Summary:
Summary Statement of Deficiencies D5407 PROCEDURE MANUAL CFR(s): 493.1251(d) Procedures and changes in procedures must be approved, signed, and dated by the current laboratory director before use. This STANDARD is not met as evidenced by: Based on record review and interview, the laboratory failed to document that the Laboratory Director approved, signed and dated the procedure manual. Findings: Review of the laboratory's procedure manual showed that the laboratory director failed to document that he approved, signed and dated the procedure manual. During an interview on 6/18/19 at 1:24 PM, the Registered Nurse acknowledged that the procedure manual was not signed and dated by the Laboratory Director. 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 --