RECORD KEEPING IN

BACTERIOLOGY LABORATORY

By
Mrs. V.O Ogunleye
 A RECORD
Information - major product of the lab
– stored as record
Patient’s sample received, processed
and result issued.
Each step of the process, information
is collected as record which do not
change
Example of records
Patient’srequest reports
Lab register
Result register
Maintenance records
Personnel records
Customer feedback
Audits records
Receipts worksheet
Why do we need records?
To track sample processing
Identify problems
Ensure we maintain standard
To plan for future
Keep track of the 12 quality
management essentials
 U.C.H MICROBIOLOGY POLICY ON RECORDS

The UCH dept of microbiology maintains:

Standardized formats for its records
A mechanism for record review
Storage that maintains records integrity &
facilitates retrieval
A mechanism for retention of records
A schedule for achieving or destruction of
records
Records capture information on:
Registers or Computers

Register or paper systems

Number pages – don’t use loose sheets-if
unavailable, bind
Don’t use washable ink- use permanent
ones
Access control to maintain confidentiality
Easily retrievable.
Records capture information-cont’d
Keep safe from environmental hazards:
 Rodents
 Water
 Fire

• Keep proper record of where records are

kept – List
• Ensure achieving records are up to date
Electronic

Computer-WHONET
Back-up
Not accessible to everybody
Traceability

NB: Storage given careful consideration as goal is finding

info when needed.
RECORD RETENTION LIST BASED ON
How long the lab will need to make
reference to records
Government requirements that dictate
record retention times
Research that may require data for years
Interval between audits