{"ref":"TX-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 their 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, following manufacturer instructions, competency, quality checks, results and records.","inShort":["Do only the tests on the Agency’s approved list, such as fingerstick blood glucose, and only with an order.","Follow the device maker’s instructions exactly, and run quality checks when they say to.","Use a new lancet every time, put it in a sharps container, and clean the meter between patients.","Write the result in the chart the same day and report any result outside the ordered range at once."],"primaryCitation":"26 TAC §558.284","citations":["26 TAC §558.284","26 TAC §558.281(14)","42 U.S.C. §263a"],"federalCitations":["42 CFR §418.116(b)","42 CFR Part 493","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 (26 TAC §558.284; 42 CFR §418.116(b))","5. Three Kinds of Testing Activity","6. Certificate of Waiver and Approved Test List","7. Performing a Waived Test","8. Specimen Collection for a Reference Laboratory","9. Assisting Patients With Their Own Tests","10. Responsibilities","11. Staff Training and Competency","12. Records and Compliance Monitoring","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"tx-hospice","state":"Texas","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 Hospice","legalName":"Sample Hospice, LLC","logo":null}}