26 Tex. Admin. Code § 554.1908 - Laboratory Services
(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.
Notes
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