PROVIDER PERFORMANCE MICROSCOPY TESTING

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PROVIDER PERFORMANCEMICROSCOPY TESTING

• Marjan R.Farzami Parisa Dahim
• MD. AP.CP. MD.AP.CP.
  
• Reference Laboratories of Iran
• Research Center

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CLIA , 88Clinical Laboratory Improvement
AmendmentsSite NeutralApproach
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CLIA , 88

• Set the standards for
• Laboratory personnel
• Quality control
• Quality assurance programs
• Based on test complexity and risk factors

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Classification of laboratory procedures

• Waived tests
• Moderately complex tests
• Highly complex tests

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Moderate complexity tests

• Reagent systems are readily available .
• Require fewer operator decision-making
• steps .
• Operator must follow the manufacturer's
• instructions and the test method cannot be
• modified .

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Provider-performed microscopy procedures

• Wet mounts ( including preparation of
• vaginal , cervical or skin specimens )
• All potassium hydroxide preparations
• Pinworm examinations
• Urinalysis with microscopy
• Fern test

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Provider-performed microscopy procedures

• Post coital test , qualitative examination
• Nasal smears for eosinophils granulocytes
• Fecal leukocyte examinations
• Qualitative semen analysis (limited to the
• presence or absence of sperm and
• detection of motility

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Provider-performed microscopy procedures

• Qualitative tests
• On labile or stable specimens
• Using bright field or phase contrast
• microscopy ( for identifying a cellular
• material )

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PPM can be done by

• Physicians
• Dentists
• Nurse practitioners
• Midwives
• Physician assistants