{"ref":"GA-HSP-LAB-01","title":"Laboratory Services and Waived Testing","category":"Clinical tasks","summary":"Sets out when hospice staff may do laboratory tests: helping a patient use his or her own FDA-approved home test, performing waived tests such as fingerstick blood glucose under the Agency’s CLIA Certificate of Waiver, and collecting specimens for a CLIA-certified reference laboratory. Covers the certificate Georgia law requires, following manufacturer instructions, competency, quality checks, safe handling, transport and disposal of specimens, results and records.","inShort":["We do only simple waived tests, such as fingerstick glucose, under our CLIA Certificate of Waiver.","Test only with an order and only with devices on the approved test list.","Follow the manufacturer’s instructions exactly and record quality control checks.","Label specimens with two identifiers and carry them sealed in a biohazard bag and transport box.","Record results the same day and report any abnormal result at once."],"primaryCitation":"42 CFR Part 493","citations":["O.C.G.A. §31-22-1","O.C.G.A. §31-22-2","Ga. Comp. R. & Regs. 111-8-37-.12(b)9.","Ga. Comp. R. & Regs. 111-8-37-.23(3)(g)"],"federalCitations":["42 CFR Part 493","42 CFR §418.116(b)","42 U.S.C. §263a","42 CFR §493.15","42 CFR §493.35","42 CFR §493.37","42 CFR §493.39"],"surveyorAsks":["Do your nurses do any testing in the home? Show me your CLIA certificate and its expiry date.","Show me the manufacturer instructions and quality control log for the glucose meters your nurses use."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR Part 493; O.C.G.A. §31-22-2)","5. Three Kinds of Testing Activity","6. Certificate of Waiver and Approved Test List","7. Performing a Waived Test","8. Specimen Collection, Transport and Disposal","9. Assisting Patients With Their Own Tests","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"ga-hospice","state":"Georgia","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}