Inspection Process
"So Long, Partner!"
"How do you spell LIS?"
"You Are a Toy!"
"Prepare to Die!"
(Top 10 Deficiencies)
(Top 10 Deficiencies)
100
This phase includes reviewing documents, policies, and procedures before the inspection.
What is pre-inspection preparation?
100
Sharing it's name with a standard laboratory container for measuring liquids, our former LIS system was replaced with this.
What is Epic Beaker?
100
This covers how our laboratory ensures reporting of patient results in a prompt and useful manner when the system is unavailable, also known as this.
What are downtime processes?
100
This game let you practice your steady hand as you helped to remove a bread basket and other ailments.
What is Operation?
100
Lacking the required 6 elements for non-waived testing personnel in these.
What are competency assessments?
200
These inspections are performed internally by laboratory staff to assess readiness and identify gaps before an external survey.
What are internal audits (self-inspections)?
200
These chemistry instruments were recently retired, and will not be part of our upcoming inspections.
What are the Abbott Architect analyzers?
200
This core laboratory system manages specimen accessioning, test orders, result reporting, and data storage within the lab.
What is a Laboratory Information System (LIS)?
200
Popular during the 60's and 70's, these items are filled with liquid and an item commonly found in our histology labs. Through the principles of convection and density, heat creates a continuous cycle of rising and falling blobs.
What are lava lamps?
200
Lack of evaluation of these specific PT results that are not automatically assessed by your provider.
What are ungraded/educational PT challenges?
300
During this part of the inspection process, inspectors review policies, procedures, and records to verify compliance with regulatory standards.
What is document review?
300
This outdated practice involved mouth suction to draw liquids into pipettes, posing significant biohazard risk.
What is mouth pipetting?
300
Requirement to verify these items that are not directly measured by our analyzers but still reported with patient results.
What are calculations producing patient results?
300
Consisting of 3 simple ingredients: Epsom salt, water, food dye, you can grow these at home while exploring the principles of solubility.
What are crystals?
300
Incomplete, outdated, or unapproved these.
What are policy & procedure manuals?
400
This inspection activity involves direct observation of testing processes, workflow, and staff competency in real time.
What is process observation?
400
This early automated hematology analyzer, introduced in the 1950s, used electrical impedance to count and size blood cells.
What is the Coulter Counter?
400
This type of secure connection encrypts data transmitted between a remote user and the laboratory network over the internet.
What is a Virtual Private Network (VPN)?
400
This toy works by the principles of conservation of energy by transferring it through a row of suspended, perfectly aligned steel balls.
What is Newton's Cradle?
400
Missing documentation of these required tasks related to instrumentation and equipment.
What are maintenance/function checks?
500
This is the laboratory’s formal response outlining how identified deficiencies will be corrected, including timelines and responsible parties.
What is a Plan of Correction (POC) / Corrective Action Plan (CAP)?
500
This technique used radioactive or chemiluminescent probes to detect specific DNA sequences on a membrane after transfer from a gel.
What is the Southern blot?
500
This messaging standard allows different healthcare systems to exchange clinical and administrative data.
What is HL7?
500
Working as a heat engine powered by evaporation, not perpetual motion, this fuzzy headed creature creates evaporative cooling that lowers the pressure inside its head. This pressure difference pulls methylene chloride up the neck, making it top-heavy and causing it to tip once more.
What is the drinking bird?
500
Missing signatures on these 2 forms related to PT testing.
What are the attestation page and evaluation report?