Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HR, UK

University and Weston NHS Foundation Trust Issue No: 007 Issue date: 10 December 2020

Pathology Laboratory Contact: Sharif Goolam-Hossen Weston General Tel: +44 01934 647063 Grange Road, Uphill E-Mail: [email protected] 8382 Weston-super-Mare Accredited to North ISO 15189:2012 BS23 4TQ

Testing performed at the above address only

Locations covered by the organisation and their relevant activities

Laboratory locations:

Location details Activity

Address: Local contact: Pathology Laboratory Sharif Goolam- Clinical Biochemistry Weston General Hospital Hossen Coagulation Grange Road, Uphill Haematology Weston-super-Mare Microbiology North Somerset Transfusion BS23 4TQ

Assessment Manager: RBB 1 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

DETAIL OF ACCREDITATION

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS Clinical Biochemistry Documented In-house Methods and examination activities for the Manufacturer’s instructions for Advanced purposes of clinical diagnosis: Instruments Micro Osmometer 3320OSMO1™

Serum, plasma, urine Osmolality – Osmolar gap Osmolality: SOP C071 and Osmolar Gap: SOP C017

Calculations in Biochemistry SOP (Chem 1415)

Documented In-house Methods and Manufacturer’s instructions for Roche COBAS 6000 to COBAS 6000 Operation: SOP Chem 53500

CSF Glucose Cobas Glucose (GLUC3) (Hexokinase method)

Serum, K2EDTA plasma, Albumin Cobas Albumin (ALBP) (by BCP) Li-Hep plasma

Serum, Li-Hep plasma Alkaline Phosphatase Cobas Alkaline Phosphatase (ALP2)

Serum, K2EDTA plasma, ALT Cobas Alanine AminoTransferase (ALTLP) Li-Hep plasma

Serum, Li-Hep plasma Amylase Cobas Amylase (AMYL2)

Serum, Li-Hep plasma Bicarbonate Cobas Bicarbonate (CO2-L)

Serum, K2EDTA plasma, Bilirubin (Total) Cobas Total Bilirubin – Tbil (BILT3) Li-Hep plasma

Serum, K2EDTA plasma, CA125 Cobas (CA125 II) Li-Hep plasma

Assessment Manager: RBB Page 2 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Clinical Biochemistry Documented In-house Methods and (cont’d) examination activities for the Manufacturer’s instructions for purposes of clinical diagnosis: Roche COBAS 6000 to COBAS 6000 (cont’d) Operation: SOP Chem 53500

Serum, Li-Hep plasma Calcium Cobas Calcium (CA2)

Adjusted Calcium (calculation) Calculations in Biochemistry SOP (Chem 1415)

Serum, K2EDTA plasma, Carbamazepine Cobas Carbamazepine (CARB2) Li-Hep plasma

Serum, K2EDTA plasma, CEA Cobas Carcinoembryonic Antigen (CEA) Li-Hep plasma

Serum, K2EDTA plasma, Cholesterol Cobas Cholesterol (CHOL2) Li-Hep plasma Non-HDL Cholesterol Calculations in Biochemistry SOP (Chem 1415) (calculation)

Serum, Li-Hep plasma Chloride Cobas Electrolytes (ISE indirect Na, K, Cl)

Serum, K2EDTA plasma, Cortisol Cobas Cortisol (Cortisol) Li-Hep plasma, citrate plasma, fluoride plasma

Serum, Li-Hep plasma Creatine Kinase Cobas Creatine Kinase - CK (CKL)

Serum, K2EDTA plasma, Creatinine Cobas Creatinine (CREP2) Li-Hep plasma AKI Alerts (calculation) Calculations in Biochemistry SOP (Chem 1415) eGFR (calculation)

Serum, K2EDTA plasma, CRP Cobas C Reactive Protein (CRPL3) Li-Hep plasma

Assessment Manager: RBB Page 3 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Clinical Biochemistry Documented In-house Methods and (cont’d) examination activities for the Manufacturer’s instructions for purposes of clinical diagnosis: Roche COBAS 6000 to COBAS 6000 (cont’d) Operation: SOP Chem 53500

