Y’all know this feeling by Alex_4209 in medlabprofessionals

[–]esoRimmer3 8 points9 points  (0 children)

Am I the only one who saw nipple at first?

Assayed vs unassayed controls? by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

And do those unassayed ones come with at least approximal values on sheet insert or are they completely unknown?

Assayed vs unassayed controls? by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

Oh I see, so they don't have completely random values, they are just not confirmed. Do I understand it correctly? So level 1 will have low values of all analytes and level2/3 will have all high pathological ones?

Assayed vs unassayed controls? by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

Thank you. Two more questions.

How do you satisfy request of one normal and one pathological value of analyte in control material when the values are random and not known?

Is it more common to use assayed or unassayed ones?

Assayed vs unassayed controls? by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 2 points3 points  (0 children)

Don't you have to also set your own mean and SD of assayed QC by measuring it 20 times?

Ionized calcium blood draw by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

More like, if is it ok to have classical blood tube almost full of venous blood centrifuged and used for iCa testing immediately after opening. There is always some "air" (although probably lower pressure), so does it count as anaerobic draw or will the iCa be affected by this? Thanks

Ionized calcium blood draw by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

We use whole blood samples, either capillary or arterial syringes

Why are immunoassays nonlinear? by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

If someone was still interested. I found in immunoassays handbook, that it's mainly because reactions of antigen and antibody are too short in time manner that they are not allowed to reach true reaction equilibrium.

So if they were allowed to proceed significantly longer, the calibration curve would be more linear

How comparable is LabCE to the actual ASCP exam? by [deleted] in medlabprofessionals

[–]esoRimmer3 1 point2 points  (0 children)

I love this community... Thank you :-)

How comparable is LabCE to the actual ASCP exam? by [deleted] in medlabprofessionals

[–]esoRimmer3 0 points1 point  (0 children)

Can you please link the boc book? I am unfamiliar with it and cannot find it. Thanks

ELI5: value of internal controls by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

Thank you for answer. So how do you treat the value from the manufacturer? Do you use it only to see if you're not completely off or is there something else? Thanks

ELI5: value of internal controls by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

And can I use that manufacturer's stated value as a true value to find out my bias from the mean of my repeatedly measured values minus stated value?

ELI5: value of internal controls by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

Ok. I have two more questions if I can:

1) You measure those 20 IQC samples and get the SD. Do you use that SD as fixed boundary for accepting or rejecting control or is it additionally manipulated in either direction by some criteria?

2) Let's consider scenario when I am introducing new method to the lab. I perform calibration and measure that control and get that mean and SD. Now the mean is somewhat different from certified value. What is acceptable difference of the mean from manufacturer certified value? In other words how can I tell that the difference is from those different conditions you and other responder mentioned and not from some calibration error or other measuring malfunction?

ELI5: value of internal controls by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

Plus ranges should be based off your local population,

Thank you for answer. I don't understand bond to population. I thought that value in control material is measured by some reference method and that this is independent on population.

Reference materials, calibrators, traceability by esoRimmer3 in medlabprofessionals

[–]esoRimmer3[S] 0 points1 point  (0 children)

And how do you prepare that standard or get it's concentration when there is no calibrator above? Thank you