All testing performed in a medical laboratory shall be
performed by licensed personnel. Medical laboratory personnel and certain other
health care professionals shall be exempt from licensure to perform the
following functions or specialties under the provisions and conditions as
(a) Personnel performing specimen collection
shall be exempt from licensure, providing that the specimen collection
procedure is performed under the supervision of a physician, medical laboratory
director, supervisor or technologist.
When blood is withdrawn from a patient in
a home for the aged, nursing home, residential hospice, or recuperative center,
or from a patient of a home care organization, the procedure must be performed
1. a trained phlebotomist, or
2. a person who has been properly trained to
draw blood and who has been licensed in this state by the appropriate board for
the respective health care profession of such person.
(c) Records verifying appropriate training of
phlebotomists must be maintained by licensed facilities as listed in paragraph
(1)(b) above and be available for inspection.
Personnel performing Waived and Point of
Care laboratory testing shall be exempt from licensure, provided such testing
is performed in accordance with rules 1200-06-03-.16
governing Medical Laboratories.
Personnel employed in laboratories licensed under T.C.A. §
performing the testing described in Rule 1200-06-03-.02(5)
in the laboratory
(or portion of the otherwise licensed laboratory) exempted from licensure
pursuant to that rule.
Health Clinic Laboratory Practitioners are exempt to perform public health
clinic laboratory tests in state or county health departments.
(a) A Public Health Clinic Laboratory
Practitioner is a person with at least a high school diploma who has
successfully completed a Public Health Clinic Laboratory Practitioner training
program approved by the Board. The practitioner's scope of practice is limited
to these laboratory procedures set out below.
Public health clinic laboratory tests
3. Qualitative Pregnancy Test
4. Blood Glucose/Semi-Quantitative
5. Wet Mount (Trichomonas and
6. Mono Test
7. Fecal Occult Blood
8. Urine Dip Stick
9. Rapid Strep Test
(6) Medical students performing
any laboratory tests on their own patients, provided that this performance is a
function of their training, shall not be required to have a license; provided
that results of such laboratory studies by medical students shall not
constitute an official laboratory report and shall not be recorded on official
laboratory report forms.
Regional public health laboratory personnel exempt pursuant to T.C.A. §