Separate CLIA license for nursing
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Are there any 500+ bed hospitals that have a separate CLIA license for nursing that have iSTAT in the emergency room and possibly the OR?
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Tallahassee Memorial does this. :) Point of care tracks competencies and procedures for nurses and other personnel performing testing on that license.
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We have I-Stats in various locations under a single non-lab CLIA certificate.
it off with a separate CLIA for hospital POC tests. Current plan is for Lab POC staff to still manage it.
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I can understand the desire to split off to separate CLIA if the laboratory is feeling that they do not have sufficient control/oversight over the POC testing sites and you need them to 'own' their process. But if you're (lab/POCC) still planning to be responsible for it, I would ask why bother? If it's still your responsibility, then you are just adding to your administrative burden by splitting to separate CLIA numbers, lab permit numbers, fees, and so on.
We had that setup years ago because lab did not have the manpower to oversee the POC areas full time, though we were always their 'technical consult'. Because we would inevitably get pulled into helping resolve their regulatory/inspection issues (even though they were separate CLIA), we changed our structure and added a full-time POCC and took all the areas under the main lab's CLIA. That was met with resounding approval by our state DOH office, who said, and I quote, "We are always happy to see hospital laboratories taking control of all their 'lab' areas and eliminating separate CLIA numbers. As experts in your field, you should be the ones overseeing these areas - not splitting them off."
Agree with James. My work load was more when we had separate CLIAs for nursing and lab. So much better now that they have merged.