Serum, K2EDTA plasma, Digoxin Cobas Digoxin (Digoxin) Li-Hep plasma, citrate plasma, fluoride plasma

Serum, K2EDTA plasma, Direct Bilirubin Cobas Direct Bilirubin (DBIL) SOP: Chem 406 Li-Hep plasma

Serum, K2EDTA plasma, Ferritin Cobas Ferritin (Ferritin) Li-Hep plasma

Serum, Li-Hep plasma Folate Cobas Folate (FOL III)

Serum, K2EDTA plasma, FSH Cobas Follicle Stimulating Hormone (FSH) Li-Hep plasma

Serum, K2EDTA plasma, Free T4 Cobas Free Thyroxine (FT4 II) Li-Hep plasma, fluoride plasma

Serum, K2EDTA plasma, Free T3 Cobas Free Triiodothyronine (FT3 III) Li-Hep plasma, fluoride plasma

Serum, K2EDTA plasma, Gamma Glutamyltransferase Cobas Gamma Glutamyl Transferase (GGT-2) Li-Hep plasma

Serum, K2EDTA plasma, Gentamicin Cobas Gentamicin (Gentamicin II) Li-Hep plasma

Serum, K2EDTA plasma, Glucose Cobas Glucose (GLUC3) (Hexokinase method) Li-Hep plasma, fluoride plasma

Serum, K2EDTA plasma, HDL Cholesterol Cobas HDL Cholesterol (HDLC3) Li-Hep plasma

Serum, Li-Hep plasma Iron Cobas Iron – Fe (IRON2)

Assessment Manager: RBB Page 4 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Clinical Biochemistry Documented In-house Methods and (cont’d) examination activities for the Manufacturer’s instructions for purposes of clinical diagnosis: Roche COBAS 6000 to COBAS 6000 (cont’d) Operation: SOP Chem 53500

Serum, Li-Hep plasma Lactate Dehydrogenase Cobas Lactate Dehydrogenase – (LDHL)

Serum, K2EDTA plasma, LH Cobas Luteinising Hormone (LH) Li-Hep plasma, fluoride plasma

Serum, K2EDTA plasma Lithium Cobas Lithium (LI)

Serum, Li-Hep plasma Magnesium Cobas Magnesium (MG2)

Serum, K2EDTA plasma, Oestradiol Cobas Oestradiol (E2 III) Li-Hep plasma, citrate plasma, fluoride plasma

Serum, K2EDTA plasma, Paracetamol Cobas Paracetamol (ACETA) Li-Hep plasma

Serum, K2EDTA plasma, Phenytoin Cobas Phenytoin (PHNY2) Li-Hep plasma

Serum, K2EDTA plasma, Phosphate Cobas Phosphate (PHOS2) Li-Hep plasma

Serum, Li-Hep plasma Potassium Cobas Electrolytes (ISE indirect Na, K, Cl)

Serum, K2EDTA plasma, Progesterone Cobas Progesterone (Progesterone II) Li-Hep plasma, fluoride plasma

Serum, K2EDTA plasma, Procalcitonin Cobas Procalcitonin (BRAHMS PCT) Li-Hep plasma,

Serum, K2EDTA plasma, Prolactin Cobas Prolactin (Prolactin II) Li-Hep plasma

Serum, K2EDTA plasma, PSA Cobas Prostate Specific Antigen (Total PSA) Li-Hep plasma

Serum, K2EDTA plasma PTH Parathyroid Hormone (PTH)

Assessment Manager: RBB Page 5 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Clinical Biochemistry Documented In-house Methods and (cont’d) examination activities for the Manufacturer’s instructions for purposes of clinical diagnosis: Roche COBAS 6000 to COBAS 6000 (cont’d) Operation: SOP Chem 53500

Serum, K2EDTA plasma, Rheumatoid factor Cobas Rheumatoid Factor (RF II) Li-Hep plasma

Serum, K2EDTA plasma, Salicylate Cobas Salicylate (SALI) Li-Hep plasma

Serum, Li-Hep plasma Sodium Cobas Electrolytes (ISE indirect Na, K, Cl)

Serum, K2EDTA plasma, Testosterone Cobas Testosterone (Testosterone II) Li-Hep plasma

