Lab info with Fazal

𝐐❓. 𝐖𝐡𝐚𝐭 𝐢𝐬 𝐃𝐞𝐥𝐭𝐚 𝐂𝐡𝐞𝐜𝐤?
𝐀𝐧𝐬: 𝐂𝐨𝐦𝐩𝐚𝐫𝐢𝐧𝐠 𝐜𝐮𝐫𝐫𝐞𝐧𝐭 𝐫𝐞𝐬𝐮𝐥𝐭 𝐰𝐢𝐭𝐡 𝐩𝐫𝐞𝐯𝐢𝐨𝐮𝐬 𝐫𝐞𝐬𝐮𝐥𝐭 𝐨𝐟 𝐬𝐚𝐦𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 ✅

𝐐𝟐. 𝐌𝐚𝐢𝐧 𝐩𝐮𝐫𝐩𝐨𝐬𝐞 𝐢𝐬 𝐭𝐨 𝐝𝐞𝐭𝐞𝐜𝐭 𝐒𝐚𝐦𝐩𝐥𝐞 𝐌𝐢𝐱-𝐮𝐩 / 𝐈𝐃 𝐄𝐫𝐫𝐨𝐫 ✅

𝐃𝐞𝐥𝐭𝐚 𝐂𝐡𝐞𝐜𝐤 = 𝐘𝐨𝐮𝐫 𝐒𝐞𝐜𝐨𝐧𝐝 𝐄𝐲𝐞𝐬 𝐢𝐧 𝐋𝐚𝐛! 👀
It caught more errors than QC! Do you apply Delta Check in your LIS?
Comment YES / NO

🔬 𝟏𝟐 𝐄𝐬𝐬𝐞𝐧𝐭𝐢𝐚𝐥𝐬 𝐨𝐟 𝐐𝐮𝐚𝐥𝐢𝐭𝐲 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 - 𝐋𝐚𝐛 𝐐𝐮𝐚𝐥𝐢𝐭𝐲 𝐒𝐲𝐬𝐭𝐞𝐦 🔬

𝐐𝐮𝐚𝐥𝐢𝐭𝐲 𝐢𝐬 𝐧𝐨𝐭 𝐚𝐧 𝐚𝐜𝐭, 𝐢𝐭 𝐢𝐬 𝐚 𝐬𝐲𝐬𝐭𝐞𝐦!

𝟏. 𝐎𝐫𝐠𝐚𝐧𝐢𝐳𝐚𝐭𝐢𝐨𝐧 & 𝐋𝐞𝐚𝐝𝐞𝐫𝐬𝐡𝐢𝐩
Clear structure, responsibilities & commitment to quality.

𝟐. 𝐂𝐮𝐬𝐭𝐨𝐦𝐞𝐫 𝐅𝐨𝐜𝐮𝐬
Patient & clinician satisfaction is the final goal.

𝟑. 𝐅𝐚𝐜𝐢𝐥𝐢𝐭𝐢𝐞𝐬 & 𝐒𝐚𝐟𝐞𝐭𝐲
Safe lab environment, waste management & biosafety.

𝟒. 𝐏𝐞𝐫𝐬𝐨𝐧𝐧𝐞𝐥
Competent, trained, evaluated staff - Heart of lab.

𝟓. 𝐏𝐮𝐫𝐜𝐡𝐚𝐬𝐢𝐧𝐠 & 𝐈𝐧𝐯𝐞𝐧𝐭𝐨𝐫𝐲
Right reagent, right time, right storage & inventory control.

𝟔. 𝐄𝐪𝐮𝐢𝐩𝐦𝐞𝐧𝐭
Calibration, maintenance & validation - No maintenance = No result.

𝟕. 𝐏𝐫𝐨𝐜𝐞𝐬𝐬 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭
From sample collection to reporting - All SOPs controlled.

𝟖. 𝐃𝐨𝐜𝐮𝐦𝐞𝐧𝐭𝐬 & 𝐑𝐞𝐜𝐨𝐫𝐝𝐬
If it's not documented, it's not done!

𝟗. 𝐈𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭
LIS, data security, confidentiality & traceability.

𝟏𝟎. 𝐍𝐨𝐧-𝐜𝐨𝐧𝐟𝐨𝐫𝐦𝐢𝐧𝐠 𝐄𝐯𝐞𝐧𝐭 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭
Identify errors, correct them & prevent recurrence.

𝟏𝟏. 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭𝐬
Internal audits, QC review & management review.

𝟏𝟐. 𝐂𝐨𝐧𝐭𝐢𝐧𝐮𝐚𝐥 𝐈𝐦𝐩𝐫𝐨𝐯𝐞𝐦𝐞𝐧𝐭
Quality is a journey, not a destination - Kaizen!

