Laboratory readiness and gap analysis

Every person performing studies has a current, attributed competency record for each modality they perform.

Attach the competency roster export and name the assessor for each modality.

Role titles map to a defined ladder with stated education, credential and supervision expectations.

Attach the job descriptions and the canonical role mapping.

Written policies exist for routine, urgent, after-hours, ambulatory and long-term monitoring work, each with an approval date and a next review date.

List each policy with version, approval date and next review date.

Clinical criteria within operational policies carry documented physician and medical leadership approval.

Attach the medical director approval record for each policy containing clinical criteria.

Equipment inventory, preventive maintenance and electrical safety checks are current and documented.

Attach the maintenance log summary and last safety check dates.

Recording protocols are written, versioned and match what is actually performed.

Attach protocol documents with version dates and the date of last audit against practice.

A recurring technical quality review examines a defined sample of studies against stated criteria.

Describe the sampling method, frequency and last three review dates.

Operational indicators — access, callback burden, cancellation, overtime — are tracked monthly and reviewed.

Attach the last twelve months of the monitoring export.

Infection prevention practice for electrodes and equipment is written, trained and revalidated.

Attach the reprocessing policy and the competency revalidation dates.

Policy variance against an external or model standard is documented with a stated local rationale.

Attach the variance matrix export with rationale for each variance.