[Histonet] RE: Approval and review of procedures

[Kim Donadio]

This is what I do as well. 
However to try and be more specific to her question a HT could do those task if they had the required education and training per CLIA sub part M. In pathology per CAP GEN. 53400 the technical supervisors are usually the medical directors. So often you see direct supervisors who also have to meet certain education and training requirements dealing with the SOP's , signing them and the pathologist signs off on it. What's it boil down to? Education and training per CLIA and we shouldn't assume that having ASCP HT either meets or does not meet CLIA 's guidelines for this. I encourage anyone dealing with regulatory issues read at least sub part M of CLIA even if you are CAP accredited because that's what CAP is anyway. A organization to help us stay CLIA compliant and above. If Ice confused anyone sorry. CLIA is written in legalese. :/

Sent from my iPhone

On Jun 7, 2012, at 5:43 AM, Tom McNemar <TMcNemar <@t> lmhealth.org> wrote:

> As supervisor of Histology, I review and sign off on the SOPs yearly.  Any new or altered are final approved by our medical director.  The medical director also signs off on the hardcopy manuals each year.
> 
> Tom McNemar, HT(ASCP)
> Histology Co-ordinator
> Licking Memorial Health Systems
> (740) 348-4163
> (740) 348-4166
> tmcnemar <@t> lmhealth.org
> www.LMHealth.org
> 
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Sproles, Judy A.
> Sent: Wednesday, June 06, 2012 5:30 PM
> To: 'histonet <@t> lists.utsouthwestern.edu'
> Subject: [Histonet] Approval and review of procedures
> 
> Hello,
> I am currently helping organize histology SOPs and need some help clarifying who can perform SOP review. In cytology, the technical supervisor (MD) reviews and approves procedures. CLIA rules for clinical departments allow MT as technical supervisors. Can an HT be a technical supervisor and perform annual review of SOPs?
> 
> Judy Sproles CT(ASCP
> 
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