Serum, K2EDTA plasma, Theophylline Cobas Theophylline (THEO2) Li-Hep plasma

Serum, K2EDTA plasma, Total Protein Cobas Total Protein (TP2) Li-Hep plasma

Serum, K2EDTA plasma, Triglycerides Cobas Triglycerides (TRIGL) Li-Hep plasma

Serum, K2EDTA plasma, Troponin T Cobas Troponin T (Troponin T hs) Li-Hep plasma

Serum, K2EDTA plasma, TSH Cobas Thyroid Stimulating Hormone (TSH) Li-Hep plasma, fluoride plasma

Serum, K2EDTA plasma, Urate Cobas Urate – Uric acid (UA2) Li-Hep plasma

Serum, K2EDTA plasma, Urea Cobas Urea (UREAL) Li-Hep plasma

Serum, K2EDTA plasma, Vancomycin Cobas Vancomycin (VANC2) citrate plasma, fluoride plasma

Serum, Li-Hep plasma Vitamin B12 Cobas Vitamin B12 (Vitamin B12)

Serum, Li-Hep plasma Total Vitamin D Cobas Vitamin D (Vitamin D Total II)

Assessment Manager: RBB Page 6 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Clinical Biochemistry Documented In-house Methods and (cont’d) examination activities for the Manufacturer’s instructions for purposes of clinical diagnosis: Roche COBAS 6000 to COBAS 6000 (cont’d) Operation: SOP Chem 53500

Urine Amylase Cobas Amylase (AMYL2)

Calcium Cobas Calcium (CA2)

Chloride Cobas Electrolytes (ISE indirect Na, K, Cl) Potassium Sodium

Creatinine Cobas Creatinine (CREP2)

Microalbumin Cobas Albumin (ALBT2) (Immunoturbidometric)

Phosphate Cobas Phosphate (PHOS2)

Urea Cobas Urea (UREAL)

Urate Cobas Urate – Uric acid (UA2)

Urine, CSF Protein COBAS Urine Protein & CSF Protein (TPU3) by turbidimetric method: SOP Chem 53498 and CSF in Chemical Pathology: SOP Chem 122

Documented In-house Methods and Manufacturer’s instructions for Menarini Premier Hb9210 Analyser to SOPs

Whole Blood (EDTA, HbA1c Haemoglobin A1c: SOP Chem 459 Heparin, Fluoride)

Capillary Blood Paediatric Bilirubin Documented In-house Methods and Manufacturer’s instructions for Das Neo-Bil Plus to Paediatric Bilirubin: SOP C047

Urine Qualitative detection of HcG Documented In-house Methods and Manufacturer’s instructions for Accusay HCG kits to Urine Pregnancy testing in Pathology: SOP Chem 124

Assessment Manager: RBB Page 7 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Haematology examination (cont’d) activities for the purposes of clinical diagnosis:

Whole Blood (EDTA) Full Blood and Reticulocytes: Documented in-house Methods and Includes the following Manufacturer’s instructions for SOP XN-9000 parameters: - Haem 2634 that includes Sysmex XN 10 and XN 20 analytical units WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW, PLT, PDW, IPF, NEUT, LYMPH, MONO, EOS, BASO, NRBC, MPV, P-LCR, PCT, RET, IRF, LRF, MFR, HFR, RET-He, IPF, IG

Whole Blood:EDTA Erythrocyte Sedimentation Documented In-house Methods and Rate Manufacturer’s instructions for Diesse Vescube 200 to SOP Haem 47694

Blood Films - morphology of Documented in-house visual examination the red cells, platelets and method using microscopy to SOP H5004, white cells. May-Grünwald-Giemsa Staining H5019 or Manual differential of white automated slide making and staining using cells Sysmex SP 10

Detection of malarial Documented in-house for staining and parasites: microscopical examination of Blood Films for Plasmodium falciparum, Malarial Parasites to SOP: H5022 Plasmodium malariae, Plasmodium ovale & Plasmodium vivax & Plasmodium knowlesi

