| (a) The facility must provide or obtain clinical laboratory
services to meet the needs of its residents. The facility is responsible
for the quality and timeliness of the services.
(1) If the facility provides its own laboratory services,
the services must meet the applicable requirements for laboratories
specified in 42 CFR, Part 493.
(2) If the facility provides blood bank and transfusion
services, it must meet the applicable requirements for laboratories
specified in 42 CFR, Part 493.
(3) If the laboratory chooses to refer specimens for
testing to another laboratory, the referral laboratory must be certified
in the appropriate specialties or subspecialties of services in accordance
with 42 CFR, Part 493.
(4) If the facility does not provide laboratory services
on site, it must have an agreement to obtain these services only from
a laboratory that meets the applicable requirements of 42 CFR, Part
493, or from a physician's office.
(b) The facility must:
(1) provide or obtain laboratory services only when
ordered by a physician, physician assistant, or advanced practice
registered nurse in accordance with state law, including scope of
practice laws;
(2) promptly notify the ordering physician, physician
assistant, or advanced practice registered nurse of the results that
fall outside of clinical reference ranges in accordance with written
facility policies and procedures for notification of a practitioner
or per the ordering physician's orders;
(3) assist the resident in making transportation arrangements
to and from the source of service, if the resident needs assistance;
and
(4) file in the resident's clinical record laboratory
reports that are dated and contain the name and address of the testing
laboratory.
|
| Source Note: The provisions of this §554.1908 adopted to be effective May 1, 1995, 20 TexReg 2393; amended to be effective March 24, 2020, 45 TexReg 2025; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871 |
