Document or a policy for who gets access to RALS

Does any one have a policy outlining who can access and modify your middleware data manager (in my case the RALS system).

Administration has asked us to create something as a "Formality"

Basically if they don't have a code and a password they cannot access it but they want to know how that is determined and in writing :-(.

Any pointers /advise on how to word something like this?


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Does IT have any guidelines to who can access what types of software when? IT would probably have the "code and password" thought encode within a procedure or process......I would check that first for guidelines....unless it is IT that is asking....Frown

I have a policy on operator management. Recently IT Security requested that I add who can access the middleware so I added this to the policy:






  • 1. Laboratory or Nursing Education Personnel must contact the Point of Care Coordinator (POCC) to request this level of access via email


  • 2. The POCC will assess the request and grant access based on the users requirement


  • 3. The POCC will create an Operator ID, grant authority level and enter password, following Partner's Password Standards, into the RALS system


  • 4. Users will be trained by POCC according to authority level granted


  • 5. The POCC will perform a review twice a year of POCC Authority Level users to ensure that they are active hospital employees and still require this level of access to perform their job duties


  • 6. The POCC will review the HR Term reports weekly and delete any termed POCC access users

I hope this helps!


Mary Wrenn, MT (ASCP)

Point of Care Coordinator

Newton Wellesley Hospital

2014 Washington Street

Newton, MA 02462

phone:  617-243-5476   fax:  617-243-5627

pager:  617-243-5858 #51249


Thank you. Appreciate your help.

It's not a question on who should access- it's how we want to write it up.

I just needed some wordsmithing. :-)

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