Appendices

Appendix A - Accreditation and Certification Documents

• Appendix A1 - College of American Pathologists (CAP) Certificate
• Appendix A2 - CMS/Clinical Laboratory Improvement Amendments (CLIA) Certificate
• Appendix A3 - Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 

Appendix B - Clinical Research Information System (CRIS) Downtime Procedures

• Appendix C1 - CRIS Downtime Procedures
• Appendix C2 - CRIS Downtime Toolkit

Forms and Checklists

New Hire Orientation Training Packet

• Technical and General Supervisor Training Checklist
• New Employee Training Checklist (Administrative and Support Staff)
• New Employee Training Checklist (Clinical Technical)
• New Employee Training Checklist (Clinical Medical Staff & Fellows)
• New Employee Training Checklist (Research / Basic Sciences)
• Continuing Education Log
• Resident Initial Training

Safety and Environment of Care

• Fire Drill Make-Up Exam
• Emergency Management - Bomb Threat Checklist
• 2^nd Floor Clinical Labs Fire Evacuation Routes
• 3^rd Floor Clinical Labs Fire Evacuation Routes
  
• Chemical Hazard Sign
• Chemical Notice
• Freezer Alarm Signage

Maintenance Logs (Templates)

• Centrifuge Maintenance Log
• Temperature Control Log (Excel)
• Temperature Control Log (Word)
• Emergency Eyewash Check

Quality management and Quality Control Forms

• Quality Improvement Incident Report Form
• Section Quality Improvement Log
• Intensive Root Cause Analysis
• Biannual Quality of Water QC Form
• Document Control Form

 Regulatory Accreditation

• Laboratory Personnel Evaluation Form (CAP) - Clinical Sections is completed online on the CAP website under :

  Organization Profile Home > Roles/Personnel - Personnel Evaluation Roster - Laboratory Testing Personnel

• Personnel Qualification Verification Form
• College of American Pathologists Laboratory Accreditation Sign

 Laboratory Information Systems (LIS) Forms

• CRIS Downtime Requisition for Tissue Exam/Cytology
• Surgical Pathology LIS Downtime Requisition Form
• Requisition for Molecular Diagnostic Tests
• Request for Fluorescence In Situ Hybridization (FISH) Analysis
• Tissue Resource Committee (TRC) Request - Manual Downtime Form