC-RSVNOW Investigation of viral gastroenteritis (rotavirus, adenovirus) Faeces Diarlex Rota-Adeno Cat no 67491 rapid latex agglutination kit LP-MIC-F-VIR Edition 7, 29/03/2017 325MT Page 10 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Microbiology Laboratory INAB Classification Number (P9) 1014 Mycology .01 .02 .03 .05 Test/Assay Name Systemic and superficial fungal infections Specimen Type SOP Skin Nail Hair samples Culture,identification, LP-MIC-Fungi Fungal isolate Automated Antifungal susceptibility testing LP-MICVITEK2XL Fungal isolate MICs using Yeast One LP-MICYeastone Galactomannan Assay Clotted blood sample Immunoassay LP-MIC-GALACT Aspergillis EDTA Blood sample Extraction Amplification and detection of target DNA LP-MIC-PCR-ASP Bordatella pertussis serology Clotted blood sample Immunoassay LP-MIC-ELISAP Anti-streptolysin O Clotted blood sample Latex agglutination slide test LP-MICRANDOXASO Anti fungal susceptibility testing .99 1016 Serology of Infection .01 Method Edition 7, 29/03/2017 325MT Page 11 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Haematology Laboratory INAB Classification Number (P9) 1030 Haematology .41 Specimen Type Test/Assay Name Blood/Plasma Prothrombin Time (PT) Blood/Plasma International Normalised Ratio (INR) Activated Partial Thromboplastin Time (APTT) Activated Partial Thromboplastin Time Ratio (APTR) Blood/Plasma Blood/Plasma Method SOP Photo- Optical Technology LPHAE_ACLCoagS Photo- Optical Technology LPHAE_ACLCoagS Photo- Optical Technology LPHAE_ACLCoagS Photo- Optical Technology LPHAE_ACLCoagS Blood/Plasma Fibrinogen (Clauss) Photo- Optical Technology LPHAE_ACLCoagS Blood/Plasma Thrombin Time (TT) Photo- Optical Technology LPHAE_ACLCoagS D-Dimer Photo- Optical Technology LPHAE_ACLDDimer Blood/Plasma PT Correction Test Photo- Optical Technology LP-HAE-ACLCorr Blood/Plasma APTT Correction Test Photo- Optical Technology LP-HAE-ACLCorr Blood/Plasma Prothrombin Time (PT) Manual-semi quantitative LP-HAE-ManPT Blood/Plasma Activated Partial Thromboplastin Time (APTT) Manual-semi quantitative LP-HAEManAPTT Reptilase Photo- Optical Technology LP-HAE-ACLREP Blood/Plasma Blood/Plasma Edition 7, 29/03/2017 325MT Page 12 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Haematology Laboratory INAB Classification Number (P9) 1030 Haematology .40 Specimen Type Test/Assay Name Blood/Plasma Method SOP Factor II (FII) Photo- Optical Technology LP-HAEACLEFS Factor V (FV) Photo- Optical Technology LP-HAEACLEFS Factor VII (FVII) Photo- Optical Technology LP-HAEACLEFS Blood/Plasma Factor VIII, 1stage(FVIII clot) Photo- Optical Technology LP-HAEACLIFS Blood/Plasma Factor VIII, Chromogenic(FVIIIChr) Photo- Optical Technology LP-HAEACLChroF8 Factor IX (FIX) Photo- Optical Technology LP-HAEACLIFS Factor X (FX) Photo- Optical Technology LP-HAEACLIFS Factor XI (FXI) Photo- Optical Technology LP-HAEACLIFS Factor XII (FXII) Photo- Optical Technology LP-HAEACLIFS Von Willebrand Factor Antigen (VWF:Ag) Photo- Optical Technology LP-HAEACLVWF Blood/Plasma Blood/Plasma Blood/Plasma Blood/Plasma Blood/Plasma Blood/Plasma Blood/Plasma Blood/Plasma Factor VIII Inhibitor Blood/Plasma Factor IX Inhibitor Blood/Plasma Photo- Optical Technology/ Semi Quantitative Photo- Optical Technology/ Semi Quantitative LP-HAEF8Inhib LP-HAEF9Inhib AntiThrombin Photo- Optical Technology LP-HAEACLATIII Activated Protein C Resistance (APCR) Photo- Optical Technology LP-HAEACLPCR Blood/Plasma Edition 7, 29/03/2017 325MT Page 13 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Haematology