Title Page
-
Clinical Staff Name
-
Conducted on (Date and Time)
-
Supervisor
Specimen Processing Observation
-
Confirmed correct office location
-
Confirmed ordering provider
-
Confirmed attending provider
-
Confirmed no POC testing (except UA/A1c) in test list
-
Sent order to lab
Specimen Handling
-
Received specimen label
-
Gathered specimen collection container according to labels
-
Specimens correctly labelled
-
Proper specimen handling
-
Specimens placed in correct storage environment
Out of the Norm
-
Reached out to required personnel
-
Referred to reference laboratory directory
-
Manual print labels from Apex
Completion
-
Overall Competency Assessment
-
I certify the staff member above has been observed and assessed accurately. If the assessment result is not satisfactory, additional training will be given to the staff member until they are competent with the processing workflow.
-
Supervisor (Signature)