Scrutiny Report


Laboratory Details Observation
Laboratory ID M(EL)T-00070
Name of the Laboratory ICTC (Jyothis), Taluk Head Quarters Hospital
Country India
State/Province Kerala
District ALAPPUZHA
Address Haripad
Pincode 690514
Mobile No. 9747163481
Email Id ictcthqhharipad@gmail.com
Are you NACO ICTC Laboratory? Yes
Type Government Organization
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Technical Head/Lab Manager DR:KARHIKA MOHANDAS
Accredited PT Program? Yes
  • Inadequate - (Scope-3 tests method to submit through email)
  • Inadequate - (Scope-3 tests method to submit through email)
  • Adequate
  • Adequate

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
Calibration certificate of equipment Download file
Image of the equipment via Mobile App Download file Download file Download file Download file
  • To be verified at site visit
  • To be verified at site visit
  • To be verified at site visit
  • To be verified at site visit
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 Download file
  • To be verified at site visit
  • To be verified at site visit
  • To be verified at site visit
  • To be verified at site visit
Discipline Medical Microbiology And Immunology
Name of equipment Pipettes
Calibration certificate of equipment Download file
Image of the equipment via Mobile App Download file Download file Download file Download file Download file
  • To be verified at site visit
  • To be verified at site visit
  • To be verified at site visit
  • To be verified at site visit

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 2020-01-20
Is result satistfactory

Yes


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  • Inadequate - (Date to be corrected as mention in the report)
  • Inadequate - (Date to be corrected as mention in the report)
  • Inadequate - (Date to be corrected as mention in the report)
  • 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
  • To be verified at site visit
  • To be verified at site visit
  • To be verified at site visit
  • To be verified at site visit