Laboratory INAB Classification Number (P9) 1030 Haematology .40 Specimen Type Blood/Plasma SOP Photo- Optical Technology LP-HAE-ACLPC Protein S Ag (Free) Photo- Optical Technology LP-HAE-ACLFPS Protein S activity Photo- Optical Technology LP-HAE-ACLPPS Lupus Anticoagulant Photo- Optical Technology LP-HAE-ACLLA Anti Factor Xa Photo- Optical Technology LP-HAE-ACLAXA Blood/Plasma Platelet Aggregation Studies Optical Impedance Blood-EDTA Staining Procedure for HbH / Heinz Body Inclusions Staining/Microscopy Solubility Testing For Haemoglobin-S Qualitative Solubility Test LP-HAE-STREKSDX Haemoglobinopathy Screening Quantitative High Performance Liquid Chromatography LP-HAE-VARIANT2 Blood-EDTA Cord Blood Blood Spot Blood-EDTA Neonatal Haemoglobinopathy Screening Sebia Capillarys 2 Flex-Piercing Haemoglobinopathy Screening Capillary Electrophoresis Sebia Cabillary 2 Blood-EDTA Iso-Electric Focusing for haemoglobinopathy confirmatory testing Qualitative IsoElectric Focusing Blood/Plasma Blood/Plasma Blood/Plasma .08 Blood-EDTA Blood-EDTA .30 Method Protein C Blood/Plasma .45 Test/Assay Name Blood-EDTA Edition 7, 29/03/2017 G6PDH Deficiency Screening 325MT Qualitative Visual Fluorescence LP-HAE-PFT LP-HAE-RIPA LP-HAE-HBH LP-HAE-CAPILLARYS LP-HAE-CAPILLARYS LP-HAE-HBRESOLVE LP-HAE-G6PDSCREEN Page 14 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Haematology Laboratory INAB Classification Number (P9) 1030 Haematology .01 Specimen Type Blood-EDTA Test/Assay Name Automated differential leucocyte count Method Flow Cytometry SOP LP-HAE-XN20 CSF Blood-EDTA Manual cell count Stain/microscopy Automated Reticulocyte count Flow Cytometry LP-HAE-XN20 Microscopy LP-HAE-BFILM .06 Blood-EDTA Body Fluid Blood Film microscopy .02 Blood EDTA Erythrocyte Sedimentation Rate (ESR) Malaria parasite /parasite film examination Malaria kit detection NOW detection kit Malaria kit detection OPTIMAL detection kit .08 Blood Film Blood-EDTA Blood-EDTA .09 Blood-EDTA .99 Photometric reading LP-HAE-SEDIPLUS Staining, microscopy LP-HAE-MALARIA Antigen detection LP-HAE-NOWMALKIT Immuno-chromatic (pLDH) LP-HAE-OPTIMALKIT Bone marrow Bone marrow examination Microscopy Blood-EDTA Infectious Mononucleosis screen Heterophile antibody detection .20 LP-HAE-CSF LP-HAE-BME LP-HAE-CLEARVIEW .57 Edition 7, 29/03/2017 325MT Page 15 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Haematology Laboratory Specimen type INAB Classification Number (P9) Test/Assay Name Method SOP Blood/Bone marrow/Fluid 1030 Haematology .70 Blood/Bone marrow/Fluid Acute Leukaemia Flow cytometry panel Flow Cytometry/ Fluoresence LP-HAE-LeukCANTO Blood/Bone marrow/Fluid Chronic Leukaemia/ Lymphoma typing Flow Cytometry/ Fluoresence LP-HAE-LYMPHPHEN PNH Screening Flow Cytometry/ Fluoresence LP-HAE-PNH Eosin-5-Maleimide Screening for Hereditary Spherocytosis Flow Cytometry/ Fluoresence LP-HAE-EMA HS CD34 count Flow Cytometry/ Fluoresence LP-HAE-CD34STEM Blood/Bone marrow Blood-EDTA Blood-EDTA Haematology 1040.60 Human Blood Edition 7, 29/03/2017 Rheumatoid Factor Qualitative Latex Screening A Agglutination 325MT LP-HAE-RF.06 Page 16 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Clinical chemistry Laboratory INAB Classification Number (P9) 1061 Clinical Chemistry .01 Edition 7, 29/03/2017 Test/Assay Name Specimen Type Method SOP Albumin LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-ALBUMIN Alkaline Phosphatase LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-ALP Ammonia BLOOD GAS SYRINGE ON ICE Automated