Midthun Susan, Bruce A Wayne
School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND, USA.
Geriatr Nurs. 2005 Sep-Oct;26(5):309-16. doi: 10.1016/j.gerinurse.2005.08.007.
The urine dipstick is one of the waived tests that is used in the long-term care facility under guidelines of the Clinical Laboratory Improvement Amendment (CLIA). Through recent surveys, the Centers for Medicare and Medicaid Services (CMS), which oversee this program, have identified significant problems in many testing sites. Because of the magnitude of the problem, the surveys will be continued. To comply with CLIA guidelines and safely and appropriately use the urine dipstick in the long-term care facility, nurses need to be aware of these guidelines. The purpose of this article is to discuss CLIA requirements regarding waived tests, specifically the urine dipstick, in the long-term care facility.
尿液试纸检测是根据《临床实验室改进修正案》（CLIA）指南在长期护理机构中使用的豁免检测项目之一。通过近期的调查，负责监督该项目的医疗保险和医疗补助服务中心（CMS）发现许多检测地点存在重大问题。由于问题的严重性，调查将继续进行。为了符合CLIA指南并在长期护理机构中安全、适当地使用尿液试纸，护士需要了解这些指南。本文的目的是讨论CLIA关于长期护理机构中豁免检测，特别是尿液试纸检测的要求。