Malarial Parasite Antigen for Documented In-house Methods and pLDH (plasmodium Lactate Manufacturer’s instructions for Carestart Malaria Dehydrogenase). Detects Screening Test: SOP H5021 Plasmodium +/- Falciparum

Plasma:EDTA Detection of heterophile Documented In-house Methods and antibodies in Infectious Manufacturer’s instructions for Monogen Biokit Mononucleosis Glandular Fever Screening Test: SOP H5067

Assessment Manager: RBB Page 8 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Haematology examination (cont’d) activities for the purposes of clinical diagnosis:

Whole Blood:EDTA Haemoglobinopathy screen to confirm or exclude presence of haemoglobin variant and / or thalassaemia:

Haemoglobin S Documented In-house Methods and Manufacturer’s instructions for Sickledex Whole Blood Solubility Test for Haemoglobin S: SOP H5069

Ante natal Sickle Cell and Documented In-house Methods and Thalassaemia Screening Manufacturer’s instructions for Haemoglobinopathy Screening on the Menarini HA-8160: SOP H5060: SOP H5035

Coagulation examination Documented In-house Methods to activities for the purposes of Manufacturer’s instructions for clinical diagnosis: Sysmex CS2100i – Basic Operation: SOP Haem 47688

Citrated Blood Coagulation Screen: SOP Haem 47696 D-Dimer APTT Fibrinogen INR/ PT

Lupus Anticoagulant screening Thrombophilia and Lupus Anticoagulant Screening- Sample Preparation: SOP H5013

Assessment Manager: RBB Page 9 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Transfusion examination (cont’d) activities for the purposes of clinical diagnosis:

Whole Blood:EDTA ABO & Rh D & DAT Grouping Documented In-house Methods for ABO & Rh D Urgent and Routine Manual Tube Grouping: SOP BB004, ABO, RhD & DAT for Newborns: SOP BB 009

Antibody screening and IBG Gallileo Echo: SOP B Bank 69430 identification of: Antibody Panel: SOP BB010 anti-D, C, E, c, e, Cw, K, k, Antigen Typing: SOP BB011 Kp(a),Kp(b), Fy(a), Fy(b), Antibody Screen (Manual): SOP BB012 Jk(a), Jk(b), Le(a), Le(b), P1, M, N, S, s, Lu(a), Lu(b), V, JS(a), JS(b), Xg(a),

Phenotyping: Rh subgroups and Kell by Gel card (C, E, c, e, Kell) Lorne antisera with Diamed technique (Gel card) (S, s, M, Fy(a), Fy(b), JK(a), JK(b)

Whole Blood:EDTA DAT / DAGT (gel card) (IgG, Documented In-house Methods for Direct IgA, IgM, C3c, C3d) Antiglobulin Test: SOP BB 008

Detection and Estimation of Documented In-house Methods for Kleihauer Feto Maternal Haemorrhage Staining Procedure for Foetal Leak: SOP BB 013

Crossmatch - serological Documented In-house Methods for compatibility testing between Crossmatching (XMatch): SOP BB 020 and donor red cell antigens and Crossmatching for Massive Transfusion: SOP patient plasma antibody. BB 015

Assessment Manager: RBB Page 10 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Microbiology examination In-house documented procedures following (cont’d) activities for the purposes of current Public Health England (PHE) Standards clinical diagnosis: for Microbiological Investigations (SMIs):

Swabs from various body General isolation and Manual culture and microscopy. sites, and various body characterisation of micro- specimens: organisms of clinical SOP: Investigation of abscesses and deep Female genital tract swabs significance seated wound infections (Micro 47614) Fluids (joint, pleural, drain, SOP: Investigation of genital tract and peritoneal) associated specimens (Micro 47615) Skin SOP: Bordetella Isolation and Identification Sputum (Mi095) Tissue SOP: Bronchoalveolar Lavage & Associated Specimens, Investigation of (Mi014) SOP: Conjunctival Swab Processing (Mi106) SOP: Investigation of Ear Swabs and Associated Specimens (Mi065) SOP: Investigation of Skin and Superficial Wound Swabs (Mi028) SOP: Transfusion Reaction Investigation (Mi225)

