Summary:
Summary Statement of Deficiencies D6070 TESTING PERSONNEL RESPONSIBILITIES CFR(s): 493.1425(b)(1) Each individual performing moderate complexity testing must follow the laboratory's procedures for specimen handling and processing, test analyses, reporting and maintaining records of patient test results. This STANDARD is not met as evidenced by: Based on observation, review of the laboratory's policies and interview with the TC (technical consultant) on 5/18/23, TP (testing personnel) #1 failed to follow the laboratory's policy to utilize hand protection while handling blood and body fluids in the laboratory. Findings: During a tour of the laboratory approximately 11:40 a.m. to 12:00 p.m., the surveyor observed TP #1 handling a urine specimen and performing patient testing without the use of hand protection. The surveyor also observed TP #1 handling a blood specimen and performing patient testing without the use of hand protection. Review of the laboratory's "Personal Protective Equipment for Occupational Hazards" policy revealed "... G. Hand Protection: 1. Hand protection is required when hands are exposed to hazards such as those from skin absorption of harmful substances; blood and body fluids; severe cuts or lacerations; severe abrasions; puncture; chemical burns; thermal burns; and harmful temperature extremes." During an interview at approximately 11:55 a.m., the TC confirmed that TP #1 was not utilizing hand protection while handling blood and body fluids in the laboratory. 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 --