| Hospital Name | Visit Date | Visit Time | Services Offered | OSHA Report Details | CLIA Report Details | HIPAA Report Details | Admin /Incharge Name | Visit Conduct By | Next Appointment Details | |
| Old Bridge Primary Care 300 Perrine Rd STE 324 Old Bridge, NJ 08857 | 7/9/2021 12:00:00 AM | 10:00 am | OSHA and CLIA |
The OSHA manual was upgraded and reviewed, and Safety Training was given to 5 team members. Some SDS are needed. I will send links to Kate and she will download and place them in the OSHA manual in the section where they belong. All other issues identified in last year’s evaluation have been resolved.
| The certificate has the correct Lab Director but his name is misspelled. Kate should notify the state to see if the correct spelling can be placed on the certificate. An accession log is needed for the flu test only, as this is the only test performed by the office with a procedural control, and it is required that the procedural control be “checked” when doing the test. Kate will review the employee pages in the lab manual (2-4 and 6-3) to be sure they are up-to-date. The Lab Director needs to sign the procedural manual for 2021. This office does PT. It should be rotated among the team members who do the testing. | | Kate Wiskowski | Marylou Kjelle | Not Scheduled | Select |
| Jackson Family Medicine Meridian Health Village Jackson, NJ 08527 | 7/14/2021 12:00:00 AM | 11:00 am | OSHA and CLIA | The Safety Manual was upgraded and reviewed and Safety Training was given to 9 team members. The SDS book is not in alphabetical order. It needs to be revised so that all SDS are in alphabetical order. It appears from spore testing certificates that spore testing is no longer being done quarterly. It should be. Other than these two issues the office is in great compliance with respect to OSHA. | Kristin will review page 6.3 to be sure all team members who do testing have signed the page. One thermometer certificate is expired; Kristin believes a new thermometer was ordered and she will check on this. Office is currently not performing laboratory testing and therefore is not performing QC. Office will resume QC when laboratory testing resumes. Office will also start using the Reagent Log when testing resumes. | | Kristin Allen | Marylou Kjelle | Not Scheduled | Select |
| Kent Pediatrics Meridian Health Village Jackson, NJ 08527 | 7/14/2021 12:00:00 AM | 9:00 AM | OSHA and CLIA | The Safety Manual was upgraded and reviewed and Safety Training was given tofive team members. The SDS should be reviewed and SDS put into alphabetical order. Office should record any AED maintenance that is needed. A biohazard sticker was added to a medical waste receptacle in the laboratory. | The Laboratory Director signed the procedure manual today. I added a Director Review page to the RSV procedure. Office should be sure to record all information on accession logs. Most controls look good but all information requested needs to be filled in on the logs. Two levels of urine controls need to be run and the expected values should be written on the logs. Office should date and keep all control package inserts. | | Tammy Perkins | Marylou Kjelle | Not Scheduled | Select |
| HMHMG Primary Care at Tinton Falls (Dr. Shavelson) 4001 Asbury Avenue Tinton Falls, NJ 07701 | 7/16/2021 12:00:00 AM | 9:30 am | OSHA and CLIA | The OSHA manual was upgraded and reviewed, and Safety Training was given to two team members. Angie and Kate do a great job keeping this office in compliance with respect to OSHA. There were some expired products in one of the rooms. The office recently had three new freestanding biohazard containers delivered; I placed biohazard symbols on them. Office should check eyewash station weekly. SDS need to be alphabetized. | The new laboratory certificate is a PPM certificate. This office discontinued microscopy last year; the office should be a Waived lab. I gave Kate the information to contact the state to have certification changed. Office should stamp name and address on the pages of the accession log. Expected values should also be recorded for U/A testing. Proficiency Testing will be resumed when office resumes laboratory testing. | | Angie Brown | Marylou Kjelle | Not Scheduled | Select |
| Ocean Pediatrics 1 Industrial Way, West Eatontown, NJ 07724 | 7/16/2021 12:00:00 AM | 10:30 am | OSHA and CLIA | The OSHA manual was upgraded and reviewed and Safety Training was given to 5 team members. All OSHA issues identified at last year’s evaluation have been addressed. | Two forms of identification are needed on the accession log. Procedural controls should be checked for flu and strep. Lab name and address should be put on accession log. Lot numbers are needed on all control logs. Two levels of controls are needed for U/A tests. The Laboratory Director should sign the procedure manual. The CLIA certificate could not be located. If it can’t be found, an application for a new one should be made. | | Laura Barth | Marylou Kjelle | Not Scheduled | Select |
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