UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval Table of Contents Page 1. 2. 3. 4. 5. 6. 7. 8. 9. Scope Objective Definitions Responsibility Procedure Precautions References Appendices Revision History 2 2 2 2 2 10 10 10 10 Original Authorised Copy for: Reading Copy Written by: Sign/Date: Reviewed by: Sign/Date: Approved by: Sign/Date: Page 1 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval 1. Scope This Standard Operating Procedure (SOP) applies to the staff and students of the Pharmacy Department, University of Malta involved in the issue, use or upkeep of the laboratory logbooks. 2. Objective To describe the layout, issue, distribution, use and upkeep of the laboratory logbooks. 3. Definitions 3.1 Activity: Use, calibration, maintenance or cleaning procedures that are performed on/with the equipment. 3.2 Logbook: A bound book used to record activities carried out in the laboratory or on an equipment. 4. Responsibility 4.1 The designated Laboratory Officer or Laboratory Assistant is responsible for ensuring that this SOP is followed. 4.2 The designated Laboratory Officer or Laboratory Assistant is responsible for the upkeep of logbooks. 4.3 The members of the Department of Pharmacy (staff and students) are responsible for filling in the respective logbooks. 5. Procedure 5.1 Logbook Issue 5.1.1 5.1.2 Issue an Entry Logbook for each laboratory to document the details of the persons entering into each laboratory. Issue a Temperature Logbook for each refrigerator present in each laboratory to document the daily temperature of the room and of the refrigerator/freezer. Page 2 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval 5.1.3 5.1.4 5.1.5 5.1.5 5.1.6 5.1.7 5.1.8 Issue a Consumables Logbook for each laboratory to document the use of consumables. Issue an On-Loan Equipment Logbook to record the equipment that will be on-loan. Issue an Equipment Logbook for each medical device and equipment to document the activities that are carried out on each. Use a bound book to avoid having loose sheets of paper. Number the logbook pages prior to use. Include an official label (Appendix SOP/PD/105_02/A1) on the front cover of the logbook (Refer to Section 5.2). Write the headings of the columns to be used on each page of the logbook. 5.2 Official Label 5.2.1 Include the following components in the official label: 5.2.1.1 Department of Pharmacy logo 5.2.1.2 Name of the University 5.2.1.3 Name of the Faculty 5.2.1.4 Name of the Department 5.2.1.5 Name of logbook (eg. Entry Logbook) 5.2.1.6 Inventory number or Serial number (if applicable) 5.2.1.7 Name of equipment (if applicable) 5.2.1.8 Date of issue 5.2.1.9 Signature of Laboratory officer 5.2.1.10 Total number of pages 5.3 Entry Logbook 5.3.1 Divide the pages of the entry logbook into columns with the following headers: 5.6.1.1 5.6.1.2 5.6.1.3 5.6.1.4 5.6.1.5 5.6.1.6 Name Course year Activity Date Name of Demonstrator Signature Page 3 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval 5.3.2 Place the entry logbook in close vicinity of the door. 5.4 Temperature Logbook 5.4.1 Divide the pages of the Temperature Logbook into columns with the following headers: 5.4.1.1 Date 5.4.1.2 Time 5.4.1.3 Refrigerator Temperature (if applicable) 5.4.1.4 Freezer Temperature (if applicable) 5.4.1.5 Room Temperature 5.4.1.6 Signature 5.4.2 5.5 Place the temperature logbook next to the refrigerator/freezer or designated area. Consumables Logbook 5.5.1 Divide the pages of the Consumables Logbook into columns with the following headers: 5.5.1.1 Name of Consumable 5.5.1.2 Name of user 5.5.1.3 Course Year (if applicable) 5.5.1.4 Date Out 5.5.1.5 Signature 5.5.1.6 Date In 5.5.1.7 Signature 5.6 On-Loan Equipment Logbook 5.6.1 Divide the pages of the On-Loan Equipment logbook into columns with the following headers: 5.6.1.1 Inventory number / Name of equipment 5.6.1.2 Name of user Page 4 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval 5.6.1.3 Course year 5.6.1.4 Date out 5.6.1.5 Signature 5.6.1.6 Date in 5.6.1.7 Signature 5.7 Equipment Logbook 5.7.1 Divide the pages of the Equipment Logbook into columns with the following headers: 5.3.2.1 Name 5.3.2.2 Course Year (if applicable) 5.3.2.3 Activity 5.3.2.4 Date 5.3.2.5 Signature 5.7.2 5.8 Using the Logbook 5.8.1 5.8.2 5.8.3 5.9 Place the equipment logbook adjacent to the equipment or designated area. Record in ink directly into the logbook. Cross out any errors ensuring that the mistake is still legible. Sign, date and annotate the correction. Do not remove any pages from the logbooks. Logbook Upkeep 5.9.1 Ensure that logbooks are being correctly filled in by users whenever an activity is carried out. 5.9.2 Ensure that new logbooks are issued to replace completed ones. Archive completed logbooks. 