Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Monthly inspection of laboratory at Woodbury NJ by Lab director or designee
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Who is performing the audit?
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Audit date
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Review the current order and requisition process with phlebotomy team. Are there concerns?<br>
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Patient identification at phlebotomy site
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Correct specimen labeling at phlebotomy site
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Physician complaints
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Lost specimens
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Hemolytic specimens
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Written request with every specimen
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Requisitions with incorrect patient information
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Patient complaints
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Any other observations and plans for future audits?
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Signature of auditor