Monthly QC Data Tools
RMCHP
No Patient Testing Performed This Month?? Check
Box (skip questions 1 through 8), scroll down to bottom of page, enter your name
& date, THEN click on "submit Data"
1. Was the
Quality Control performed as prescribed by the SOP,
and are QC Logs filled out
appropriately (is
all information documented)?
Yes
No
2.
Have
patient test results been
charted with respective reference ranges (what's
this?)?
Yes
No
N/A
3. If QC was outside established limits, is there documented
corrective action taken as prescribed by the
SOP?
Yes
No
No outside limits established
4. Did nursing on-site review QC data and sign-off
monthly?
Yes
No
5. If a new
box(es) of
testing material was opened this month, was QC performed
testing policy and
documented?
Yes
No No
new box(es) opened
6. If a reagent used for this
test must be stored in the refrigerator, was the temperature of the
refrigerator
checked
Yes
No
No reagent is refrigerated
7. Is
YEARLY competency via
two methods
current and on file for operators performing the test?
Yes
No
8.
If a reagent/control is used for this test, did the operators follow discard
and expiration dates, as stated in the
SOP?
Yes
No
No reagent used for this test
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