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The
ICANL requires any office, hospital, or clinic applying for
accreditation to document its compliance with all required federal,
state, and local policies and protocols of practice. The documentation
should be maintained in the form of an administrative policies
and procedures manual, which will be reviewed by the ICANL
site visitor at the time of inspection.
The
Standards Part II Section 5.1 through 5.14 displays each
protocol requirement in bolded type, signifying that they are
absolute requirements and not just recommendations. This corresponds
with the application information requirement in Section 5.
The
ICANL office has received many calls from laboratories asking
for an explanation of these requirements. The following samples
and references are provided to help laboratories gather the
appropriate information. Please refer to the websites shown
for additional information and sample documents. The following
samples will be posted on the ICANL website in a downloadable
format for use in your laboratory's administrative policies
and procedures manual. NOTE: These are federal guidelines
for minimal requirements. Some states may have more specific
guidelines and each laboratory is responsible for knowledge
of their own state regulations.
Sample
1
SAMPLE REQUIREMENTS AND REFERENCES FOR COMPLIANCE
WITH THE ICANL STANDARDS PART II SECTION 5 INCLUDING
OSHA/HIPAA/INTEROFFICE POLICIES |
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Sample 2
HIPAA AND PATIENT CONFIDENTIALITY (5.3) |
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Sample 3
EXPOSURE CONTROL PLAN FOR BLOODBORNE PATHOGENS
(5.6, 5.7) |
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