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MAKMAL KESIHATAN AWAM KOTA BHARU

                                                                 Document Number         : MKAKB/BP/QP-03
                             QUALITY PROCEDURE
                                                                 Issue Number            : 01
                         EXAMINATION BY REFERRAL                 Issue Date              : 03.04.2016
                                LABORATORIES                     Page Number             : 3 of 6


                     NO.                             ACTIVITY                              RESPONSIBILITY
                            e)     Patient’s preparation prior to collection of specimens
                                   (if related).
                            f)     Schedule of sending the specimen out to the referral
                                   laboratory.
                            g)     Name,  address  and  contact  number  of  the  referral
                                   laboratory.

                    6.1.8   Distribute the list of referral test to the client.             LD/ HOS/ HOU/
                                                                                                  OIC
                    6.2.0   IDENTIFY TEST/ SERVICE FOR REFERRAL
                    6.2.1   Identify the tests or services for referral examination.           HOS/ HOU

                    6.2.2   Identify the laboratory offering the services and obtain           HOS/ HOU
                            relevant  information (e.g.  type of  test, type of specimen,
                            transportation condition, certification or accreditation etc.).

                    6.2.3   Identify specimen / biological product to be sent for referral     HOS/ HOU
                            examination.

                    6.3.0   SEND SPECIMEN FOR TEST / SERVICE

                    6.3.1   Upon receiving the specimen, prepare the serum/ plasma or        SO/ MLT/ ASO
                            any related pre-analytical requirement and keep at required
                            storage condition.  Refer  Buku  Panduan  Makmal  Kesihatan
                            Awam Kota Bharu.


                    6.3.2   Pack specimen  or  biological product according to               SO/ MLT/ ASO
                            requirement. Refer  Standard Operating Procedure for
                            Transport of Biological Specimens in Malaysia by Ministry of
                            Health Malaysia, 1  Edition 2012.
                                              st

                    6.3.3   Fill up details of sample in Borang Penghantaran Spesimen        SO/ MLT/ ASO
                            Ke Makmal Rujukan, MKAKB/BP/BR-08 (Refer Appendix 4)
                            or  Borang  Penghantaran  Spesimen  Ke  Makmal  Rujukan
                            (TB), MKAKB/BP/BR-09 (Refer Appendix 5) or online request
                            form.

                    6.3.4   Inform referral laboratory if necessary.                         SO/ MLT/ ASO

                    6.3.5   Dispatch the specimen and request form together with             SO/ MLT/ ASO
                            worksheet  Borang  Penghantaran  Spesimen  Ke  Makmal
                            Rujukan, MKAKB/BP/BR-08  (Refer Appendix  4)  or  Borang
                            Penghantaran  Spesimen  Ke  Makmal  Rujukan (TB),
                            MKAKB/BP/BR-09 (Refer Appendix 5)

                    6.3.6   Keep track of the specimen or services examined by referral      SO/ MLT/ ASO
                            laboratory. Trace  results if not  received within specified
                            laboratory turn-around  time (LTAT) using  Tracing Result
                            Form, MKAKB/BP/BR-10  (Refer Appendix 6) whenever
                            applicable.


                  Disease Sector                                                           Quality Procedure
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