Advanced Dermatology And Skin Cancer Center, Pa

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 17D2133901
Address 2509 W 18th Avenue, Emporia, KS, 66801
City Emporia
State KS
Zip Code66801
Phone(620) 341-9335

Citation History (1 survey)

Survey - January 22, 2021

Survey Type: Standard

Survey Event ID: Y1HX11

Deficiency Tags: D5401 D5401

Summary:

Summary Statement of Deficiencies D5401 PROCEDURE MANUAL CFR(s): 493.1251(a) A written procedures manual for all tests, assays, and examinations performed by the laboratory must be available to, and followed by, laboratory personnel. Textbooks may supplement but not replace the laboratory's written procedures for testing or examining specimens. This STANDARD is not met as evidenced by: Based on the review of the procedure manual and interview, the laboratory failed to follow the procedure for cryostat maintenence requirements and quality assurance review for slide labeling. Findings: 1. Review of procedure for crystat maintenence revealed cryostat should be defrosted every six months and air filter to be changed every 3 months. 2. Reveiew of maintenence records for the cryostat from 1/16/2019 to 12/29/2020 revealed only one entry for defrost on 5/27/2020 and no entries for air filter replacement. 3. Review of procedure for quality assurance revealed labels and Mohs maps are to be reviewed with another person to confirm before completion. Mohs map should be initialed by reviewer. 4. Review of Mohs maps revealed no initials by review present on maps provided at the time of survey. Testing personnel (TP) #1 stated he was reviewing the slides himself and not having a second person reviewing map and labels. 5. Interview with TP#1 January 22, 2021 at 11:05 a.m. confirmed, the laboratory failed to follow the procedure for cryostat maintenence requirements and quality assurance review for slide labeling. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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