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In our system the physician can either order a screen only, culture only, or a screen + culture. The lab does not reflex culture based off of the results when only a screen is ordered, so it is up to the physician to request an addon for a culture after viewing the results. If a culture is ordered it is worked up regardless of negative results for the UA. Cultures are probably ordered preemptively and thus worked up on > 70% of urines, but it really depends on the physician. I would be curious as to what our stats are for urine culture growth rates. On a side note, how often do your hospitals perform urine microscopics? Ours are not order-able by physicians, but reflex off of any positive for PRO, NIT, WBC, BLOOD. As a result we read dozens a shift.

Exactly! That said, I do currently choose to run positive and negative controls every day of use, though it's not required. Just anal that way I guess. Before that however, for quite a few years I had a statement in my SOP that said I was following manufacturer's recommendations for QC, did the pos and neg for anti-D, and I also never had a problem with inspections. The FDA and CAP had no issues with our QC.