🥛 𝐋𝐢𝐩𝐞𝐦𝐢𝐜 𝐒𝐚𝐦𝐩𝐥𝐞 𝐃𝐢𝐥𝐞𝐦𝐦𝐚! 🥛
We’ve all seen it—that milky-white, grossly lipemic sample arrives in the lab. The cobas c 303 throws a massive L-Index flag 🚩 for Sodium, ALT, and Creatinine.
What do you do? Immediately reject it and demand a fresh redraw? STOP! 🛑
Drawing a fresh sample usually results in the exact same milky fluid because lipemia is often a clinical condition, not just a post-meal accident. Instead, the solution is Ultracentrifugation (or high-speed spinning at 10,000+ × g for 15 mins).
But what happens to the data when you test the clear layer underneath? Let's look at the science:
# # 📊 The Cleared-Sample Data Cheat Sheet:

🧪 𝐒𝐨𝐝𝐢𝐮𝐦
➡️ PERFECTLY CORRECTED: Lipids take up volume, causing fake low sodium values (Pseudohyponatremia) on indirect ISE analyzers. Data shows that removing the lipid layer restores the true aqueous volume, bringing the sodium result back to 100% accuracy.
𝐀𝐋𝐓 & 𝐂𝐫𝐞𝐚𝐭𝐢𝐧𝐢𝐧𝐞
➡️ COMPLETELY FIXES THE ERROR: Lipemia scatters light at 340 nm, blinding the analyzer's optics Data proves that once centrifugation clears the turbidity, the optical path is opened, and your ALT/Creatinine kinetic readings match true patient baselines.
𝐋𝐢𝐩𝐢𝐝 𝐏𝐫𝐨𝐟𝐢𝐥𝐞𝐬 ➡️ DO NOT RUN! ❌ If you test the cleared fluid for Triglycerides or Cholesterol, your data will be completely ruined (near zero), because you just physically spun the lipids out of the sample!

💬 MLT Community Discussion:
How does your lab handle lipemic samples? Do you use an airfuge, high-speed microcentrifuge, or lipoclear reagents? Drop your workflow in the comments below! 👇

𝐂𝐨𝐫𝐫𝐞𝐜𝐭𝐞𝐝 𝐯𝐬 𝐀𝐝𝐝𝐞𝐧𝐝𝐮𝐦 𝐑𝐞𝐩𝐨𝐫𝐭 𝐢𝐧 𝐋𝐚𝐛 🔬

𝟏. 𝐂𝐎𝐑𝐑𝐄𝐂𝐓𝐄𝐃 𝐑𝐄𝐏𝐎𝐑𝐓:
When there is an 𝐄𝐑𝐎𝐑 in the original report.
𝐑𝐞𝐚𝐬𝐨𝐧: Wrong result, wrong patient, wrong unit, instrument error.
𝐖𝐡𝐚𝐭 𝐰𝐞 𝐝𝐨: We 𝐂𝐎𝐑𝐑𝐄𝐂𝐓 the old result. Old result remains traceable in LIS.
𝐋𝐚𝐛𝐞𝐥: Must write "𝐂𝐨𝐫𝐫𝐞𝐜𝐭𝐞𝐝 𝐑𝐞𝐩𝐨𝐫𝐭" + reason.

👉 Example: Hb reported 𝟕.𝟐 but actual was 𝟏𝟏.𝟐 - Issue 𝐂𝐨𝐫𝐫𝐞𝐜𝐭𝐞𝐝 𝐑𝐞𝐩𝐨𝐫𝐭.

𝟐. 𝐀𝐃𝐃𝐄𝐍𝐃𝐔𝐌 𝐑𝐄𝐏𝐎𝐑𝐓:
When we 𝐀𝐃𝐃 new information. Old report was correct.
𝐑𝐞𝐚𝐬𝐨𝐧: Additional test, IHC, culture sensitivity, expert opinion.
𝐖𝐡𝐚𝐭 𝐰𝐞 𝐝𝐨: We 𝐃𝐎 𝐍𝐎𝐓 change old report. We add new info.
𝐋𝐚𝐛𝐞𝐥: Must write "𝐀𝐝𝐝𝐞𝐧𝐝𝐮𝐦 𝐑𝐞𝐩𝐨𝐫𝐭".

👉 Example: Biopsy report issued, then IHC after 3 days - Issue 𝐀𝐝𝐝𝐞𝐧𝐝𝐮𝐦.

