Laboratory/ Diagnostic Services

D.1   Laboratory Space Requirements:

  1. Center must have a clearly designated lab space, which includes a sink and separate clean and dirty lab areas (see Facilities B.3.d and B.4.b)

D.2   Lab Certification Requirements:

  1. Center must meet OHD requirements for initial laboratory licensure for school health clinics and/or as a participant in a multiple site laboratory license.1

D.3   Laboratory Reporting Requirements:

  1. Center must have written protocols which assure timely review of lab results, documentation and follow-up of abnormal labs.
  2. Center must have a written policy in place that assures confidential handling of lab results.

D.4   Relationship with CLIA Certified Lab Requirement:

  1. Center must have a written agreement with a fully licensed (CLIA certified) lab that can provide lab services not available on site or restricted by the site license.

1 As of January 1, 2000, it is anticipated that the OHD will no longer perform the certification of lab sites for CLIA. Consequently new requirements and procedures may be necessary for lab licensing. Further guidance to follow at a later date.

D.5   Laboratory/ Diagnostic Services Requirements:

  1. The following includes services that must be available either:
    • On-site at the school-based health center (On)
    • By direct referral (Ref) from the center (see definition H.1.a)
    • Some services are considered recommended (Rec) either on-site or by referral but are not mandatory
    Elem (K-5) Middle(6-8) High 9-12
    Core EXP Core EXP Core EXP
    Urinalysis(dip) On On On On On On
    Hgb &/or Hct Ref On Ref On On On
    Blood glucose Ref On Ref On On On
    Strep Throat1 Ref On Ref On Ref On
    Venipuncture Ref On Ref On Ref On
    PPD2 Ref2 On Ref2 On Ref2 On
    Pregnancy Test3 Ref Ref On On On On
    STD/ STI4 Ref Ref On On On On
    Pap Smear Ref Ref On On On On
    HIV test Ref On Ref On Ref On
    Wet mount/KOH Rec Rec Rec Rec Rec Rec
    Blood lead level Ref Ref Ref Ref Ref Ref
    Sickle cell test Ref Ref Ref Ref Ref Ref
    Imaging (X-ray, etc.) Ref Ref Ref Ref Ref Ref

    1 rapid or culture
    2 unless significant high-risk population is present
    3 UHCG
    4 Chlamydia, GC, Syphilis

D.6   Equipment Requirements:

  1. Center must have the equipment necessary to provide all required labs and screening tests.
  2. Equipment must be maintained and calibrated regularly in compliance with all state licensing requirements.

D.7   Laboratory Recommendations:

  1. Center is encouraged to initiate regular on-site consultation with the state lab.