Laboratory Medicine: Management Forms, Version 4

Description:

Need help coping with ever-changing regulatory demands for monitoring and recording laboratory processes? Need to enhance intra-laboratory
communication? Tired of designing, typing and field-testing forms? If you answered yes to any of these questions, then this CD-ROM product is for YOU!

This infobase contains the forms subset of the Laboratory Medicine v. 5.0 infobase. These forms have been designed for the convenience of
laboratory professionals, and have been field-tested in several laboratories at the Unversity of Cincinnati and New York University.

All 117 forms from the Laboratory Medicine infobase are included.

Forms are in English and in Spanish.

Adobe Acrobat Reader software is included to read and print the forms, which are made available in Folio™ and Adobe Acrobat™(.pdf)
formats.

Forms are customizable to the needs of your laboratory via Folio or Adobe Acrobat software. If your laboratory does not have either software
program, you can still open the forms under Adobe Acrobat Reader, then select, cut, and paste the document from the Reader to a Microsoft Word® or Corel Wordperfect® document.

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Specifications:

• 117 management forms for use in the hospital laboratory
• English and Spanish language
• Forms that ease CLIA ’88 compliance
• Adobe Acrobat Reader on-board for ease of formatting and modifiying any one of the forms

Lab Administration Forms
Absence Report Absence or Late Report Accident and/or Injury of Employee Report by Supervisor Annual Leave Request Computer Center Database Maintenance Form Courier Pick-Up/Delivery and Schedule Computer Center Request for Special or Repeated Reports	Injury or Illness Report (occupational) Management Development Plan Meeting Record Mislabeled Specimen Log New Employee Orientation New Instrument Installation Planning Pager Sign-Out	Routine Daily Worksheet Schedule Request Signature Chart Skills Inventory Employee Time Clock Correction Time Off From Work
Communications Forms
Inter-Shift Communications Log Laboratory Internal Communications Form Phone Request for Additional “Add-On” Tests Phone Request-Add-On Tests Phone Request-Study Specimens
Forensic/Legal Forms
Certification of Test Results
Maintenance Forms
Centrifuge Cleaning Schedule Infection Control and Housecleaning Schedule Instrument Information Instrument Problem Reagent Label
Personnel Forms
Confirmation of Receipt of Laboratory Communication File Checklist Performance Evaluation Performance Report-Supervisors and Management Personnel Certification Personnel Qualification Form Personnel Registration/Certification Quality Assessment & Safety Programs-Annual Required Training Shift Report of Staff Staff Development Topic Material Sign-Off List Verification of Performance Evaluation
Professional Consultation Forms
Patient Case Review TDM Interpretation Data Request Form
Quality Assurance Forms
Classification of Tests by CLIA Complexity Classification of Tests by CLIA Complexity-Example Competency Assessment of Technologists and Technicians Competence and Performance Evaluation Development of Indicators Documentation of Problems Ishihara’s Tests for Color Blindness Ishihara Test Scope of Responsibility Verification of Performance Evaluation Violation of Corrective Action Guidelines Violation of Corrective Action Reporting Form
Quality Control Forms
Analyte Lot Comparison Assay Results: Protocol for Accepting Balance Check Worksheet Centrifuge Maintenance Policy Chemical Reagents and Solvents: Procedures for Receipt and Storage Concordance Between Instruments Concordance of CAP Results Between Instruments-Blood-gas analyzers-Example Conductivity Meter Control Values Outside of Established Range: Corrective Action Corrective Action Report Form Corrective Action Log Distilled Water Duties of the Quality Control Technologist Employee Training and Documentation Glassware Glassware: Procedure for Washing Glucometer: Validation Data Collection Procedure Glucometer Validation Tracking Log Incident Report-Directions Instrument Quality Control: pH Meter	Instrument Service Record Labeling and Identification of Solutions and Reagents Linearity Check New Lot # Control: Protocol for Evaluation Methods and Results: Recording Methods Comparison: Protocol Method Evaluation Protocol Monthly Monitor of Target Value and Standard Deviation of Pools Record of Neonatal Blood Drawn Record New Reagent Lot Correlation Normal Pool Collection: Protocol Calibration of Micropipettes by Spectrophotometry Pipette Function Checks By Weights Preparation and Storage of Solutions Proficiency Testing Monitor: CAP PT Survey Pool Validation PT Survey Form – Lead PT Survey Form– TDM CLIA Analytes PT Survey From – Example PT Survey Form – Alcohols	QA Indicator QA Schedule Reagent/Materials Validation Receipt and Storage of Reference Standards and Active Ingredients Specimen Collection and Handling Procedures Safety Manual: Acid Spills Guidelines Standard Deviation Record Standard Deviation Record – Example Thermometers: Performance Validation Temperature Log Turn Around Time for In-Laboratory Stat Turn Around Time QA Indicator Universal Precautions/OSHA QA Monitor Form Violation Form Water Quality Control Procedure WeeklyQC Review

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Requirements: Software & Hardware

Software
Pesce Kaplan Publishers’ CD ROM products use the highly-acclaimed FolioViews search engine, which runs on Microsoft Windows
95/98/NT operating system. All the software necessary to run the infobase itself is included on the CD ROM.

Hardware:

• Pentium or higher CPU
• WIndows 95 or higher operating system
• 4MB RAM, 8 MB preferred
• VGA video, SVGA preferred
• Double-speed or faster CD ROM drive
• Hard disk with minimum of 1MB available space
• Mouse
• Windows True Type compatible printer, preferably a
  laser printer