Re: CAP Inspection - P.S.
We have all our current monthly QC charts in a folder. At
the end of the month, all the sheets are taken out and sent to the medical
director for review. Once we get the sheets back, signed, we place them in
individual folders. I have the folders set up by our CAP on site
inspection dates and they are kept in the active file for those two years (I
have currently 2003-2004 folders in use now). After the year is over (in
this case, 2005) I keep them in a file for an additional two years. CAP
may not go back two years, but CLIA will. I just had a CLIA inspection and
the inspector went back exactly two years from the date of the inspection.
I might be a little overboard on this, but it beats getting cited.
Joe Nocito BS, HT (ASCP) QIHC
Pathology Reference Lab
San Antonio, Texas
----- Original Message -----
Sent: Friday, June 13, 2003 5:46 PM
Subject: CAP Inspection - P.S.
We are a very small histology lab and keep our
temperature charts, daily equipment checks, etc. in one binder. Should
we be tape these charts over/near every instrument or is the binder
sufficient? I've been through many JCAH inspections and this was OK but
this will be the first CAP. Thanks for all your responses
<< Previous Message | Next Message >>