Laboratory, Radiology and Waived Testing
Sets how the Agency makes clinical laboratory and radiology services available 24 hours a day, 7 days a week through written agreements or its own services (Rule 59A-38.004(3)(b), F.A.C.), how nurses perform only CLIA-waived tests under a certificate of waiver following the manufacturer’s instructions, how specimens are collected, labeled and sent to CLIA-certified reference laboratories, and how patients are helped to use their own FDA-approved home test devices.
About this policy
- Policy number
- FL-HSP-LAB-01
- Version
- 1.0
- Main rule
- Rule 59A-38.004(3)(b), F.A.C.
- Library
- Florida hospice · 60 policies
- Category
- Clinical tasks
- Sections
- 17
In short
- Order tests and x-rays only when the result will change the patient’s comfort care.
- Laboratory and x-ray services are available 24 hours a day. Use the contact sheet.
- Perform only tests on the Agency’s approved waived test list, and follow the manufacturer’s instructions every time.
- Label every specimen at the bedside with two identifiers, the date and time.
- Clean shared devices between patients. Never share fingerstick devices.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (Rule 59A-38.004(3)(b), F.A.C.; 42 CFR §418.116(b))
- 5. Florida Standards
- 6. Laboratory and Radiology Agreements
- 7. Testing by Agency Staff
- 8. Specimen Collection and Transport
- 9. Helping 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
An inspector may ask
- Which laboratory and radiology providers do you use, and where are the written agreements?
- How can a patient get a laboratory test or an x-ray at night or on a weekend?
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