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HEMATOLOGY SECTION–ACL7000 –QC & TROUBLESHOOTING LOG

Instrument SN: ______Month/Year: September 2005

Control: / Expiration Date / PT / APTT / FIBRINOGEN
Normal: N0849737 / 2007-08 / 10.8 – 13.8 / 27.42 – 32.42 / TNP
Abnormal: N0749508 / 2006-07 / 17.0 – 25.6 / 38.8 – 53.0 / TNP
Reagents:
Thromboplastin: PT-FIB HS
N0353758 / 2007 - 03 / Normal Patient Geometric Mean: / 11.7
ReferenceRange Verification: / September 2005
ISI: / 1.41
APTT-SP: N0749493 / 2006-07 / ReferenceRange Verification: / March 2005
APTT CaCl2: N0749494 / 2007-07
Reference Solution: N1141656 / 2006-10

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*NOTE: R – Rejected Controls (out-of- QC range) are not included in the statistical calculation. All Rejected Controls will be repeated and must be within acceptable limits before reporting patient results.

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HEMATOLOGY SECTION– ACL7000 - TROUBLESHOOTING LOG

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Reviewed by: ______Date: ______

Hematology Supervisor or Technologist

*NOTE: R – Rejected Controls (out-of- QC range) are not included in the statistical calculation. All Rejected Controls will be repeated and must be within acceptable limits before reporting patient results.

HEMATOLOGY SECTION– ACL7000 - TROUBLESHOOTING LOG
Date / Shift / QC OK? /

Corrective Action

/

Comments

/

Tech

1 / 3
1
2
2 / 3
1
2
3 / 3
1
2
4 / 3
1
2
5 / 3
1
2
6 / 3
1
2
7 / 3
1
2
8 / 3
1
2
9 / 3
1
2
10 / 3
1
2
11 / 3
1
2
12 / 3
1
2
13 / 3
1
2
14 / 3
1
2
15 / 3
1
2
Date / Shift /

QC OK?

/

Corrective Action

/

Comments

/

Tech

16 / 3
1
2
17 / 3
1
2
18 / 3
1
2
19 / 3
1
2
20 / 3
1
2
21 / 3
1
2
22 / 3
1
2
23 / 3
1
2
24 / 3
1
2
25 / 3
1
2
26 / 3
1
2
27 / 3
1
2
28 / 3
1
2
29 / 3
1
2
30 / 3
1
2
31 / 3
1
2

Revision #3 16Dec2004