Daniel Mercado Medical Center

Test :
ft3
Month :
APRIL 2012

Levey-Jennings Control Chart

Control Lot #:
Expiration:

LO

3.29

mg/dl MID

Machine :

ELECSYS 2010

Section :

SEROLOGY

ESTABLISHED DATA VALUES

5.39 mg/dl HI
7.49
mg/dl

SD 0.70

7.29

6.29

5.29

4.29

3.29
1
DAY
DATE
RESULT
RERUN

2
1
1-Apr

2-Apr

3-Apr

5.90

4-Apr

5-Apr

4.98

6-Apr

7-Apr

8-Apr

6.76

27

28

9
10

10
11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

9-Apr

10-Apr

11-Apr

12-Apr

13-Apr

14-Apr

15-Apr

16-Apr

17-Apr

18-Apr

19-Apr

20-Apr

21-Apr

22-Apr

23-Apr

24-Apr

25-Apr

26-Apr

27-Apr

28-Apr

29-Apr

30-Apr

1-May

4.85

11

5.76

12

13

14

15

5.23

16

5.22

17

6.76

18

19

20

21

5.02

4.99

Control Lot #:
Expiration:

22

23

24

6.23

25

26

5.76

LO

29

30

31

4.80

11.90 mg/dl MID

ESTABLISHED DATA VALUES

17.90 mg/dl HI
23.90 mg/dl

SD 2.00

23.40
21.40
19.40
17.40
15.40
13.40
11.40
1
DAY
DATE
RESULT
RERUN

1
1-Apr

2-Apr

3-Apr

14.50

4-Apr

5-Apr

16.88

6-Apr

7-Apr

8-Apr

18.65

10

10

11

12

9-Apr

10-Apr

11-Apr

12-Apr

17.53

17.79

11

12

13

14

13

14

15

13-Apr

14-Apr

15-Apr

15.87

15

16

16

17

16-Apr

17-Apr

16.94

17

18

19

18-Apr

19-Apr

19.30

18

19

20

20

21

22

20-Apr

21-Apr

22-Apr

14.09

21

22

23

24

23-Apr

24-Apr

18.90

23
25

26

25-Apr

26-Apr

15.87

24

26

27

27

28

29

30

31

27-Apr

28-Apr

29-Apr

30-Apr

1-May

15.45

25

17.88

28

29

30

31

Signed:_______________________
Unit Manager

Hospital Name:
Section
Month/Year:
Starting DATE:

Daniel Mercado Medical Center

SEROLOGY
APRIL 2012
1-Apr

Control Lot #
Control Lot Expiration

2012-10

QC Level 1 Target

5.39

SD

QC Level 2 Target

17.90

SD

QC Level 3 Target

304.20

SD