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  • 1. QUALITY MANUAL
    OF
    Taluk Head Quarters Hospital
    Chavakkad
    Chavakkad p.o
    Pin- 680501
    ISSUE NO: 01
    ISSUE DATE: 01.07.2009
    COPY NO:01
    HOLDERS NAME: SUPERINTENDENT
    THQH CHAVAKKAD
    TALUK HEAD QURETRS HOSPITAL CHAVAKKADQUALITY MANUAL Q.C.I. ESSENTIAL STANDARDS SECTION ARelease authorization page PAGE 01/01
    A. RELEASE AUTHORISATION
    The Quality Manual is released under the authority of Dr. MINIMOL A.A, SUPERINTENDENT , THQ HOSPITAL, CHAVAKKAD and is the property of the LABORATORY, THQ HOSPITAL, CHAVAKKAD, CHAVAKKAD P.O, Pin 680501.
    Sign & Designation
    Document No :01Issue No. 1Amendment No.Page No : 1Issue Date: 1.7.2009Amendment Date.Prepared by . Noorjahan.A. Lab technician , THQH ChavakkadApproved by : Dr. Mini mol A.ASuperintendent THQH Chavakkad Issued by:
    TALUK HEAD QURETRS HOSPITAL CHAVAKKADQUALITY MANUAL Q.C.I. ESSENTIAL STANDARDS SECTION BQuality Policies and Objectives PAGE 01/01

    B Quality Policy and Objectives
    Taluk Head Quarters hospital Laboratory is committed to producing reliable patient test results in a manner necessary to insure appropriate and timely patient care. The laboratory will strive to produce reliable patient test results by combining processes that promote efficiency with technology that is appropriate to the laboratory mission and operated by staff that is both trained and competent to perform the work complying with the QCI essential standard and all other regulatory bodies.
    Document No Issue No. 1Amendment No.Page No : 2Issue Date: 1.7.2009Amendment Date.Prepared by . Noorjahan.A. Lab technician , THQH ChavakkadApproved by : Dr. Mini molA.ASuperintendent THQH Chavakkad Issued by:
    TALUK HEAD QURETRS HOSPITAL CHAVAKKADQUALITY MANUAL Q.C.I. ESSENTIAL STANDARDS SECTION CAmendment page PAGE 01/01

    AMENDMENT PAGE
    SlNo: Page No:Date ofAmendmentAmendmentMadedescriptionReason forAmendmentSign of personAuthorised amendment
    Document No Issue No. 1Amendment No.Page No : 3Issue Date: 1.7.2009Amendment Date.Prepared by . Noorjahan.A. Lab technician , THQH ChavakkadApproved by : Dr. Mini molA.ASuperintendent THQH Chavakkad Issued by:
    TALUK HEAD QURETRS HOSPITAL CHAVAKKADQUALITY MANUAL Q.C.I. ESSENTIAL STANDARDS SECTION DDistribution list PAGE 01/01
    DISTRIBUTION LIST
    The following are the authorized holders of the controlled copy of the quality manual .
    CONTROLLED COPY NO:NAME & DESIGNATION O THE HOLDEROF THE CONTROLLED COPY1Superintendent , THQH Chavakkad2Laboratory technician, THQH Chavakkad
    Document No Issue No. 1Amendment No.Page No : 4Issue Date: 1.7.2009Amendment Date.Prepared by . Noorjahan.A. Lab technician , THQH ChavakkadApproved by : Dr. Mini molA.ASuperintendent THQH Chavakkad Issued by:
    TALUK HEAD QURETRS HOSPITAL CHAVAKKADQUALITY MANUAL Q.C.I. ESSENTIAL STANDARDS SECTION 3.1.1Contents PAGE 01/01
    ContentsSectionsPage No.Quality manual1Release AuthorizationA2Quality policy and objectiveB3Amendment SheetC4Distribution listD5Table of contents6Introduction17Scope of the testing services28Essential standards for Medical laboratories39Organogram3.110Organization3.1.1.11Quality management3.1.212Management review3.1.313Personal3.214 Equipments and instruments3.316Procurements3.4.117External services3.4.2 18Process control3.5.119Quality assurance3.5.220Pre analytical Sample collection manual3.5.321Analytical process3.5.423Post analytical process3.5.524Reporting3.5.625Document control3.626Internal audit3.727Control of non conformities3.828Continual quality improvement3.930
    Document No Issue No. 1Amendment No.Page No : 5Issue Date: 1.7.2009Amendment Date.Prepared by . Noorjahan.A. Lab technician , THQH ChavakkadApproved by : Dr. Mini molA.ASuperintendent THQH Chavakkad Issued by:
    TALUK HEAD QURETRS HOSPITAL CHAVAKKADQUALITY MANUAL Q.C.I. ESSENTIAL STANDARDS SECTION 1Introduction PAGE 01/01

