Each individual performs only those waived, moderate, or highly complex tests authorized by CLIA, Bus. & Prof. Code Section 1204 and must possess a degree of skill commensurate with individual’s education, training or experience and technical abilities specific in microbiology. Each individual performing the above procedures must: 1) adhere to the laboratory’s procedures for the collection, processing, analysis, and reporting of patient test results, 2) follow the laboratory’s established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratory’s established performance specifications, 3) be capable of identifying problems that may adversely affect test performance and either correct the problem or immediately notify your immediate supervisor, Director, or Medical Director, 4) perform a wide variety of microbiology procedures requiring independent judgment in performing high complexity testing in both manual and automated methods, 5) perform testing procedures in other areas of the department for which licensed and competency demonstrated, 6) perform and document maintenance – daily, weekly, monthly, or as needed on instruments and equipment as appropriate, 7) review the accuracy of patient results prior to releasing or reporting, 8) recognize age specific differences in expected results for newborns to geriatrics, 9) ensure that the testing of proficiency testing samples are tested in the same manner as patient samples and that collaboration with other laboratories is prohibited prior to the reporting of proficiency testing results to the appropriate agencies, 10) develops and maintains department policies and procedures, 11) adheres to all department and hospital policies and procedures related to safety, infection control, emergency preparedness, and human resources, 12) competent in implementing new procedures including all required documentation 13) other tasks or responsibilities may be assigned by the department manager/director.
This individual: 1) functions as the department Microbiology Section Supervisor or Lead, responsible for supervising the daily operation of the microbiology, 2) provides consultative services to the medical staff in the capacity of Technical Consultant, 3) oversees the section/department performance improvement program and participates in hospital interdisciplinary performance improvement initiatives, 4) is responsible for the technical and fiscal management of the microbiology section(s), 5) oversees the microbiology section(s) quality management/assurance program, 6) ensures compliance with all regulatory and accreditation requirements, 7) assesses staff competency and completes performance evaluations in a timely manner,8 develops, maintains and updates section policy and procedure manuals), 9) identifies problems that may adversely affect test performance and either correct the problem or immediately notify the, Director, or Medical Director,10) ensures the currency of all laboratory policies and procedures.