Summary:
Summary Statement of Deficiencies D6102 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1445(e)(12) The laboratory director must ensure that prior to testing patients' specimens, all personnel have the appropriate education and experience, receive the appropriate training for the type and complexity of the services offered, and have demonstrated that they can perform all testing operations reliably to provide and report accurate results. This STANDARD is not met as evidenced by: ___________________________________ Based on review of personnel records for two grossing technicians, lack of training documentation for new hire (technician #2) and lack of annual competency for technician #1 and interview with the Laboratory Director, determined the laboratory failed to document training and competencies for 2 of 2 grossing technicians since hire dates. The findings include: 1. Review of personnel records for two of two grossing technicians. 2. Lack of training documentation for new grossing technician (technician #2), hire date in October of 2017. 3. Lack of annual competency documentation for grossing technician #1 since hire date in 2012. 4. Interview at approximately 4:00 p.m. April 16, 2018 with the Laboratory Director confirmed there was no training or annual competency documentation for two of two grossing technicians since their hire dates. ____________________________________ 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 --