Laboratory Director Signature Page

9 followers
0 Likes

I oversee POC testing in 30+ physician offices. Each office has a binder with hospital POC policies, procedures for each test system, documentation logs, etc. Before I took this position, the process put into place was for the laboratory director of the facility to sign a "signature page" yearly that is placed in the front of the binder. This signature page broadly lists the test systems used (does not specify manufacturer), states the location of the clinic, and has a signature line for the physician. I'm not sure what requirement this is fulfilling, if any. All testing is waived. I guess my questions is: is the laboratory director signature required on each individual procedure written or is this general signature sheet sufficient for approval of the policies and procedures contained within the binder? 

Thoughts and input appreciated! 

2 Replies

We just had a state inspection (CA) and the inspector told us the signature page for the whole binder is acceptable, but that the signature page needs to be very specific in what is included in the binder. So list each procedure, title of any documents, etc.

We have mostly certificates of wavier in our clinics that I help oversee.  We could be and have been inspected by The Joint Commission and I have a letter in the front of the on-site QC binder and a scanned copy on my computer if anyone should ever need to see it. 

The rule is to have them review and sign the statement for all tests performed under them every 3 years.  I usually send out every other year just in case I happen to miss a year, we still won't be out of compliance.  All policies are electronic now so I'll email the physician with a link to all the clinic policies and the following statement to sign.
Attachment.
image.png

Reply
Subgroup Membership is required to post Replies
Join POCT Listserv now
Alexis Bryan
over 2 years ago
2
Replies
0
Likes
9
Followers
822
Views
Liked By:
Suggested Posts
TopicRepliesLikesViewsParticipantsLast Reply
Requirements for staff performing training
McKenna Chandler
about 23 hours ago
20249
Michael Bishop
about 4 hours ago
Proper Way to Train
Jo Win
2 days ago
60488
Kim Ballister
about 17 hours ago
switching POC glucose from Roche Inform II to Nova Stat Strip
Rosemary Gray
3 days ago
91504
Audrey Fulcher
1 day ago