{"ref":"NC-HSP-LAB-01","title":"Laboratory, Radiology and Waived Testing","category":"Clinical tasks","summary":"Sets out how the Agency arranges laboratory, radiology and pathology services: only on a physician's or practitioner's order that fits the plan of care, through licensed providers under written agreement (and, for its own inpatient facility, under a qualified physician's direction), and how any test staff perform themselves, such as a fingerstick blood glucose, is done only under a CLIA certificate of waiver or other CLIA certificate, following the manufacturer's instructions.","inShort":["Order tests only when the result will help the patient's comfort or care, and only with a physician's or practitioner's order.","Do not do any test yourself, even a fingerstick glucose, unless the Agency holds a CLIA certificate and you have shown competency on that device.","Follow the manufacturer's instructions, run quality control and clean shared meters between patients.","Label specimens at the bedside with two identifiers, the date and the time.","Report results outside the ordered range to the physician at once and document the response."],"primaryCitation":"10A NCAC 13K .1203","citations":["10A NCAC 13K .1203","10A NCAC 13K .0505","10A NCAC 13K .0601(3)"],"federalCitations":["42 CFR Part 493","42 CFR §493.2","42 CFR §493.15","42 CFR §§493.35-493.39","42 CFR §418.106"],"surveyorAsks":["Do your nurses check blood glucose with a meter? Show me your CLIA certificate.","Which laboratory do you use, and where is the agreement?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .1203)","5. Ordering Tests","6. Laboratory, Radiology and Pathology Providers","7. Testing by Agency Staff: CLIA","7.1 Tests by the patient or family","8. Doing a Point-of-Care Test","9. Collecting and Sending Specimens","10. Results","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","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}}