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Assayed Information and Courses from MediaLab, Inc.

These are the MediaLab courses that cover Assayed and links to relevant pages within the course.

Learn more about laboratory continuing education for medical technologists to earn CE credit for AMT, ASCP, NCA, and state license renewal and recertification. Or get information about laboratory safety and compliance courses that deliver cost-effective OSHA safety training and continuing education to your laboratory's employees.

Laboratories Individuals

CLIA General Laboratory Review
Which of the following procedures would you employ to monitor the precision of an assay:View Page
How close the assayed value of an analyte is to its actual value is a reflection of:View Page
An analytical method with a low detection limit would:View Page
Analytical sensitivity of a method generally refers to:View Page
The term analytical specificity refers to:View Page

Fundamentals of Hemostasis
Laboratory Tests of Hemostatic Function – Prothrombin Time

The prothrombin time is a screening test that helps to assess the functionality of both the extrinsic and common pathways. The effectiveness and presence of factors I, II, V, VII, and X are assayed in this diagnostic test, as they are all found in the aforementioned pathways. The results of the prothrombin time are used in conjunction with other diagnostic tests, as well as the clinical picture of the patient, to determine any hemostatic abnormalities which may be present. In addition to being an integral part of the coagulation disorder assessment process, the PT is also used to determine therapeutic effectiveness of oral anticoagulants, by monitoring drugs such as Warfarin, Coumarin, and Dicoumarol. Prothrombin time test results are reported as the number of seconds needed for a clot to form in the patient specimen using the laboratory's instrument/reagent system, and as the International Normalized Ratio (INR).

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Laboratory Tests of Hemostatic Function - APTT

The activated partial thromboplastin time (APTT) is a screening test that helps to assess the functionality of both the intrinsic and common pathways. The effectiveness and presence of all the coagulation factors are assayed by this diagnostic test with the exception of factors VII and XIII. The results of the activated partial thromboplastin time are used in conjunction with other diagnostic tests, as well as the clinical picture of the patient, to determine hemostatic abnormalities which may be present. In addition to being an integral part of the coagulation disorder assessment process, the APTT is used to determine therapeutic effectiveness of heparin administration. Activated partial thromboplastin time results are presented to the clinician in seconds- the actual time elapsed until a clot was detected using the laboratory's instrument/reagent system.

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Introduction to Quality Control
Which of the following types of controls can be used to measure accuracy of a laboratory's methods?View Page
Assayed and Unassayed Controls

Commercially prepared controls come in either assayed or unassayed forms. Assayed controls are tested by multiple methods before sale, and are sold with the results of the tests. Assayed controls: are more expensive than unassayed controls are used to evaluate accuracy and precision avoid laboratory errors in determining control values may only be suitable for specific methods or conditionsWhile the manufacturer's control values can be used to some extent to measure accuracy, the best measure of accuracy is certified reference material.Unassayed controls are not tested by the manufacturer before they are sold. The control values for these materials must be determined by the individual laboratory. Unassayed controls: are less expensive than assayed controls are used to evaluate precision only avoid manufacturer error in determining control values control values are customized to the laboratory's own methods and conditionsA final note: although commercially available control materials are screened for hepatitis antigens and HIV antibodies, control materials should still be handled with precautions, since they contain biological materials and could contain infectious agents.

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Quality Control
Assayed and Unassayed Controls

Assayed controls have been analyzed by the manufacturer so that the range of values for the analytes they contain is known. Unassayed controls are unknowns. The laboratory purchasing the controls must determine the concentration of each analyte.

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A lab tech is running glucose an assayed control. The manufacturer has determined the control to have a value of 95. The lab tech runs the glucose test ten times, producing the following results: 99, 99, 99, 98, 98, 98, 98, 97, 97, 97. In which area should the lab tech try to improve his skills?View Page
A Quality Control Exercise

For this problem, you may need to work off-line. After you have evaluated the data on the following page, return to the course and answer the accompanying questions. Problem You are the only full-time employee at a small clinic's laboratory. You use an assayed control for your glucose determinations. The manufacturer's printed values for the present lot number are: Level 1 ControlMean: 72 mg/dLStandard deviation: +/- 2 mg/dLLevel 2 ControlMean: 281 mg/dLStandard deviation: +/- 12 mg/dLThe table on the next page shows that control results for the first twelve days of testing for the month. Plot your QC results on a Levey-Jennings chart and evaluate your data.

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