Waive testing maybe but not complex
Original Message:
Sent: 4/17/2024 12:59:00 AM
From: Shajid Tahalang
Subject: RE: Phlebotomist reporting results
Hello. Here in UAE phlebotomist most of it are Lab Technologist graduate and not allowed to do urine dipstick unless you have a technologist license.
Shajid Tahalang
Original Message:
Sent: 4/16/2024 12:51:00 AM
From: Stephen Ngile
Subject: RE: Phlebotomist reporting results
At THE NAIROBI HOSPITAL,the phlebotomists are not even employed,so you find the LABORATORY TECHNOLOGISTS are the ones who do the phlebotomy services.
There is no case of Phlebotomists reporting the results.
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Stephen Ngile Technologist/Scientist, non-supervisor (CT,MLS,MT)
The Nairobi Hospital
Nairobi
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Original Message:
Sent: 04-15-2024 00:53
From: Michelle Spinosa
Subject: Phlebotomist reporting results
In California, phlebotomists are not allowed to report lab results. CLIA allows it, but if the state is more strict than CLIA then you must follow state regs. Also, even in states that allow phlebs to report lab results, the lab director may not allow it and in that case you'd have to follow your internal policies approved by the lab director.
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Michelle Spinosa Department Director (technical)
San Rafael CA
(415)250-7273
Original Message:
Sent: 04-14-2024 14:16
From: Terry Kotrla
Subject: Phlebotomist reporting results
I am a former physician office laboratory lab directer. According to CLIA dipsticks are waived tests that can be reported out by anyone trained to do them. There are specific guidelines for documentation of training. They are NOT allowed to perform microscopics as those are non-waived. Anyone can perform and report out any type of kit test with a CLIA "Certificate of Waiver".
Our profession needs to educate ourselves about CLIA personnel requirements. We may not agree with them but they are the law of the land.
I have attached two documents which may be helpful about the types of CLIA certificates and assessing competency. What disturbs me is that after training annual competency assessment is not required of waived tests.
Terry
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Terry Kotrla,MS, MLS(ASCP)BB
Program Director MLS Program
Austin State Hospital Laboratory
Cedar Park TX
(512)560-5361
Educator (academic)Educator (academic)
Original Message:
Sent: 04-13-2024 10:15
From: Kristen Patterson
Subject: Phlebotomist reporting results
One day I was asked to train a phleb on urinalysis and I figured I was just training them to pour up the urines and dipstick them because I know they are not able to release results since they are not a MLT or MT. However yesterday I was looking at a patients past urinalysis results to compare them to the current and I noticed a phleb had resulted them. Not only had they resulted them but they had resulted the specific gravity as "Refractometer" instead of a number. I have also noticed Lab Assistants have been releasing results and they are not qualified either. I don't see how this is allowed. Overall, I feel like I went to school for 4 years to become a MT for no reason because evidently people with no experience in Hematology and Urinalysis are able result patients as well.
Is this really allowable?