Section R9-10-416. Clinical Laboratory Services

If clinical laboratory services are authorized to be provided on a nursing care institution's premises, an administrator shall ensure that:

1.        Clinical laboratory services and pathology services are provided through a laboratory that holds a certificate of accreditation, certificate of compliance, or certificate of waiver issued by the United States Department of Health and Human Services under the 1988 amendments to the Clinical Laboratories Improvement Act of 1967;

2.        A copy of the certificate of accreditation, certificate of compliance, or certificate of waiver in subsection (1) is provided to the Department for review upon the Depart- ment's request;

3.        The nursing care institution:

a.         Is able to provide the clinical laboratory services delineated in the nursing care institution’s scope of services when needed by the residents,

b.        Obtains specimens for the clinical laboratory ser- vices delineated in the nursing care institution’s scope of services without transporting the residents from the nursing care institution’s premises, and

c.         Has the examination of the specimens performed by a clinical laboratory;

4.        Clinical laboratory and pathology test results are:

a.         Available to the ordering physician:

i.         Within 24 hours after the test is complete with results if the test is performed at a laboratory on the nursing care institution’s premises, or

ii.        Within 24 hours after the test result is received if the test is performed at a laboratory outside of the nursing care institution’s premises; and

b.        Documented in a resident's medical record;

5.        If a test result is obtained that indicates a resident may have an emergency medical condition, as established in policies and procedures, personnel notify:

a.         The ordering physician,

b.        A registered nurse in the resident's assigned unit,

c.         The nursing care institution’s administrator, or

d.        The director of nursing;

6.        If a clinical laboratory report is completed on a resident, a copy of the report is included in the resident's medical record;

7.        If the nursing care institution provides blood or blood products, policies and procedures are established, docu- mented, and implemented for:

a.         Procuring,  storing,  transfusing,  and  disposing  of blood or blood products;

b.        Blood typing, antibody detection, and blood compat- ibility testing; and

c.         Investigating transfusion adverse reactions that specify a process for review through the quality management program; and

8.        Expired laboratory supplies are discarded according to policies and procedures

Historical Note

Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). New Section R9-10-416 made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt

rulemaking at 19 A.A.R. 3334, effective October 1, 2013 (Supp. 13-4). Amended by exempt rulemaking at 20

A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effec- tive July 1, 2014 (Supp. 14-2).