LJs for waived testing

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Does anyone do LJs for waived testing? If yes is this CAP required? How are you managing it ?

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RALS generates LJ charts that I review monthly for Glucose and Hemocue

Is this a requirement for CAP? Or do you just do it 

CAP probably requires review- but it is in our hospital policy- so I must do it.  I would verify with the checklist.

We utilize UNIPOC which generates LJ charts.  We review the results on a monthly basis as well. 

We do use LJ for waived testing and utilize our middleware (Telcor) to pull up monthly reports. Our waived isn't under the CAP accreditation but the LJs help me understand if there are any reagent trends to look for that might possibly affect patient testing. We have seen this helpful in glucose and Ha1c testing. I am looking to add Urine Chemistry soon. In pulling up the reports and seeing the outliers, I can also see if we have any operators that might need education, maybe seeing a specific person with many outliers. 

Anyways...I pull up the reports and evaluate for outliers, trends or  > 2SD. For our glucose testing, these are pulled up daily and monthly. For the rest, just monthly.

Thank you to everyone for the feedback 

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Fatimah Ali
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