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Standard #1
Continuing Cause for Compliance Concerns
by Mary Jean Rutherford, MEd, MT(ASCP)SC Past Chairman, NAACLS Clinical Laboratory Sciences Programs Review Committee
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During each accreditation cycle (Winter/Summer), the Quality Assurance Committee
of the NAACLS Board of Directors examines all of the citations made for those
reviewed CLS/MT, CLT/MLT, and HT/HTL Programs to insure consistency and
fairness. One of the most frequently identified concerns for all programs is the
number of citations that are related to Standard #1 (2001 Standards)/Essential
#1 (1995 Essentials).
Examine the differences between critical components of Essential #1 and Standard
#1 shown below:
1995: Essential 1
In programs in which the education is provided by two or more institutions,
responsibilities of the sponsoring institution and of each affiliate for program
administration, instruction, and supervision must be described in writing and
signed by both parties. Each current agreement with written documentation of
annual review must address the following items:
B. Specific
- Supervisory responsibilities for the students
- Student professional liability coverage
- Student health and safety policies
- Provision for renewal
- Documented annual review to assure provisions of the agreement are current
- Termination clause providing for program completion of enrolled students
2001: Standard 1
In programs in which the education is provided by two or more institutions,
responsibilities of the sponsoring institution and each affiliate for program
administration, instruction, and supervision must be described in writing and
signed by both parties. All provisions of the agreement must be active with
written documentation of the following items:
B. Specific:
- Supervisory responsibilities for the students
- Student professional liability coverage
- Student health and safety policies
- Provision for renewal
- Termination clause providing for program completion of enrolled students.
The major change is that
"annual review documentation" is no longer a
requirement. With this change, the emphasis has shifted by stipulating a
current, signed (by all parties) document which includes all previously
identified components and a new provision for renewal of the agreement.
Accredited programs, at their discretion, may elect to have variable year
agreements. The only requirement is that it must be a current, signed document
and that it includes the specific criteria as listed in the Standard. A program
may elect to contract with a potential affiliate:
- for a single year;
- for multiple years (2, 3, 4, or more);
- a mutually agreed upon time span;
or
- for a contract that automatically
- renews each year unless either of the parties elects not to continue the agreement as stipulated.
In the latter circumstances, it would be prudent for each party to jointly agree
to continuation, particularly if/when the program curriculum changes or any
other major alteration in administration and/or direction of the program occurs.
This could be documented by a simple statement of agreement that is
initialed/signed by the participants: Program Director and Laboratory
Manager/Coordinator or other individual(s) so designated.
The NAACLS Board of Directors recognizes that affiliation agreements/contracts
may be difficult to negotiate and time consuming in their progress through legal
and administrative channels. These changes in the Standards were intended to
alleviate the recurrent problems and delays that frequently are causes for
citations during the accreditation review.
It is important to maintain a current, signed agreement which clearly states the
critical criteria for affiliation that provides protection to all parties,
especially the student. This is the foundation for any program which utilizes
supportive institutions to participate in the educational process of all
clinical laboratory science students.

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Assuring Student Safety
Exposure Plans, Students, Faculty and Clinical Sites by Karen Madsen Myers, PARC Vice-Chair and Terry Kotrla, PARC Member
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Dr. NAACLS
Advice for Accredited and Approved Programs
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Greetings From the new CLSPRC Chair
by Claudia Miller, PhD, MT(ASCP), CLS(NCA) Chairman, NAACLS Clinical Laboratory Sciences Programs Review Committee
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President's Report
Moving NAACLS to the Next Level of Excellence by David D. Gale, PhD President, NAACLS Board of Directors
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Standard #1
Continuing Cause for Compliance Concerns by Mary Jean Rutherford, MEd, MT(ASCP)SC Past Chairman, NAACLS Clinical Laboratory Sciences Programs Review Committee
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CEO's Corner
Making History by Olive M. Kimball, PhD, EdD NAACLS Chief Executive Officer
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Attend the next NAACLS Workshop!
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Board of Directors Update
(From the September 27, 2003 Meeting)
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Copyright © 2008 National Accrediting Agency for Clinical Laboratory Sciences. All rights reserved.
Comments or suggestions to the site editor.
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