Critical Lab Value Notification Checklist

Critical laboratory value notification protocol ensuring timely communication to responsible provider with verification and documentation.

  • Industry: Healthcare
  • Frequency: Every critical value
  • Estimated Time: 5-10 minutes
  • Role: Lab/Clinical Staff
  • Total Items: 29
  • Compliance: CAP Laboratory Standards, Joint Commission NPSG.02.03.01, Hospital Policy

Value Identification

Critical value verification

  • Critical value correctly identified?
  • Value verified before reporting?
  • Reference range known?

Notification Process

Timely notification

  • Responsible provider contacted?
  • Notification within required timeframe?
  • Recipient name documented?

Read-Back Verification

Communication verification

  • Read-back obtained?
  • Value confirmed by recipient?

Documentation

Complete documentation

  • Time of notification documented?
  • Reporter name documented?
  • Provider action documented (if known)?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Infection Prevention & Control

Verify infection control practices per CDC and Joint Commission standards

  • Hand hygiene compliance observed?
  • Appropriate PPE available and properly used?
  • Isolation precautions properly implemented?
  • Sharps containers available and not overfilled?
  • High-touch surfaces properly disinfected?

Patient Safety & Identification

Verify patient safety protocols and identification procedures

  • Two patient identifiers used before procedures?
  • Fall risk assessment completed?
  • Call light within patient reach?
  • Bed in lowest position with brakes locked?

Medication Safety & Management

Verify medication handling and administration practices

  • Medications stored securely and at proper temperature?
  • Controlled substances properly secured and counted?
  • No expired medications in stock?
  • High-alert medications properly labeled?

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Why Use This Critical Lab Value Notification Checklist?

This critical lab value notification checklist helps healthcare teams maintain compliance and operational excellence. Designed for lab/clinical staff professionals, this checklist covers 29 critical inspection points across 8 sections. Recommended frequency: every critical value.

Ensures compliance with CAP Laboratory Standards, Joint Commission NPSG.02.03.01, Hospital Policy. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the Critical Lab Value Notification Checklist cover?

This checklist covers 29 inspection items across 8 sections: Value Identification, Notification Process, Read-Back Verification, Documentation, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed every critical value. Each completion takes approximately 5-10 minutes.

Who should use this Critical Lab Value Notification Checklist?

This checklist is designed for Lab/Clinical Staff professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.

Can I download this checklist as a PDF?

Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.

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