Photometric Assay LP-BIO-Ammonia Amylase LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-Amylase Aspartate Amino Transferase LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-AST Bilirubin-Direct LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-BILI Bilirubin-Total LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-BILI Calcium-Total LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-Calcium Carbamazepine LITH.HEP. PLASMA/SERUM Chemiluminescence Immunoassay LP-BIO-CARB Chloride LITH.HEP. PLASMA Indirect ISE LP-BIO-NAKCL Cholesterol LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-Cholest C-Reactive Protein LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-CRP Creatinine LITH.HEP. PLASMA Automated Photometric Assay LP-BIOCreatinine 325MT Page 17 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Clinical chemistry Laboratory INAB Classification Number (P9) 1061 Clinical Chemistry .01 Test/Assay Name Specimen Type Method SOP Cyclosporine EDTA BLOOD Chemiluminescent Immunoassay LP-BIO-CYSA Glucose FLUORIDE PLASMA Automated Photometric Assay LP-BIO-Gluc LDH LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-LDH Magnesium LITH.HEP. PLASMA Automated Photometric Assay LP-BIOMagnesium Methotrexate LITH. HEP. PLASMA/PROTECT FROM LIGHT Fluorescent Immunoassay LP-BIO-MTX Sodium LITH.HEP. PLASMA Indirect ISE LP-BIO-NAKCL Paracetamol (Acetaminophen) LITH.HEP. PLASMA Automated Photometric Assay LP-BIOPARACET Phosphate LITH.HEP. PLASMA Protein(Total) LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-Protein Triglycerides LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-TG Urea LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-UREA Urate LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-URATE Edition 7, 29/03/2017 325MT Automated Photometric Assay LP-BIOPHOSPHATE Page 18 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Clinical Chemistry Laboratory INAB Classification Number (P9) .02 Test/Assay Name SOP LITH.HEP. PLASMA Automatic Photometric Assay LP-BIO-CK Alananine amino transferase LITH.HEP. PLASMA Automatic Photometric Assay LP-BIO-ALT Potassium LITH.HEP. PLASMA Indirect ISE Gamma Glutamyl Transferase LITH.HEP. PLASMA Automatic Photometric Assay LP-BIO-GGT Albumin (Urine) URINE Nephelometry LP-BIOURINALB Chemiluminescent Immunoassay LP-BIO-Cortisol Chemiluminescent Immunoassay LP-BIO-FSH Chemiluminescent Immunoassay LP-BIO-GH Chemiluminescent Immunoassay LP-BIO-IGF1 Chemiluminescent Immunoassay LP-BIO-IGFBP3 Chemiluminescent Immunoassay Chemiluminescent Immunoassay LP-BIO-LH Chemiluminescent Immunoassay LP-BIO FREET4 Follicle Stilmuating Hormone Growth Hormone IGF1 IGFBP3 Luteinising Hormone Thyroid Stimulating Hormone Thyroxine (free) 17 Alpha HydroxyProgestero ne Edition 7, 29/03/2017 Method Creatine Kinase Cortisol .20 Specimen Type LITH.HEP. PLASMA/ SERUM LITH.HEP. PLASMA/ SERUM LITH.HEP. PLASMA/ SERUM LITH.HEP. PLASMA/ SERUM LITH.HEP. PLASMA/ SERUM LITH.HEP. PLASMA/ SERUM LITH.HEP. PLASMA/ SERUM LITH.HEP. PLASMA/ SERUM LITH.HEP. PLASMA/ SERUM 325MT Radioimmunoassay LP-BIO-NAKCL LP-BIO-TSH LP-BIO17OHPROG Page 19 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Clinical Chemistry Laboratory INAB Classification Number (P9) Test/Assay Name Specimen Type Method SOP 1061 Clinical Chemistry .03 Sweat Chloride SWEAT Coulometric Titration LP-BIOSWEATTEST .04 Iron LITH.HEP. PLASMA Automated Photometric Assay LP-BIO-IRON Alpha-fetoprotein LITH.HEP. PLASMA Chemiluminescent Immunoassay LP-BIO-AFP Carboxyhaemoglobin BLOOD GAS