This inspection training activity is intended for new as well as experienced team leaders (pathologists or PhD laboratory directors) who are preparing to perform an inspection and need to fulfill the inspector training requirement.

NOTE: You must complete your prescribed topics and pass assigned assessment questions to fulfill the training requirement and claim credit.

Description
This activity explores all the necessary inspection steps from accepting the assignment to completing the post-inspection paperwork. You will learn tools and techniques to be a successful inspection team leader as you select the appropriate team members, evaluate the laboratory director’s involvement in the laboratory’s culture of quality and safety, keep the team on track, and help resolve problems. You will also learn inspection or auditing techniques, which will assist you in gathering the appropriate information to determine if your findings support compliance with the requirements. Team Leader inspection training encompasses all CAP Accreditation Programs (Laboratory, Biorepository (BAP), Forensic Drug Testing (FDT), and Reproductive).

This activity presents an adaptive learning experience. By answering a series of questions that determine your existing knowledge, you will be prescribed a customized pathway through the course that focuses on your individual learning needs.

Objectives
After completing this activity, you should be able to:

1. Use the information included in the Inspector's Inspection Packet to make decisions including determining team size and selecting appropriate team members.
2. Effectively apply time management strategies to facilitate the inspection process.
3. Evaluate compliance with the requirements for the director's role and responsibilities.
4. Inform laboratory personnel of potential deficiencies as the deficiencies are identified (prior to Summation).
5. Based on the information gathered during the inspection, cite deficiencies when the intent of the requirements is not met.
6. Provide recommendations in compliant situations to promote process improvements.
7. Ensure that recommendations are not provided in lieu of citing deficiencies in situations that are not compliant with accreditation requirements.
8. Apply appropriate Lab General requirements.
9. Ensure consistent interpretation of common checklist items (eg, QMS, PT, QC, patient safety, method specifications, personnel/competency, safety, computers, and reports).
10. Apply the practice of corrected during inspection versus removing deficiencies appropriately.
11. Compare findings related to requirements common to all checklists to uncover systemic problems.
12. Recognize situations which have caused or could cause serious immediate harm (immediate jeopardy) to patient or staff and act accordingly (eg, contact the CAP).
13. Complete the pink deficiency ISR pages with sufficient detail to clearly describe the noncompliance.
14. Recognize the purpose and importance of the Presummation and Summation Conferences.
15. Complete ISR Part A (overall quality of the laboratory services) with sufficient detail to ensure that the comments support and supplement the deficiencies cited in Part B.
16. Recognize the Council on Accreditation (CoA) policies that relate to the conduct of inspections.
17. Be familiar with the purpose and use of the checklists.

CME/CE Information
Accreditation: The College of American Pathologists (CAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Category 1: The College of American Pathologists designates this internet enduring material educational activity for a maximum of 5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CE (Continuing Education for nonphysicians): The CAP designates this educational activity for a maximum of 5 credit(s) of continuing education. Participants should claim only the credit commensurate with the extent of their participation in the activity.

This activity is approved for continuing education credit in the states of California and Florida.

The American Society for Clinical Pathology (ASCP) Board of Certification (BOC) Certification Maintenance Program (CMP) accepts this activity to meet the continuing education requirements.

Technical Requirements
Pop-up blockers must be turned off.

The CAP recognizes that some Veteran’s Administration, US Government, and military participants may have difficulty accessing the online activity. If you experience difficulty or have any questions, please contact a representative of the Customer Contact Center at 800-323-4040 option 1 or education@cap.org.

Availability
This activity and evaluation are available February 6, 2024 - February 5, 2025, at 11:59 PM (CT). Upon completion of the activity your credit will be awarded. Your certificate may be downloaded from your Transcript.

CC: LAPITLT02W.2024

Key Words: BrowseAP, BrowseCP, BrowseMP, BrowseLab