[Histonet] CAP inspections

Joe Nocito jnocito <@t> satx.rr.com
Mon Jul 18 19:09:37 CDT 2005


Susan,
I had my inspection in January. Can't speak for others, but, we received 
Accreditation with Accommodation on the last two inspections. This year we 
got slammed pretty hard. I think it's because of the incident last year 
concerning a lab in Maryland. CAP gave the lab an outstanding inspection, 
but there were many QA/QC issues that the some lab employees complained to 
CLIA.
    From what I was told, CAP had to explain itself to Congress.
    My QA program was torn apart (received compliments on the same programs 
during the last two inspections). Was written up because some of the 
temperature charts had missing dates (would you rather me pencil whip 
these?).Really took it the you know what because a couple of water cultures 
were not documented.
    As a matter of fact, we're giving a lecture on "Preparing for a CAP 
Inspection" at he NSH. It's number 99, the last lecture.
    Good luck. If I can help, just drop me a line.

Joe Nocito BS, HT(ASCP)QIHC
Histology Manager
Pathology Reference Lab
San Antonio, TX
----- Original Message ----- 
From: "Histology SLU" <sluhisto <@t> yahoo.com>
To: <histonet <@t> lists.utsouthwestern.edu>
Sent: Monday, July 18, 2005 12:38 PM
Subject: [Histonet] CAP inspections


> Hello All:
>
> This is directed at those of you that may have had your CAP inspection in 
> the last year.  I have been hearing that the inspectors have been, shall 
> we say, interpreting some of the checklist questions in an unusual manner. 
> My question to you all is, were there any questions where you got "tagged" 
> for something that you had always done and had passed previously?  Also, 
> can you share ANY experiences that you had through your CAP inspection 
> good or bad?  As always, thank you for your insights and opinions.  This 
> is a super group and I always appreciate your comments.
>
> Susan
>
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