LB-1 Scope of service (SOS )

بسم الله الرحمن الرحيم 

LB.1.1 The laboratory has a clearly defined scope of services.

LB.1.2 The laboratory services are in compliance with applicable national standards.

LB.1.3 Basic laboratory services (e.g., hematology, blood bank and biochemistry) are available twenty four hours a day, seven days a week

LB.1.4 When laboratory services are provided through a contract, the hospital provides oversight and management of the contract through the process described in the “Leadership” chapter in this manual

training and education coordinator

SOS)Scope of Service )

                                          

,The first thing to be asked  by the CBAHI inspector

:because through it ,he gets a general idea about  the laboratory as a whole through 

1-

               vision ,mission and values     

-2-

Types of units present and their number, for example (blood bank - Hematology -micro-pathology -TB - .Tissue typing - emergency lab -Point of care ............ect 

-3.

- The number of consultants, specialists, and technicians Example: 

the sum of five consultant physicians -two specialist physicians -seven specialist -five  technicians -two  secretaries............ect 

-4

 Your work hours, routine and emergency

5-

 Work volume per year (approximate statistic for number of examinations - number of blood donors) (for example 14 thousand donors - 75 thousand samples CBC / year .  .......

6-

 What are the committees in which the members of the laboratory participate in the hospital: 

for example

(......VTE -blood committee-POCT -infection control ...)

7-

 What are referral labs that you interact with,them  for example: the central blood bank - the regional laboratory ..........

8-

 Who are the customers with the definition of them (internally and externally) ,from the  patients ... doctors, company representatives and  donors ....ect  ...........................

9-

: What is an invasive procedure that enters the lab Modalities is for example

Diagnostic ----fine  needle aspiration

Therapeutics ..... therapeutic donation

10-

..... Existing administrations of vacations and discounts ---

11 - 

  The educational aspects if there is anyone in the trainer program .

12- 

What are the criteria to which the place is subjected , whether MOH - CAP- CBAHI- JCI  regulations ..ect ............... 

13-

 Geography description for the  Location, for example, I have a main lab ... satellites  labs  ... Cold room .... and so on

14- 

Then attachments

A-

 Devices,: from  types, numbers, locations, and electronic control numbers,( which is the serial (number of the device in hospital medical maintenance (Biomed )  .

 -B -

   Organization chart OC    :

                                               

 In short, the structure and relationships with the institution as well as within the laboratory

Here they gave her CBAHI inspectors a great importance, and it was revealed in three points

1- 

Ask about it (anyone) when roaming the laboratory and its units ... Example:

what did  you about know   about OC ???.       C

2- 

Question on its content, as  they ask any technician, what is your name, what is your job specifically? .... (example -Safety Officer)

where is this  name on this on the organization chart ??????t 

3-

 One of the conditions for ensuring the validity of CBAHI approval is that you must inform them of any change in the structure during a specific period and inform them of the new drawing.

(And any delay of this time ,the laboratory is  exposed to withdraw the license (up to thirty days)

Here's how to write it:

  Firstly  : ; Laboratory director

And if he is an administrative manager, he will be at the head of the organization chart 

Second: the medical director

Third: The following units are transferred under the medical director

Which

 1- 

Heads of departments (units ) and under it

(Chief specialist of the unit - and other doctors ... if any)

2-

 The chief specialist of the laboratory for  whole lab 

3-

 Safety and Infection Officer

4- 

Quality Officer

5-

 (Computer administrator (if any

6- 

Training and Continuing Education Officer

7-

  Point of care testing Officer      

This  for whole  laboratory  ;then for each department/Lab unit 

 ...for example Donation  area :

head : p( by  his  name ) 

Underneath him are two (p), p, t ....... and so on

C: Vision -mission -values

to be clear and found  everywhere

I even made her to be placed with the employee identification card (ID card ) and hang it on his chest

As :  Mission

It is the main goal that the laboratory works on it , and does not deviate from

Vision:

Future vision for your lab 

Values:

The tools  ​​you stick to while achieving both vision & mission

This is a model in my hospital, and I designed the background to be expressive (by the grace of God) as follows:

                                                         

This is a model in my hospital and designed in the background to be expressive as follows:

1-Our mission

It is to provide the patient with the fixed service as the earth  and achieve it now and in the future.

2-Our vision

It has no borders like sky , from a regional to a global laboratory.

and Difficulties may face us (the clouds), but by our adherence to 3-Values ​​(RESPECT ).

We appreciate both goal fulfillment, vision by  respect .

RESPECT

 R: Rapid

E: Excellence

S: Safe work and environment

P: Professionalism

E: Education & training

C: Continuous Quality Improvement

T: Team work & Leadership

Thus, values ​​can be another  word and i have already formed it  at regional lab / jeddha  

Another example: WE -TRUST

                                       

W: working together

E: Excellence

T: Transparency

R: Respect

U: UP To Date

S: Service oF The Community

T: Timeless

It is fine , to choose short, resonant words that have deep meanings, and most importantly ,to be  applied 

In the end: SOS

It gives an initial and comprehensive view for the inspectors  about the lab generally  and strength 

points of the laboratory

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