#06-5558 Accrd Manual V7 - COLA

CYTOLOGY>Personnel shall be evaluated on their competency to carry out their assigned responsibilities.711. EDoes the personnel evaluation cover all aspects of each individual’s responsibilities?Cytotechnologists and staff pathologists must have written evaluations which address all aspects of theirresponsibilities including competency, technical proficiency and performance and adherence to laboratoryQC and QA policies and procedures. The evaluations will be conducted by either the cytology laboratorydirector or the senior pathologist in the cytology department. Each of the pathologists will undergo credentialingreviews that are the responsibility of the parent organization’s Medical staff or of the independent laboratoriesgoverning body. This can serve as the evaluation for the senior pathologist/Laboratory Director.Does the evaluation include:712. EAn evaluation of the employee’s performance against the overall cytology laboratory statistics?713. EThe employee’s diagnostic discrepancies identified by routine quality assessment reviews?Refer to questions 767-774 for a description of the statistical records in referred to in routine quality assessmentreviews.714. EIndividual proficiency testing results?715. EAre the evaluations documented and retained?The documented reviews should consist of a personnel evaluation form or a written statement from the person’ssupervisor that their performance was reviewed. Documentation should include the name of the personperforming the review, the date and the outcome of the review. All lab personnel evaluations should bemaintained for a minimum of two years.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FOR MORE INFORMATION CONTACT COLA PHONE 800.981.9883 | FAX 410.381.8611 | ON-LINE www.cola.org81