Cellular and fluid material Screening for Methicillin- Manual inoculation, incubation and contained on swabs Resistant Staphylococcus interpretation of chromogenic culture media aureus (MRSA) using SOP: Investigation of Specimens for Screening for MRSA (Mi070)

Blood General isolation of micro- Automated culture using Bact/Alert blood culture organisms of clinical system: significance SOP: BactAlert 3D Automated Blood Culture System (Micro909)

CSF General isolation and SOP: Cerebrospinal Fluid Investigation (Mi033) characterisation of micro- By Microscopy and Culture organisms of clinical significance

Faeces Culture and isolation of Culture to SOP: Investigation of Faeces gastrointestinal pathogens Specimens for Bacterial Pathogens (Mi029)

Assessment Manager: RBB Page 11 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Microbiology examination In-house documented procedures following (cont’d) activities for the purposes of current Public Health England (PHE) Standards clinical diagnosis: (cont’d) for Microbiological Investigations (SMIs):

Microscopy for ova, cysts and Unstained and iodine stained direct microscopic parasites (OCP). examination and/or Formal-ether faecal concentration and microscopic examination to SOP: Investigation of Specimens other than Blood for Parasites (Micro 47620)

Faeces Detection of Cryptosporidium Cold ZN incident light microscopy to SOP: oocysts Investigation of Specimens other than Blood for Parasites (Micro 47620) SOP: Investigation of Faeces Specimens for Bacterial Pathogens (Mi029)

Hair Isolation and identification of Manual inoculation, media culture and Skin clinically significant macroscopic and microscopic examination Nail dermatophyte fungi (stained and unstained) to SOP: Dermatophyte Sample Microscopy (Mi090)

Cellular and fluid material Isolation and presumptive Microscopy (auramine phenol staining and contained on swabs identification of Acid-alcohol incident-light fluorescence microscopy) to SOP: Fluids fast bacilli (inc. Investigation of Specimens for Mycobacterium Sputum Mycobacterium spp.) Species (Mi138) Tissue Urine

Urine Detection, identification and Menarini Sedimax for Urine Microscopies quantification of: SOP: Investigation of Urine (Mi072) White blood cells Red blood cells Squamous epithelial cells Bacterial cells Casts

Faeces Detection of DNA of Norovirus SOP: Cephaid GeneXpert PCR (Micro 1008)

Assessment Manager: RBB Page 12 of 13

Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Sta ine s -u po n - Thames, TW18 3HR, UK

University Hospitals Bristol and Weston NHS Foundation Trust 8382 Issue No: 007 Issue date: 10 December 2020 Accredited to ISO 15189:2012

Testing performed by the Organisation at the locations specified

Materials/Products tested Type of test/Properties Standard specifications/ Equipment/Techniques measured/Range of used measurement

HUMAN BODY FLUIDS: Microbiology examination (cont’d) activities for the purposes of clinical diagnosis: (cont’d)

Faeces C. difficile toxin B gene Documented In-house Methods and Manufacturer’s instructions for Cepheid Xpert (PCR) to: Processing of Faeces for Clostridium difficile SOP

Clostridium difficile glutamate Documented In-house Methods and dehydrogenase (GDH). Manufacturer’s instructions for Techlab C. Diff C. difficile toxins A & B Quik Chek Complete (EIA) to: C diff Testing Protocol (Micro 214)

Urine Detection of Legionella Binax Kit Legionella and Streptococcus pneumophila serotype 1 pneumoniae Antigen Testing (Micro 1293) antigen

Bacterial cultures isolated in- Bacteriological identification SOP: Bruker MaldiT of Mass Spectrometry house. (Micro 1007)

Antimicrobial susceptibility Manual (disc diffusion and E-Test) and testing of clinically significant automated using BioMerieux Vitek 2 (EUCAST) bacteria SOP: Susceptibility Testing (Mi 010)

Detection of bacterial Microscopy (gram stain) to SOP: Investigation of vaginosis genital tract and associated specimens (Micro 47615)

Detection of Trichomonas Microscopy (unstained or acridine orange) to vaginalis SOP: Investigation of genital tract and associated specimens (Micro 47615)

END

Assessment Manager: RBB Page 13 of 13