dtreadway 0 Posted January 11, 2019 We currently use a procedural control for our manual cell counts. We are currently CAP certified, but are switching to Joint Commission. One of their Standards states that for manual cell counts, one level of QC for every 8 hours of testing is performed and documented. Does anyone accredited by Joint commission use procedural controls? Share this post Link to post Share on other sites
SMILLER 863 Posted January 14, 2019 We do indeed run wet controls when we do cell counts on the hemacytometer. We use Streck Cell-chex. JCAHO noted that we needed to do this a few inspections ago. Once every 8 hours when testing patients. (Not sure what you mean by a procedural control vis a vis manual cell counts...) Scott Share this post Link to post Share on other sites
dtreadway 0 Posted January 14, 2019 our procedural control is correlation of the cell count with the cellularity of a stained slide. CAP allows this. Share this post Link to post Share on other sites
SMILLER 863 Posted January 14, 2019 Really? So if there are cells on the slide and cells on the hemacytometer then you are good for QC? Those CAP dudes are far-out! Crazy Man! Scott Share this post Link to post Share on other sites
dtreadway 0 Posted January 15, 2019 Yes! There are guidelines that correlate the cell count with the cellularity of the cytospin. We will be switching from CAP accreditation to Joint commission. June will be our first inspection. This is why I am asking about the QC. Share this post Link to post Share on other sites
SMILLER 863 Posted January 16, 2019 21 hours ago, dtreadway said: Yes! There are guidelines that correlate the cell count with the cellularity of the cytospin. I would think that it would have to be arbitrary to the point of uselessness, but what do I know? In any event, we are not CAP certified but have been inspected by JCAHO forever. I am pretty sure you will need cell-count QC like mentioned above. You can always check your inspection standards when you get a copy! Scott Share this post Link to post Share on other sites
Lisa63heme 0 Posted January 25, 2019 We us a body fluid control from R&D when doing a cell count on a hemacytometer. There are 2 levels in the control kit, we alternate levels when we get a fluid. The tech who is doing the count is also required to do one level of QC. Lisa Share this post Link to post Share on other sites
dtreadway 0 Posted February 18, 2019 Thanks for the input. I checked with Joint commission, and they do not accept the procedural control. I have been working on updating my policies etc. to comply. Share this post Link to post Share on other sites
