Laboratory Services

Citation

TJC EM.12.02.09

The hospital has a plan for managing resources and assets during an emergency or disaster inc...

The hospital must maintain a plan for tracking, monitoring, and replenishing essential resources and assets during and after an emergency incident.

Citation

TJC HR.11.02.01

The hospital defines and verifies staff qualifications.

The standard addresses defining staff qualifications by job responsibility, including references to infection control, laboratory, rehabilitation, interpreter, and respiratory care qualifications.

Citation

TJC LD.13.03.01

The hospital provides services that meet patient needs.

The hospital must provide services that meet patient needs, including nursing, emergency, laboratory, and surgical care.

Citation

TJC LD.13.03.03

Care, treatment, and services provided through contractual agreement are provided safely and...

The hospital must ensure that services provided through contractual agreements are safe, effective, and compliant with regulations.

Citation

TJC NPG.01.01.01

The hospital has a process in place to correctly identify patients when providing care, treat...

The hospital uses processes such as two patient identifiers, specimen container labeling in the patient’s presence, and distinct newborn identification methods to correctly identify patients.

Citation

TJC NPG.01.02.01

The hospital reports critical results of tests and diagnostic procedures on a timely basis.

The hospital maintains written procedures for defining, reporting, timing, and evaluating critical results of tests and diagnostic procedures.

Citation

TJC NPG.10.01.01

Policies and procedures for waived tests are established, current, approved, and readily avai...

Requires the CLIA certificate holder to establish and maintain written, current, approved policies and procedures for waived testing addressing clinical use, quality control, specimen handling, instrument maintenance, and result reporting.

Citation

TJC NPG.10.02.01

Staff performing waived tests are competent.

Requires documented training and periodic competency assessment, using at least two specified methods, for staff performing waived tests, with limited credentialing-based alternatives for licensed practitioners.

Citation

TJC PC.13.01.05

The laboratory has written policies and procedures for the handling of tissue specimens remov...

Requires the laboratory to develop and implement written policies and procedures for collecting, preserving, transporting, receiving, and reporting tissue specimens removed during surgery.

Citation

TJC PC.15.01.01

The hospital safely provides blood and blood components.

Requires the hospital to safely provide blood and blood components, including policies, quarantine, notification, and documentation when potentially HIV- or HCV-infectious units are identified.