Scrutiny Report

Laboratory Details Observation
Laboratory ID M(EL)T-00040
Name of the Laboratory ICTC, General Hospital
Country India
State/Province Kerala
District ERNAKULAM
Address Integrated Counseling and Testing Centre, General Hospital
Pincode 682011
Mobile No. 7012857007
Email Id lacghekm@gmail.com
Are you NACO ICTC Laboratory? Yes
Type Government Organization
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Technical Head/Lab Manager Dr A.Anitha
Accredited PT Program? Yes
  • Inadequate - (Under Scope applied three method of testing as followed for positive sample to be mentioned)
  • Inadequate - (Under Scope applied three method of testing as followed for positive sample to be mentioned)
  • Inadequate - (Under Scope applied three method of testing as followed for positive sample to be mentioned)
Scope Applied
Sl No. Name of PTP Discipline Type Of Sample Specific Tests Test method/technique
1 CMC VIROEQAS, Department of Clinical Virology CMC, Vellore Medical Microbiology And Immunology Serum HIV Combaids - Dot Immunoassay, Meriscreen HIV1-2 WB - Immunochromatography, TEDRO HIV1-2 Ab - Immunoconcentration
List of major test equipment available for use
Details Observation
Discipline Medical Microbiology And Immunology
Name of equipment Centrifuge- daily monitoring
Calibration certificate of equipment Download file
Image of the equipment via Mobile App Download file Download file Download file
  • Adequate
Discipline Medical Microbiology And Immunology
Name of equipment Refrigerator
Calibration certificate of equipment Download file
Image of the equipment via Mobile App Download file Download file Download file Download file Download file
  • Inadequate - (Picture of refrigerator)
  • Inadequate - (Document uploaded file is blank. Attach daily maintenance sheet of refrigerator.)
Participation in PT / EQAS
Details Observation
Organizing body CMC VIROEQAS, Department of Clinical Virology CMC, Vellore
Discipline Medical Microbiology And Immunology
Date of issue of PT report 2019-01-24
Is result satistfactory

Yes
Upload report Download file
  • Adequate
Checklist Section

Infrastructure

SIGNAGE

(1)

Laboratory Display Board (Outside or on laboratory entrance)

 Yes
(2)

Name of the person-in-charge with qualification

 Yes
(3)

Fee structure: To be displayed separately including type of investigation and charges for all routine tests.

 No

HYGIENE AND SAFETY (wherever applicable)

(1)

General Cleanliness (Dust free and Good Housekeeping)

 Yes
(2)

Universal standard safety precautions

 Yes

SPACE REQUIREMENT

(1)

Registration, waiting space, public utilities, safe drinking water etc.

 Yes
(2)

Sample collection area

 Yes
(3)

Washing area

 Yes
(4)

Preservation of the specimen and slides

 Yes
(5)

Temperature control for specialized equipment etc.

 Yes
(6)

Counselling room for HIV (If HIV test is done)

 Yes
(7)

Basins

 Yes

LEGAL OR STATUTORY REQUIREMENTS AS APPLICABLE

(1)

Valid Registration Certificate for under the provisions of Biomedical Waste Management Attachment

 Yes
(2)

Valid Pollution Control Board registration certificate

 Yes

RECORD MAINTENANCE AND REPORTING

(1)

Reports of all patient date wise as per regulatory requirement or till next audit, whichever is later.

 Yes
(2)

Medico legal records, if applicable (as per relevant law).

 No
(3)

Duration of preservation of record (as applicable from time to time)

 Yes

STANDARDS ON BASIC PROCESSES

(1)

Infection Control practices - as per Bio Medical Waste Management Rules

 Yes
(2)

Patient Information

 Yes
(3)

Kit inserts used as SOPs

 Yes
(4)

Complaints redressal mechanism

 Yes

QUALITY CHECKS

(1)

Performing internal quality control

 Yes
(2)

Participating in proficiency testing programs in every six months

 Yes

EQUIPMENT

Observation
  • Adequate