Daniel Mercado Medical Center

Test :
A-HCV
Month :
AUGUST 2012

Levey-Jennings Control Chart

Control Lot #:
Expiration:

LO

0.10

mg/dl MID

Machine :

ELECSYS 2010

Section :

SEROLOGY

ESTABLISHED DATA VALUES

0.70 mg/dl HI
1.30
mg/dl

SD 0.20

1.10

0.10
1
DAY
DATE
RESULT
RERUN

27

28

2
2

3
3

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

1-Aug

2-Aug

3-Aug

4-Aug

5-Aug

6-Aug

7-Aug

8-Aug

9-Aug

10-Aug

11-Aug

12-Aug

13-Aug

14-Aug

15-Aug

16-Aug

17-Aug

18-Aug

19-Aug

20-Aug

21-Aug

22-Aug

23-Aug

24-Aug

25-Aug

26-Aug

27-Aug

28-Aug

29-Aug

30-Aug

31-Aug

0.56

0.42

0.67

0.99

10

11

0.68

12

13

0.57

14

15

0.43

16

17

0.78

18

19

0.87

20

21

0.46

Control Lot #:
Expiration:

22

23

24

0.68

LO

25

26

0.35

0.57

8.40

mg/dl MID

29

30

31

0.88

ESTABLISHED DATA VALUES

9.90 mg/dl HI
11.40 mg/dl

SD 0.50

11.40
10.90
10.40
9.90
9.40
8.90
8.40
2

DAY
DATE

1
1

1-Aug

2-Aug

3-Aug

4-Aug

5-Aug

6-Aug

7-Aug

8-Aug

9-Aug

RESULT

9.29

RERUN

9.99

9.56

9.90

10

26

27

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

10-Aug

11-Aug

12-Aug

13-Aug

14-Aug

15-Aug

16-Aug

17-Aug

18-Aug

19-Aug

20-Aug

21-Aug

22-Aug

23-Aug

24-Aug

25-Aug

26-Aug

27-Aug

28-Aug

29-Aug

30-Aug

31-Aug

10.57

11

12

8.98

13

14

9.12

15

16

10.57

17

18

9.34

19

20

10.03

21

22

9.87

23

24

9.12

25

9.99

28

10.57

29

30

31

Signed:_______________________
Unit Manager

Hospital Name:
Section
Month/Year:
Starting DATE:

Daniel Mercado Medical Center

SEROLOGY
AUGUST 2012
1-Aug

Control Lot #
Control Lot Expiration

2012-10

QC Level 1 Target

0.7

SD

QC Level 2 Target

9.90

SD

QC Level 3 Target

304.20

SD