{"ref":"MO-HH-CS-04","title":"Laboratory Services and Waived Testing","category":"Clinical tasks","summary":"Sets out when the Agency may perform laboratory tests (only under the right CLIA certificate, such as a Certificate of Waiver for waived tests), how nurses help patients use their own FDA-cleared self-test devices without substituting Agency equipment, how specimens are collected, labeled and sent only to CLIA-certified laboratories, and how results reach the ordering practitioner.","inShort":["We do lab tests on Agency equipment only if we hold the right CLIA certificate and there is an order.","When you help a patient with a self-test, such as a blood sugar check, use the patient's own meter, never ours.","Label every specimen in front of the patient with two identifiers, the date, the time and your initials.","Send specimens only to certified laboratories, in leakproof, labeled containers.","Call the doctor right away about any critical result and write down who you spoke to."],"primaryCitation":"42 CFR §484.100(c) (adopted by 19 CSR 30-26.010(1)(A))","citations":["19 CSR 30-26.010(1)(A)","19 CSR 20-20.020"],"federalCitations":["42 CFR §484.100(c)","42 CFR Part 493","42 CFR §484.60(b)(1)","29 CFR §1910.1030"],"surveyorAsks":["Do your nurses perform any tests, such as blood glucose or INR checks, on Agency equipment? Show me your CLIA certificate.","When a nurse helps a patient check blood sugar, whose meter is used?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.100(c) (adopted by 19 CSR 30-26.010(1)(A)))","5. CLIA Certificate and Approved Tests","6. Helping Patients With Self-Tests","7. Specimen Collection, Labeling, and Transport","8. Referral Laboratories","9. Results","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":"mo-hha","state":"Missouri","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}