5.9.3 Review the logbooks every 6 months. Sign and date this on the logbook with an appropriate entry. 5.9.4 Enter each logbook review date into the ‘Laboratory Logbooks Database’ (SOP/PD/105_02/A2). Page 5 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE Valid for: 2 years LABORATORY LOGBOOKS from approval 5.10 Flow Chart 5.10.1 Issuing a Logbook Start Use bound books for logbooks No Need to issue Temperature logbook Need to issue Entry Logbook Yes Yes Divide each page with these headers: Name, Course Year, Activity, Date, Name of Demonstrator, Signature Number each page No Need to issue Consumables logbook No Yes Divide each page with these headers: Name, Time, Refrigerator T, Freezer T, Room T and signature Divide each page with these headers: Name of Consumable, Name of User, Course Year, Date out, Signature, Date in and Signature Number each page Number each page Include Official Label on front cover Include Official Label on front cover Include Official Label on front cover Include Lab Officer signature and total number of pages on official label Issue logbook and place in close vicinity to door Include Lab Officer signature and total number of pages on official label Issue logbook and place next to refrigerator/freezer or designated area Include Lab Officer signature and total number of pages on official label Issue logbook No Need to issue OnLoan Equipment logbook Yes 1 Page 6 of 16 2 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval 1 Divide each page with these headers: Inventory No/Name of Equipment, Course Year, Date out, Signature, Date in and Signature Number each page Include Official Label on front cover Include Lab Officer signature and total number of pages on official label Issue logbook No Need to issue an Equipment logbook 2 Yes Divide each page with these headers: Name, Course Year, Activity, Date and Signature Number each page Include Official Label on front cover Include Lab Officer signature and total number of pages on official label Issue logbook and place adjacent to equipment or designated area End Page 7 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval 5.10.2 Using a Logbook Start Record in ink directly into logbook No Made a mistake in entry Yes Cross out but leave mistake still legible. Sign, date and annotate correction Do not remove any pages from logbook End Page 8 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval 5.10.3 Logbook Upkeep Start No Logbook being correctly filled in by users Train users on the proper filling procedure of logbook Yes No Logbook completed Yes Issue new logbook to replace completed one Archive completed logbook Review logbook every 6 months and sign and date logbook with an appropriate entry Enter logbook review date into the Laboratory Logbooks Database (Appendix 2) End Page 9 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval 6. Precautions Not Applicable 7. References Not Applicable 8. Appendices SOP/PD/105_02/A1 – Laboratory Logbooks Labels SOP/PD/105_02/A2 – Laboratory Logbooks Database 9. Revision History Version Number 01 02 Amendments/ Reasons for change Initial Release Change in Scope Included definition of Activity Included On-Loan Equipment Logbook Included flow charts Included Laboratory Logbooks Database Page 10 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval SOP/PD/105_02/A1 – Laboratory Logbooks Labels UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT EQUIPMENT LOGBOOK Inventory Number: Name of Equipment: Date of Issue: __ __/__ __ /__ __ __ __ Laboratory Officer Signature: _________________ Total Number of Pages: Page 11 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT TEMPERATURE LOGBOOK Date of Issue: __ __/__ __ /__ __ __ __ Laboratory Officer Signature: _________________ Total Number of Pages: Page 12 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT CONSUMABLES LOGBOOK Date of Issue: __ __/__ __ /__ __ __ __ Laboratory Officer Signature: _________________ Total Number of Pages: Page 13 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT ENTRY LOGBOOK Date of Issue: __ __/__ __ /__ __ __ __ Laboratory Officer Signature: _________________ Total Number of Pages: Page 14 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT ON-LOAN EQUIPMENT LOGBOOK Date of Issue: __ __/__ __ /__ __ __ __ Laboratory Officer Signature: _________________ Total Number of Pages: Page 15 of 16 UNIVERSITY OF MALTA FACULTY OF MEDICINE & SURGERY PHARMACY DEPARTMENT Ref. No. SOP/PD/105_02 STANDARD OPERATING PROCEDURE LABORATORY LOGBOOKS Valid for: 2 years from approval SOP/PD/105_02/A3 – Laboratory Logbooks Database Name Location Date of issue Review Date Page 16 of 16 Review Date Review Date