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Laboratory Services, Specimen Collection, and Waived Testing

Sets out when the Agency needs a CLIA certificate, how staff collect and send specimens only as ordered, who may draw blood, how referral laboratories are chosen, how waived tests and patient self-tests are handled, and how results reach the authorized healthcare provider.

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About this policy
Policy number
LA-HH-CS-05
Version
1.0
Main rule
42 CFR §484.100(c)
Library
Louisiana home health · 57 policies
Category
Clinical tasks
Sections
18

In short

  • Collect specimens only when the provider has ordered the test.
  • LPNs draw blood only after an RN has documented their competency.
  • Aides never draw blood or do fingersticks.
  • Test with Agency equipment only if our CLIA certificate covers the test; use the patient's own meter for self-tests.
  • Label specimens in front of the patient and report critical results to the provider at once.

What's inside

18 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §484.100(c))
  • 5. CLIA Status
  • 6. Assisting With Patient Self-Testing
  • 7. Specimen Collection
  • 8. Transport and Referral Laboratories
  • 9. Results
  • 10. Waived Testing Quality
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Do your staff perform any tests in the home? Show me your CLIA certificate.
  • Show me the RN-evaluated venipuncture competency for this LPN.

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