Oblastní nemocnice Náchod a.s. ?· Oddělení klinické imunologie a mikrobiologie. LP Laboratorní…

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  • Oddlen klinick imunologie a mikrobiologie

    Oblastn nemocnice Nchod a.s. Oddlen klinick imunologie a mikrobiologie

    Purkyova 446, 547 69 Nchod

    LABORATORN PRUKA

    Nzev dokumentu LABORATORN PRUKA OKIM

    Vypracoval Mgr. Martina Plkov

    Kontroloval MUDr. Martin ern

    Schvlil Doc. MUDr. Otakar Kopeck, CSc.

    Interval reviz 1x ron

    Identifikan slo LP Zaazen Laboratorn pruka

    Verze 3.0 Exempl 1

    Poet stran 38 Umstn originlu Dokumentan sk

    Platnost od 14.8.2017 Tisk 11.8.2017

    Plohy

  • Oddlen klinick imunologie a mikrobiologie

    LP Laboratorn pruka OKIM Strana 2 (celkem 38) Verze 3.0 Platnost od: 14.8.2017

    List provedench reviz a zmn Zmna

    . Umstn

    zmny Popis proveden zmny Datum

    innosti Odpovdn osoba

  • Oddlen klinick imunologie a mikrobiologie

    LP Laboratorn pruka OKIM Strana 3 (celkem 38) Verze 3.0 Platnost od: 14.8.2017

    Obsah 1 el ................................................................................................................................................. 5 2 Oblast platnosti ............................................................................................................................... 5 3 Pojmy a zkratky .............................................................................................................................. 5 4 Popis problematiky ......................................................................................................................... 6

    4.1 Identifikace laboratoe, zkladn daje .................................................................................... 6 4.2 Zkladn informace o laboratoi, organizan struktura .......................................................... 6 4.3 Zamen laboratoe ................................................................................................................ 7 4.4 Organizan struktura .............................................................................................................. 8 4.5 Spektrum nabzench slueb ................................................................................................... 8

    4.5.1 Vyeten cizch sttnch pslunk ............................................................................... 8 4.5.2 Vyeten samopltc ...................................................................................................... 9 4.5.3 Vyeten pro veterine .................................................................................................. 9

    4.6 Nepodkroiteln minima ......................................................................................................... 9 4.7 Pjem biologickho materilu k vyeten .............................................................................. 9 4.8 Odbry biologickho materilu k mikrobiologickmu a srologickmu vyeten ................. 9

    4.8.1 Zkladn informace .......................................................................................................... 9 4.8.2 danky, identifikace vzorku .......................................................................................... 9

    4.8.2.1 Identifikace novorozence ....................................................................................... 10 4.8.2.2 Identifikace cizho sttnho pslunka ................................................................. 10 4.8.2.3 Identifikace vzork od zvat ................................................................................. 10

    4.8.3 stn a dodaten poadavky na vyeten .................................................................... 10 4.9 Odbrov systm ................................................................................................................... 10

    4.9.1 Typy pouvanch zkumavek VACUTAINER ............................................................. 11 4.9.2 Pprava na odbr ........................................................................................................... 11 4.9.3 Vyeten moe .............................................................................................................. 11 4.9.4 Krev ............................................................................................................................... 11 4.9.5 Operace se vzorkem, stabilizace materilu.................................................................... 11 4.9.6 Zsady prce se vzorky, bezpenost prce .................................................................... 11

    4.10 Doprava materilu, svoz .................................................................................................... 11 4.10.1 Arel ONN .................................................................................................................... 11 4.10.2 Tern .............................................................................................................................. 12

    4.11 Vdej odbrovho soupravy .............................................................................................. 12 4.12 Preanalytick procesy v laboratoi .................................................................................... 12

    4.12.1 Pjem danek a vzork ............................................................................................... 12 4.13 Kritria pro pijet/odmtnut vzork ................................................................................. 12

    4.13.1 Postup pi odmtnut vzork .......................................................................................... 13 4.13.2 Postup pi nedodanm biologickm materilu .............................................................. 13 4.13.3 Postup pi nepln nebo chybn identifikaci danky .................................................. 13

    4.14 een neshod v rmci pracovi ONN ............................................................................. 13 4.15 Smluvn, spolupracujc a referenn laboratoe ................................................................ 14

    4.15.1 Smluvn laboratoe ........................................................................................................ 14 4.15.2 Vyetovn provdn spolupracujcmi laboratoemi ................................................. 14

    4.16 een stnost .................................................................................................................. 14 4.17 Vdej vsledk a komunikace s laborato........................................................................ 14

    4.17.1 Hlen nlez vznamnch patogen .......................................................................... 14 4.17.2 Formy vdeje vsledk ................................................................................................. 14

    4.17.2.1 Psemn vsledky .................................................................................................. 14 4.17.2.2 Telefonick vsledky............................................................................................. 15 4.17.2.3 Elektronick vsledky ........................................................................................... 15

    4.17.3 Zmny vsledk ............................................................................................................ 15 4.17.4 Archivace vsledk ....................................................................................................... 15

  • Oddlen klinick imunologie a mikrobiologie

    LP Laboratorn pruka OKIM Strana 4 (celkem 38) Verze 3.0 Platnost od: 14.8.2017

    4.17.5 Doba odezvy laboratoe ................................................................................................. 15 4.17.6 Konzultan innost laboratoe ...................................................................................... 15

    4.18 Pouvan analytick systmy ........................................................................................... 16 5 Pehled laboratornch vyeten .................................................................................................... 17

    5.1 Pehled urgentnch vyeten oznaench STATIM ............................................................. 17 5.2 Bakteriologie ......................................................................................................................... 18

    5.2.1 Obecn zsady odbru vzork na bakteriologick vyeten ......................................... 18 5.2.2 Legenda k tabulkm ...................................................................................................... 18

    5.3 Parazitologie .......................................................................................................................... 25 5.3.1 Obecn zsady odbru vzork na parazitologick vyeten ......................................... 25

    5.4 Infekn srologie .................................................................................................................. 26 5.4.1 Odbrov materil, typy pouvanch zkumavek VACUETTE ................................... 26 5.4.2 Borrelia .......................................................................................................................... 26

    5.4.2.1 Borrelia bugdorferi sensu lato - IgM, IgG ............................................................. 26 5.4.2.2 Borrelia - konfirman stanoven (imunoblot - IgG, IgM) .................................... 26

    5.4.3 Cytomegalovirus (CMV) - IgM, IgG ............................................................................ 27 5.4.4 Epstein-Barrov virus (EBV) - EBNA1 IgG, VCA IgG, VCA IgM ............................. 27

    5.4.4.1 EBV heterofiln protiltky ..................................................................................... 27 5.4.5 T