Schedule of ccreditation United Kingdom ccreditation Service 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HR, UK Issue No: 002 Issue date: 06 pril 2017 ccredited to Department of Haematology and South Laboratory Victoria Hospital KIRKCLDY FIFE KY2 5H Contact: Ken Campbell Tel: +44 (0) 1592 646055 Email: kencampbell@nhs.net Laboratory locations: below s covered by the organisation and their relevant activities details ctivity code ddress Department of Haematology and Blood Transfusion South Laboratory Victoria Hospital KIRKCLDY FIFE KY2 5H Local contact Ken Campbell Tel: 01592 646055 Email: kencampbell@nhs.net Routine Haematology and Coagulation Lab, Queen Margaret Hospital Whitefield Road Dunfermline KY12 0SU s bove FBC WBC Diff B Site activities performed away from the locations listed above: ssessment Manager: CM 1 of 8
Schedule of ccreditation United Kingdom ccreditation Service ccredited to Issue No: 002 Issue date: 06 pril 2017 details ctivity Blood Fridge QMH Blood Fridge VHK, Theatres 1 Blood Fridge VHK, Theatres 2 Blood Fridge VHK Theatres 3 Blood Fridge VHK Haematology Unit ssessment Manager: CM Page 2 of 8
Schedule of ccreditation United Kingdom ccreditation Service ccredited to Issue No: 002 Issue date: 06 pril 2017 DETIL OF CCREDITTION HUMN BODY FLUIDS examination activities for the purpose of clinical diagnosis Venous Blood Blood Grouping B O Rhesus: C, c, D, E, e, Biorad IH1000 analyser and associated testing protocols fully automated Biorad cassette technology. Rh-subgroup phenotyping cards BSTRN7 (Diamed Testing SOP) BSTRN136 (IH1000 analyser instructions) ntibody Detection 3 cell panels, 11 cell panels BSTRN7 (Diamed Testing SOP) BSTRN140 (ntibody ID and Referral Lab Instruction) Blood Grouping B O Rhesus:-C w,c, c, D, E, e, K Fya, Fyb Jka, Jkb Kpa Lea, Leb Lua M, N, S, s Diamed Gel BSTRN7 (Diamed testing SOP) BSTRN135 (Manual Diamed Lab Instructions) Manual procedures by tube technology-red cell agglutination, macroscopic visual detection BSTRN8 (Manual Tube Testing SOP) BSTRN120 (Manual Tube Group Lab Instructions BSTRN123 (Manual Tube IT Triple Screen Lab Instructions) BSTRN124 Manual Tube ntibody ID Lab Instructions BSTRN125 (Manual Patient / Donor Typing Instructions) ssessment Manager: CM Page 3 of 8
Schedule of ccreditation United Kingdom ccreditation Service ccredited to Issue No: 002 Issue date: 06 pril 2017 HUMN BODY FLUIDS examination activities for the purpose of clinical diagnosis Venous Blood Compatibility testing of patients plasma with donor cells Fully automated Biorad cassette technology BSTRN7 (Diamed SOP) BSTRN137 (IH1000 utomated X/M Laboratory Instructions) Manual procedures by Biorad cassette technology. BSTRN7 (Diamed SOP) BSTRN142 (Full Manual X/M Laboratory Instructions) Sample processing pathwaymanual techniques BSTRN8 (Manual Tube Testing SOP) BSTRN126 (Manual Tube Cross match Lab Instructions) ssessment Manager: CM Page 4 of 8
Schedule of ccreditation United Kingdom ccreditation Service ccredited to Issue No: 002 Issue date: 06 pril 2017 HUMN BODY FLUIDS examination activities for the purpose of clinical diagnosis Venous Blood Direct nti-human Globulin Biorad IH1000 analyser and associated testing protocols fully automated Biorad cassette technology. BSTRN7 (Diamed SOP) BSTRN136 (IH1000 nalyser Testing Laboratory Instructions) Manual procedures by Biorad cassette technology. BSTRN7 (Diamed Testing SOP) BSTRN132 (Manual Direct gglutination Test Laboratory Instructions) Direct anti globulin test including manual techniques BSTRN8 (Manual Tube Testing SOP) BSTRN122 (Manual Tube DT Lab Instructions) Venous Blood Estimation of Foetal cells Kleihauer bycid Elution SOP : BSTRN4 (Kleihauer SOP) BSTRN5 (Kleihauer Laboratory Instructions) ssessment Manager: CM Page 5 of 8
