Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Monthly inspection of laboratory at Woodbury NJ by Lab director or designee

  • Who is performing the audit?

  • Audit date

  • Review the current order and requisition process with phlebotomy team. Are there concerns?<br>

  • Patient identification at phlebotomy site

  • Correct specimen labeling at phlebotomy site

  • Physician complaints

  • Lost specimens

  • Hemolytic specimens

  • Written request with every specimen

  • Requisitions with incorrect patient information

  • Patient complaints

  • Any other observations and plans for future audits?

  • Signature of auditor

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