Cap procedure manual






















CAP Guidelines. Our Pathology and Laboratory Quality Center for Evidence-based Guidelines (Center), along with our professional partners, is advancing the practice of pathology and laboratory medicine by bringing recommendations to the forefront of clinical decision making. Adopting these guidelines helps pathologists and laboratory. Agenda •CLIA and Accreditation overview •CAP overview •Accreditation goals and objectives o Terms of Accreditation o Laboratory Accreditation Manual o Standards o Checklists •Checklists for the Mohs surgery laboratory: Laboratory General, All Common, Anatomic Pathology, Team Leader Assessment of Director and Quality •Deficiencies •Timelines •Preparation for Inspection. Tips on Preparing a Procedure Manual. A well-prepared procedure manual provides a foundation for the lab’s quality assurance program. Its purpose is to ensure consistency while striving for quality.


If a policy or procedure is referenced within a requirement, it is only repeated in the Evidence of Compliance if such statement adds clarity. All policies or procedures covered in the CAP checklists must be documented. A separate policy or procedure may not be needed for items in EOC if it is already addressed by an overarching policy. This Operations Manual describes the Consumer Assistance Program (CAP) procedures that STAR stations shall follow in order to comply with the CAP Standard Agreement. Laws and regulations pertaining to automotive repair dealers, licensed Smog Check stations, and icensed l. CAP Accreditation and Checklists Update Lyn Wielgos, MT(ASCP) November 3, Checklist Editor, CAP Accreditation Programs.


CAP Accreditation Requirements for waived testing. • CAP Proficiency Testing Program Procedure manual; Specimen handling; Result. List the CAP requirements for waived and non For tests that CAP doesn't require PT, lab can Copy of the POCT Procedure Manual at each area. Procedure manuals. • Specimen collection and handling. • Quality management. • Reporting of results. • Reagents. • Instruments and equipment.

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