Urinalysis & Body Fluids

CLIA88

• Clinical Laboratory Improvement Act of 1988

• This regulates most labs except federal labs and VA systems (ensures lab results are
  high quality wherever performed, QC, QA, proficiency testing, site visits, minimal personnel requirements)

Levels of testing

Provider performed microscopy, waived testing, and moderate complexity testing, high complexity testing

Public Health Service Act

To receive payment from Medicare or Medicaid
must have this

Center for Medicare and Medicaid Services (CMS)

Is under the Department of Health and Human Services (this federal agency established regulations to
implement CLIA88; COLA accredits POL labs

OSHA

Regulates work safety in lab

Environmental Protection Agency (EPA)

Defines medical waste and establishes practices for disposal

Food and Drug Administration (FDA)

Approves medical and diagnostic equipment, pharmaceuticals, reagents, diagnostic kits, and labeling- prior to approval safety, efficacy, medical need is evaluated

Centers for Disease Control and Prevention (CDC

Public health regulations

Department of Transportation (DOT)

Safe packaging and transport of biologically hazardous and other hazardous materials

Nuclear Regulatory Commission

Regulates handling and disposal of radioactive materials

CAP

College of American Pathologists

COLA

Commission on Office Laboratory Accreditation

TJC

The Joint Commission

Other lab inspectors:

AABB, ASHI, AOA

This is a self-contained unit or series of lenses designed to fit into the upper end of the microscope body tube

Ocular (Eyepiece)

These lenses are closest to the specimen and produce the magnified primary image

Objective Lens

This is the rotating turret upon which the objective lenses are mounted

Nosepiece (Resolving Nosepiece)

This flat surface supports the specimen (typically on a slide) and positions it at right angles to the optical axis of the instrument

Mechanical Stage

Located under the stage, its primary purpose is to distribute evenly and focus the light from the illumination source onto the specimen

Condenser

Is typically mounted in the microscope's base and includes a power transformer and controls to regulate brightness

Light Source