Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 10 - LABORATORIES
Chapter 10.10.06 - Medical Laboratories-Quality Assurance
Section 10.10.06.15 - Quality Control - Temporary and Mobile Laboratories: Cholesterol and Health Awareness
Universal Citation: MD Code Reg 10.10.06.15
Current through Register Vol. 51, No. 19, September 20, 2024
A. Primary Standard. In addition to meeting other applicable requirements in this chapter, a licensee offering to perform or performing cholesterol or health awareness testing at a temporary or mobile laboratory shall ensure that the laboratory:
(1) Develops and maintains a written
SOPM;
(2) Validates the analyzer
initially and utilizes the manufacturer's reference range for the quality
control with each new lot of quality control;
(3) Employs and maintains an in-field quality
control program;
(4) Reports test
results as set forth in §B(5) of this regulation; and
(5) Informs examinees of test limitations
based on current nationally recognized standards for each test
performed.
B. Standards.
(1) Supervisor. A supervisor knowledgeable in
all aspects of health awareness testing shall oversee all cholesterol or health
awareness testing conducted at a temporary or mobile laboratory.
(2) SOPM.
(a) A licensee shall develop and maintain a
written SOPM covering all current procedures for:
(i) Training personnel;
(ii) Analytical system maintenance;
(iii) Testing participants and quality
control;
(iv) Retesting;
(v) Documenting lot numbers and expiration
dates of quality control materials and reagents (cassettes) used for
participant testing;
(vi)
Evaluation of quality controls on site and documentation of corrective actions
when quality control results are unacceptable;
(vii) An every 6 month evaluation of all
analyzers used in Maryland using the worksheet provided by the Department;
and
(viii) Other aspects of the
cholesterol and health awareness testing service's activities.
(b) The general supervisor or
director shall initially approve and when changes are made review, sign, and
date the SOPM.
(c) All personnel
shall have routine access to a copy of the SOPM at each testing site throughout
each testing event.
(3)
Method Verification and Pre-Field Evaluation of an Analytical System. A
licensee shall evaluate each analytical system by:
(a) Performing a method verification to
demonstrate that the system produces test results within limits of accuracy and
precision, as defined by either the licensee or the system's manufacturer,
before the system may be used at a temporary or mobile laboratory;
and
(b) Analyzing two levels of
quality control materials.
(4) In-field Quality Control. At a temporary
or mobile laboratory, a licensee shall maintain a continuous quality control
program in which:
(a) Each person who
performs tests at a screening event shall test both levels of quality control
samples identified in §B(3)(b) of this regulation on one analyzer for each
cholesterol and health awareness test performed at the screening
event;
(b) Quality control testing
shall be performed on at least one analyzer, if more than one analyzer at a
screening event is used;
(c) Each
testing person shall test two levels of quality control materials on another
analyzer at the beginning of the cholesterol or health awareness event if more
than one person is performing tests at an event; and
(d) The laboratory shall complete the
comparison worksheet designated by the Department quarterly to ensure that all
the analyzers used for reporting test results produce results within 15 percent
to 20 percent of the other analyzers.
(5) Examinee results shall be reported above
the established reportable range of the instrument, that is, analytic range, as
greater than the highest reference point, with the analytic range being
determined by pre-field testing.
(6) Reporting and Releasing Test Results.
(a) A licensee shall release cholesterol or
health awareness test results only to the examinee or their physician in
writing and in a manner to protect the confidentiality of the test
results.
(b) A licensee shall
include the following on its reports:
(i) The
name, address, and phone number of the laboratory performing the
test;
(ii) The date and location of
the testing; and
(iii) The
signature, initials, or electronic authentication of a laboratory
employee.
(c) A
laboratory shall provide to an examinee a written explanation of all
cholesterol and health awareness test results and refer the examinee for
medical care when indicated by the results.
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