SYRINGE Co-oximetry LP-BIO-ABL825 pH BLOOD GAS SYRINGE pH sensitive glass electrode LP-BIO-ABL825 CO2 BLOOD GAS SYRINGE Amperometric electrode pCO2 BLOOD GAS SYRINGE CO2 sensitive electrode .05 .06 Calculated LP-BIO-ABL825 Base excess Edition 7, 29/03/2017 LP-BIO-ABL825 LP-BIO-ABL825 Bicarbonate (Standard) Calculated Calcium –ionised BLOOD GAS SYRINGE Direct ISE Chloride BLOOD GAS SYRINGE Direct ISE Glucose BLOOD GAS SYRINGE Lactate BLOOD GAS SYRINGE Potassium BLOOD GAS SYRINGE Sodium BLOOD GAS SYRINGE .07 LP-BIO-ABL825 325MT LP-BIO-ABL825 LP-BIO-ABL825 LP-BIO-ABL825 Amperometry LP-BIO-ABL825 Amperometry LP-BIO-ABL825 Direct ISE LP-BIO-ABL825 Direct ISE Page 20 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Clinical Chemistry Laboratory Glucose Urine Ketones Urine Lipid index LITH.HEP. PLASMA 1061.76 1061.99 Edition 7, 29/03/2017 325MT Automated photometric assay LP-BIOURGLUKET Dipstick LP-BIOURGLUKET Automated turbidometric assay LP-BIOLipaemia Page 21 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Histopathology Laboratory INAB Classification Number (P9) Test/Assay Name Specimen Type SOP 1051 Histopathology .01 Processing fixed specimens for histopathological examination Cut up Tissue processing Embedding Microtomy Automated Haematoxylin and Eosin Staining Coverslipping .02 Processing fresh specimens for frozen section examination Cut-up Frozen section cryotomy and staining .03 Histochemistry Edition 7, 29/03/2017 Alcian Blue Alcian Blue/PAS Congo Red Fouchet Gram Grocott Haematoxylin Van Gieson Masson Trichome Masson Fontana Millers Elastic Martius Scarlet Blue Oil Red O PAS/DPAS Perls Prussian Blue Reticulin Gordon &Sweets Rhodanine ZN Von Kossa 325MT Human tissue LP-HISSpreccutup, Tissproc, tissmb Microtomy, H&E, intqcstain, coverslipper Human tissue LP-HISspreccutup, microtomy Human tissue LP-HISname of stain Page 22 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Histopathology Laboratory .04 Histological interpretation Diagnostic Interpretation and reporting of Human tissue specimens Specialist areas included: Paediatric Pathology Specialist areas excluded: Medical Renal Pathology Perinatal Pathology Neuropathology Breast screening Pathology Immunohistochemistry staining methods Edition 7, 29/03/2017 325MT Human tissue Human tissue MP-HIS REPORTING LP-HIS CRITIAGCOM LP-HISIMMPRO Page 23 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Histopathology Laboratory .05 Immunohistochemistry Edition 7, 29/03/2017 Actin Sm. Muscle Adenovirus Alk-1 Alpha-Fetoprotein BCL-2 Calretinin CD10 CD117 CD15 CD20 CD3 CD30 CD31 CD34 CD45 (CLA) CD5 CD56 CD61 CD68 CD79a CD1A CD99 Chromogranin A CK7 CMV CytoKer Ae1/Ae3 D2-40 Desmin EMA Factor X111A GFAP Glut 1 Glycophorin A H pylori HCG Herpes simplex HMB45 INI (BAF47) Ki-67 MUM-1 Myeloperoxidase Myogenin NB84 PLAP P53 PAX-5 S100 Synaptophysin Tdt Vimentin WT-1(C and N -terminus) 325MT Human tissue LP-HISIMMPRO Page 24 of 25 Scope of Accreditation Permanent Laboratory: Our Lady’s Children’s Hospital Category A Histopathology Laboratory INAB Classification Number (P9) Test/Assay Name Specimen Type SOP Chromosomal translocation analysis for the following : t(2;13) PAX3-FKHR t(1;13) PAX3-FKHR t(11;21) EWSFli1 t(21;22) EWSERG t(X;18) (SYT-SSX1, SYT-SSX2, SYT-SSX4) t(11;22) EWSWT1 t(12;15) ETV6-NTRK TLE-1 T(21:22) EWSERG t(1-13) PAX-7 - FKHR Human tissue LP-RTPCR paraffin 1051 Histopathology .06 Flourescence In Situ Hybridisation Edition 7, 29/03/2017 325MT Page 25 of 25
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