Communicable 80.1. Are protocols established to help first-contact X Disease employees (e.g. receptionists) identify individuals Procedure who might have active TB? CLIA Health Center is 81. Is there a mechanism to ensure that the office's X CLIA waived clinical lab performs only examinations or procedures that it is certified to perform? 81.1. Are state regulations for clinical laboratories X examined to ensure compliance (some states have regulations more stringent than CLIA's)? 81.2. Do policies and procedures exist to ensure that X laboratories in the physician office comply with CLIA and/or applicable state regulations? 82. Do laboratory policies and procedures address the X integrity and handling of specimens to include patient identification, as well as specimen collection, preparation, labeling, and tracking? Fire and Life Safety 83. Is the physician practice site in compliance with X building and fire codes? 84. Are fire drills conducted according to the practice's X building occupancy classification in accordance with the National Fire Protection Association's (NFPA) Life Safety Code? 85. Is there a fire and emergency evacuation plan posted X at the physician practice site? 86. Are fire extinguisher and emergency telephone X numbers readily available at the site? X 86.1. Are fire extinguishers in good working order? 87. Is the office staff trained in emergency procedures in X case of fire or other disaster? X 88. Is smoking prohibited? Safety and Environment 89. Are floor coverings intact, clean, and free of X obstructions and tripping hazards to pedestrians? 90. Are electrical cords placed where they do not create X a tripping hazard? X 91. Are stepups and stepdowns clearly marked? X 92. Is ventilation and lighting adequate?
80.1. Are protocols established to help first-contact employees (e.g. receptionists) identify individuals who might have active TB? X Communicable Disease Procedure CLIA 81. Is there a mechanism to ensure that the office's clinical lab performs only examinations or procedures that it is certified to perform? X Health Center is CLIA waived 81.1. Are state regulations for clinical laboratories examined to ensure compliance (some states have regulations more stringent than CLIA's)? X 81.2. Do policies and procedures exist to ensure that laboratories in the physician office comply with CLIA and/or applicable state regulations? X 82. Do laboratory policies and procedures address the integrity and handling of specimens to include patient identification, as well as specimen collection, preparation, labeling, and tracking? X Fire and Life Safety 83. Is the physician practice site in compliance with building and fire codes? X 84. Are fire drills conducted according to the practice's building occupancy classification in accordance with the National Fire Protection Association's (NFPA) Life Safety Code? X 85. Is there a fire and emergency evacuation plan posted at the physician practice site? X 86. Are fire extinguisher and emergency telephone numbers readily available at the site? X 86.1. Are fire extinguishers in good working order? X 87. Is the office staff trained in emergency procedures in case of fire or other disaster? X 88. Is smoking prohibited? X Safety and Environment 89. Are floor coverings intact, clean, and free of obstructions and tripping hazards to pedestrians? X 90. Are electrical cords placed where they do not create a tripping hazard? X 91. Are stepups and stepdowns clearly marked? X 92. Is ventilation and lighting adequate? X
2a._ECRI-Risk_Management_September_2013.docx