Ariz. Admin. Code § R9-10-416 - Clinical Laboratory Services
If clinical laboratory services are authorized to be provided on a nursing care institution's premises, an administrator shall ensure that:
1. Clinical laboratory services
and pathology services are provided through a laboratory that holds a
certificate of accreditation, certificate of compliance, or certificate of
waiver issued by the United States Department of Health and Human Services
under the 1988 amendments to the Clinical Laboratories Improvement Act of
1967;
2. A copy of the certificate
of accreditation, certificate of compliance, or certificate of waiver in
subsection (1) is provided to the Department for review upon the Department's
request;
3. The nursing care
institution:
a. Is able to provide the
clinical laboratory services delineated in the nursing care institution's scope
of services when needed by the residents,
b. Obtains specimens for the clinical
laboratory services delineated in the nursing care institution's scope of
services without transporting the residents from the nursing care institution's
premises, and
c. Has the
examination of the specimens performed by a clinical laboratory;
4. Clinical laboratory and
pathology test results are:
a. Available to
the ordering physician:
i. Within 24 hours
after the test is complete with results if the test is performed at a
laboratory on the nursing care institution's premises, or
ii. Within 24 hours after the test result is
received if the test is performed at a laboratory outside of the nursing care
institution's premises; and
b. Documented in a resident's medical
record;
5. If a test
result is obtained that indicates a resident may have an emergency medical
condition, as established in policies and procedures, personnel notify:
a. The ordering physician,
b. A registered nurse in the resident's
assigned unit,
c. The nursing care
institution's administrator, or
d.
The director of nursing;
6. If a clinical laboratory report is
completed on a resident, a copy of the report is included in the resident's
medical record;
7. If the nursing
care institution provides blood or blood products, policies and procedures are
established, documented, and implemented for:
a. Procuring, storing, transfusing, and
disposing of blood or blood products;
b. Blood typing, antibody detection, and
blood compatibility testing; and
c.
Investigating transfusion adverse reactions that specify a process for review
through the quality management program; and
8. Expired laboratory supplies are discarded
according to policies and procedures.
Notes
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No prior version found.