    INTRODUCTION
    Document No Issue No. 1Amendment No.Page No : 6Issue Date: 1.7.2009Amendment Date.Prepared by . Noorjahan.A. Lab technician , THQH ChavakkadApproved by : Dr. Mini molA.ASuperintendent THQH Chavakkad Issued by:
    Our laboratory, THQH Chavakkad is situated in Chavakkad Municipality around km away from Chavakkad centre. This institution was Established on 1932.Now it has a staff strength of 94 that is one Medical Superintendent , one Deputy superintendent ,six assistant surgeons and three doctors from NRHM,and the remaining include, nursing staffs, Para medical staff, field staff, nursing assistants and cleaning staff. This Laboratory gives service to 41742 populations under Chavakkad municipality . This is a laboratory examining an average of 70 samples daily. This laboratory functions as the central function for the clinical decisions in Chavakkad. Our lab is under the control of Chavakkad municipality & Kerala government.
    TALUK HEAD QURETRS HOSPITAL CHAVAKKADQUALITY MANUAL Q.C.I. ESSENTIAL STANDARDS SECTION 2SCOPE OF TESTING PAGE 01/01
    We provide the following testing results carried out on patient samples using the available resources and facilities.
    • Clinical Biochemistry Blood sugar,
    • 2.
    • 3. Clinical pathology Urine albumin, sugar, microscopical examination, bile
    • 4. salt, bile pigment, urine acetone and pregnancy test.
    • 5. 3 Hematology - Total WBC count, Differential count, Eerythrocyte
    • 6. sedimentation rate, Heamoglobin estimation, Platelet
    • 7. count, Clotting time, Bleeding time and Peripheral smear
    • 8. for MP smear .
    • 9. Serology - Serum Widal.
    • 10. Details of standards operating procedure attached.

    Document No Issue No. 1Amendment No.Page No : 7Issue Date: 1.7.2009Amendment Date.Prepared by . Noorjahan.A. Lab technician , THQH ChavakkadApproved by : Dr. Mini molA.ASuperintendent THQH Chavakkad Issued by:
    GOVT. OF KERALADIRECTORATE OF HEALTH DISTRICT MEDICAL OFFICERMANAGING DIRECTOR & MEDICAL DIRECTORMEDICAL SUPERINTENDENT, THQH CHAVAKKADLABORATARY DIRECTORLAB TECHNICIAN THQH,CHAVAKKADHOUSE KEEPINGHOSPITAL ATTENDANT GR II
    TALUK HEAD QURETRS HOSPITAL CHAVAKKADQUALITY MANUAL Q.C.I. ESSENTIAL STANDARDS SECTION 3.1ORGANOGRAM PAGE 01/01
    Document No Issue No. 1Amendment No.Page No : 8Issue Date: 1.7.2009Amendment Date.Prepared by . Noorjahan.A. Lab technician , THQH ChavakkadApproved by : Dr. Mini mol A.ASuperintendent THQH Chavakkad Issued by:
    TALUK HEAD QURETRS HOSPITAL CHAVAKKADQUALITY MANUAL Q.C.I. ESSENTIAL STANDARDS SECTION 3.1.1ORGANIZATION PAGE 01/01
    The THQH,Chavakkad Laboratory was establishedin .. and Located at permanent site Chavakkad near the kozhikullangara temple is under the ownership of Govt. of Kerala, Health Service department registered with local authority-chavakkad municipality
    Declaration of ownership
    Ownership - Govt. of Kerala
    Finance Lay secretary ,THQH,Chavakkad

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