𝐆𝐨𝐥𝐝𝐞𝐧 𝐑𝐮𝐥𝐞:
𝐄𝐫𝐫𝐨𝐫 𝐢𝐧 𝐨𝐥𝐝 𝐫𝐞𝐩𝐨𝐫𝐭 = 𝐂𝐨𝐫𝐫𝐞𝐜𝐭𝐞𝐝 ❌
𝐍𝐞𝐰 𝐢𝐧𝐟𝐨 𝐭𝐨 𝐨𝐥𝐝 𝐫𝐞𝐩𝐨𝐫𝐭 = 𝐀𝐝𝐝𝐞𝐧𝐝𝐮𝐦 ➕

🧪 Core Concept: Quality Control (QC

Ever wondered how clinical laboratories ensure every patient result is accurate? It all comes down to Quality Control (QC)!

Definition:

Testing materials with known values alongside patient samples to monitor accuracy and precision, allowing us to catch and correct system errors before patient results are released.

Why QC Matters:
Detects instrument failures ⚙️

Controls for environmental fluctuations 🌡️

Identifies operator performance variables 👥

Guarantees patient safety and reliable diagnostics 🏥

💬 Drop Your Answer Below!
Comment A, B, C, or D! Is this rule violation caused by systematic or random error? Let’s hear your reasoning in the comments! 👇

𝐖𝐡𝐚𝐭 𝐢𝐬 𝐌𝐒𝐃𝐒 / 𝐒𝐃𝐒 𝐢𝐧 𝐋𝐚𝐛? 🧪☠️*

MSDS = Material Safety Data Sheet
Now called SDS = Safety Data Sheet (GHS System)

Every reagent bottle in your lab MUST have an SDS!

An SDS tells you in 16 sections:
✅ What is the hazard? (Toxic, Flammable, Corrosive)
✅ Which PPE to wear? (Gloves, Goggles, Mask)
✅ What to do if spill on skin / eyes?
✅ How to store? How to dispose?
✅ First Aid & Fire Fighting

Rule for MLTs: No SDS = Don't Use That Reagent!
It's mandatory for ISO 15189 & PHC MSDS inspection.

𝐇𝐨𝐧𝐞𝐬𝐭 𝐂𝐨𝐧𝐟𝐞𝐬𝐬𝐢𝐨𝐧: 𝐖𝐡𝐢𝐜𝐡 𝐊𝐏𝐈 𝐤𝐞𝐞𝐩𝐬 𝐲𝐨𝐮 𝐚𝐰𝐚𝐤𝐞 𝐚𝐭 𝐧𝐢𝐠𝐡𝐭? 😴
For us it's Critical Values Reporting during emergency night shifts!
What's yours?
In ISO 15189 labs, we track KPIs — but some are a real headache!

Vote your hardest one 👇
🔘 TAT - Turnaround Time
🔘 Sample Rejection Rate
🔘 QC Failure / Sigma < 3
🔘 Critical Value Reporting
🔘 Customer Complaints

Comment WHY it's difficult in your lab.
Let's learn from each other!

𝐆𝐄𝐍𝐄𝐑𝐀𝐋 𝐈𝐍𝐒𝐓𝐑𝐔𝐂𝐓𝐈𝐎𝐍𝐒 𝐅𝐎𝐑 𝐋𝐀𝐁 𝐓𝐄𝐂𝐇𝐍𝐎𝐋𝐎𝐆𝐈𝐒𝐓𝐒 🧪

1. Safety First
- Always wear PPE: lab coat, gloves, mask.
- No eating, drinking in lab area.
- Follow bio-safety and waste disposal rules.

2. Sample Management
- Check patient ID, label, and request form before receiving.
- Reject hemolyzed, lipemic, unlabeled samples with proper reason.
- Maintain cold chain for sensitive samples.

3. Quality Control
- Run QC daily before patient samples.
- Never report patient results if QC fails.
- Document everything as per ISO 15189.

4. Testing & Reporting
- Follow SOPs strictly. No shortcuts.
- Verify critical / abnormal results before reporting.
- Maintain confidentiality of patient reports.

5. Equipment & Hygiene
- Daily cleaning & maintenance log for analyzers.
- Calibrate pipettes and instruments on schedule.
- Keep lab bench clean and organized.

6. Professionalism
- Be punctual, responsible and a team player.
- Keep learning - attend trainings and competency tests.
- Communicate clearly with doctors and staff.

> 𝐑𝐞𝐦𝐞𝐦𝐛𝐞𝐫: 𝐀𝐜𝐮𝐫𝐚𝐭𝐞 𝐑𝐞𝐬𝐮𝐥𝐭 = 𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐒𝐚𝐟𝐞𝐭𝐲