Aurora Health Center-22nd Avenue

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 52D0389360
Address 7540 22nd Ave, Kenosha, WI, 53143
City Kenosha
State WI
Zip Code53143
Phone(262) 656-7800

Citation History (1 survey)

Survey - February 7, 2018

Survey Type: Standard

Survey Event ID: 786R11

Deficiency Tags: D5411

Summary:

Summary Statement of Deficiencies D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(a) Test systems must be selected by the laboratory. The testing must be performed following the manufacturer's instructions and in a manner that provides test results within the laboratory's stated performance specifications for each test system as determined under 493.1253. This STANDARD is not met as evidenced by: Based on surveyor review of laboratory records, observation of test equipment, and interview with the technical consultant, the laboratory did not verify the ISI (International Sensitivity Index) provided by the manufacturer was accurately entered into the coagulation analyzer. Findings include: 1. Review of laboratory records showed the laboratory started using Innovin lot 549704 in November 2017. Further review shows the ISI value provided by the manufacturer for the laboratory's instrument is 1.03. 2. Observation of the coagulation instrument at 11:45 AM on February 7, 2018 showed the ISI was set at 1.00. 3. Interview with the technical consultant, staff A, on February 7, 2018 at 11:45 AM confirmed the ISI entered in the analyzer and used to calculate the International Normalized Ratio (INR) was not the ISI provided by the manufacturer. 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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