Summary:
Summary Statement of Deficiencies D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(7)(8) (7) The technical supervisor is responsible for identifying training needs and assuring that each individual performing tests receives regular in-service training and education appropriate for the type and complexity of the laboratory services performed; (8) Evaluating the competency of all testing personnel and assuring that the staff maintain their competency to perform test procedures and report test results promptly, accurately and proficiently. This STANDARD is not met as evidenced by: Based on review of the laboratory's documents, and an interview with Testing Personnel (TP), the Technical Supervisor (TS) failed to evaluate the competency of testing personnel to ensure the staff maintain their competency to perform test procedures and report test results promptly, accurately, and proficiently. Findings Include: 1. Review of the laboratory's competency assessing policy titled "Policy and Procedure to Assess Employee Competency", found the following statement: "All new physicians,when hired, will demonstrate competency of reading KOH and scabies wet preps." 2. Further review of the competency assessing policy and procedure found no mention of assessing other test personnel also performing KOH and scabies wet preps. 3. Review of TP#2 2018 competency assessment sheet revealed a hire date for this location of 01/01/2018 and an initial assessment date of 12 /15/17. 4. TP #2 confirmed they perform KOH and scabies wet preps and their initial competency assessment was not completed at the testing location as required. The interview occurred on 01/30/2019 at 11:30 AM. 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 --