Home / Admin / Rules
Rules
| Rule | State |
|---|---|
| AMR-014Klebsiella: ampicillin S | Back-tested |
| AMR-002Enterococcus: cephalosporins S | Active |
| AMR-003S. aureus: cefoxitin R, report oxacillin R | Active |
| AMR-005Carbapenem R Enterobacterales | Active |
| AMR-007P. aeruginosa: ertapenem tested | Active |
| AMR-009Vancomycin R S. aureus: confirm | Active |
| AMR-011Proteus mirabilis: colistin S | Active |
| AMR-012ESBL screen positive, ceftriaxone S | Active |
| AMR-016Salmonella Typhi: aminoglycosides | Draft |
| AMR-017Acinetobacter: ampicillin S | Draft |
10 of 38 · from CLSI M100 and EUCAST expected phenotypes
| Rule | State |
|---|---|
| AV-001CBC normal, no analyzer flags, delta ok | Draft |
| AV-004RFT within reference, QC passed today | Back-tested |
Autoverification stays off until the self-verification default is decided.
| Rule | State |
|---|---|
| RX-001TSH > 4.5 adds free T4 | Active |
| RX-003Urine nitrite + adds urine culture | Active |
| RX-006HBsAg reactive adds confirmatory | Active |
Reflex rules suggest a test. A technician adds it.
| Rule | State |
|---|---|
| DC-001Hb change > 2.0 g/dL in 7 d | Active |
| DC-002Creatinine rise > 50% in 48 h | Active |
| DC-005MCV change > 5 fL, possible wrong patient | Active |
| Rule | State |
|---|---|
| CV-001Potassium ≤ 2.5 or ≥ 6.5 mmol/L | Active |
| CV-002Glucose ≤ 40 or ≥ 450 mg/dL | Active |
| CV-004Hb ≤ 7.0 g/dL | Active |
A critical value holds release until the call is recorded.
No specimen rejection rules yet
Start from a template. Reception sees the reason when a tube is refused.
AMR-014
Klebsiella with ampicillin susceptible
- Draft
- Back-tested
- Awaiting approval
- Active
- Versioned
When
on any isolate in Microbiology
If
and
Then
Change the stored result: never. The S stays as entered. The technologist re-identifies or re-tests, and any change is theirs, audited.
On the AST screen this reads: Warning Intrinsic resistance: check identification or AST
Saved 08:02. Edits reset the back-test.
Back-test, last 90 days
Passed3times fired
1,204isolates checked
0errors
| Isolate | Organism as entered | AMP | What happened |
|---|---|---|---|
| CUL-01877 | K. pneumoniae | S | Re-identified as E. coli |
| CUL-01942 | K. oxytoca | S | AST repeated, AMP R |
| CUL-02105 | K. pneumoniae | S | Disc lot expired, retested R |
Ran 08:10 today on Jestha 26 to Ashwin 11, 2083, read only. Would have warned 3 times; every one was a real error.
Approval
Waiting- Written by
- Dr. Sunita Karki, microbiologist · 08:02 today
- Approver
- Dr. Anjana Shrestha, microbiologist · asked 08:11
- Also allowed
- Dr. Bishnu Poudel, microbiologist
A second microbiologist, not the author, must approve this rule. You are signed in as a lab technologist.
Version history
Versions are kept for ever. Results record which version warned.| Version | State | Change | By | Approved by | Date |
|---|---|---|---|---|---|
| v3 | Back-tested | Adds K. variicola to the group; asks for acknowledgement | Dr. S. Karki | waiting | 2083-06-12 |
| v2 | Active | Warning text reworded after bench feedback | Dr. B. Poudel | Dr. A. Shrestha | 2083-03-04 |
| v1 | Versioned | First version, from CLSI M100 expected phenotypes | Dr. A. Shrestha | Dr. B. Poudel | 2082-12-20 |
Synthetic demo data. Sundarpur District Hospital is not a real site.