Schedule of ccreditation United Kingdom ccreditation Service ccredited to Issue No: 002 Issue date: 06 pril 2017 HUMN BODY FLUIDS Haematology examination activities for the purpose of clinical diagnosis Venous Blood: Citrated Blood Coagulation Sysmex CS 51000 Prothrombin time o INR Factors assays (VII,VIII & IX) ctivated Partial Thromboplastin Time Thrombin Time Fibrinogen estimation o Clauss D-Dimers Turbidimetric method Clot detection by optical rate of change of absorbance end point being the maximum rate of change SOPs BSCORE 3 BSSPEC26 ESR Visual detection of sedimentation interface by automated photometric detection (Inversa, Starssed) BSCORE8 Venous whole blood: EDT FBC Haemoglobin estimation Red cell and platelet counts Haematocrit Differential white cell count Reticulocyte MCV MCH MCHC Sysmex XN 10 series Haematology nalysers BSCORE1 Colorimetric Laser light scatter Calculated parameter from Haemoglobin and RBC Laser and light scatter and light absorbance Laser light scatter and absorbance ssessment Manager: CM Page 6 of 8
Schedule of ccreditation United Kingdom ccreditation Service ccredited to Issue No: 002 Issue date: 06 pril 2017 HUMN BODY FLUIDS Haematology examination activities for the purpose of clinical diagnosis FBC Haemoglobin estimation Red cell and platelet counts Haematocrit Sysmex XS 1000i Haematology nalysers BSPOCT6 Colorimetric Laser light scatter B Differential white cell count MCV MCH MCHC Calculated parameter from Haemoglobin and RBC Laser and light scatter and light absorbance Venous whole blood :EDT Identifiacation of normal and abnormal morphologies including WBC differential count Staining by SP10 May Grunwald Giemsa stain examined by microscopy BSCORE64 Malaria Parasite detection P.Falciparum P.Vivax P.Ovale P.Malariae P Knowlesi ntigen testing with Humasis kit by Immunochromatographic interface and Thick film Clinteck Field Stain Thin Film Giemsa ph7.2 stain Examined by microscopy Plasmodium Falciparum parasataemia SOP Malarial Parasites Thin Film Giemsa ph7.2 stain. Enumeration by microscopy BSCORE16 ssessment Manager: CM Page 7 of 8
Schedule of ccreditation United Kingdom ccreditation Service ccredited to Issue No: 002 Issue date: 06 pril 2017 HUMN BODY FLUIDS Haematology examination activities for the purpose of clinical diagnosis Bone Marrow Reporting of normal and abnormal morphologies SP10 May Grunwald Giemsa stain examined by microscopy BSCORE64 Perl s Prussian Blue staining Examined by microscopy. BSSPEC28 Venous whole blood :EDT Haemoglobin S Detection of decreased solubility of Haemoglobin S with TCS Biosciences BSSPEC20 Venous whole blood :EDT Infectious Mononucleosis screen (EBV) antibody Clearview 11 Card Qualitative Immunoassay agglutination interpreted by visual inspection. BSSPEC27 Venous whole blood :EDT G6PD screen Trinity Biotech- visual fluorescence BSSPEC25 Urine hcg screening test ccusay screening kit- qualitative immunoassay BSSPEC1 Venous whole blood :EDT Haemoglobinopathy Screening o Hb2 o HbF o Hb TOSOH G8 by HPLC BSSPEC24 nd BSCORE 21 Venous whole blood :EDT Plasma Viscosity Benson Viscometer BSCORE13 Serum B12, Folate & Ferritin Roche cobas8000 -Immunoassay BSCORE34 BSCORE65 END ssessment Manager: CM Page 8 of 8