Department of Microbiology Quality Manual Section: Organization Prepared by: QA Committee Issued by: Laboratory Manager Approved by: Laboratory Director Policy QORMI01001.09 Page 1 of 3 Subject Title: Delegation of Responsibilities Original Date: May 02, 2007 Revision Date: June 18, 2008 Annual Review Date: May 08, 2014 DELEGATION OF RESPONSIBILITIES BY LABORATORY DIRECTOR Signing Responsibilities It is the policy of the facility that the responsibility of signing off discipline specific documentation is delegated by the Medical Laboratory Director to charge technologists, manger and technologists as deem appropriate. This is based on proven specific professional expertise and training required to carry out these responsibilities. Description Review and approval of Departmental Manuals Annual Manual Review Quality Report Quality Control: External (Proficiency Testing): On-Line Result Review Secondary Review, Verification, Amendment if required Pending list of specimens not received Pending list of test results not reported Worklists: Daily Review Periodic Review Responsibility Medical Laboratory Director (Microbiologist-in-chief) Medical Laboratory Director (Microbiologist-in-chief) Quality Coordinator Medical Laboratory Director (Microbiologist-in-chief) Charge Technologist Quality Coordinator Supervisor Charge Technologists Charge Technologist Alternate Medical Microbiologist Medical Microbiologist Supervisor Medical Microbiologist Senior Technologist Senior Technologist Technician Technologist (Blood Culture and Sterile Fluids) Charge Technologist Charge Technologist MLTs / Technicians (bench specific) Charge Technologist Quality Coordinator Charge Technologist Senior Technologist UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY" are not controlled and should be checked against the document (titled as above) on the server prior to use. D:\687285905.doc Department of Microbiology Quality Manual Section: Organization Responsibility Charge Technologist Chemical Waste Disposal: Safety Officer Review of corrective action Committee review Page 2 of 3 Subject Title: Delegation of Responsibilities Description Equipment Maintenance Records Review Supplies Records Review Quality Assurance: Documentation Review / Investigation / Corrective Action Safety: Audits Policy QORMI01001.09 Administrative Director All staff Charge Technologist Safety Officer Administrative Director Medical Laboratory Director (Microbiologist-in-chief) Alternate Quality Coordinator Charge Technologist Charge Technologist Quality Coordinator Charge Technologist Supervisor Medical Microbiologist UNIVERSITY HEALTH NETWORK LABORAORIES /MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY" are not controlled and should be checked against the document (titled as above) on the server prior to use D:\687285905.doc Department of Microbiology Quality Manual Section: Organization Policy QORMI01001.09 Page 3 of 3 Subject Title: Delegation of Responsibilities Record of Edited Revisions Manual Section Name: Organization Page Number / Item Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Date of Revision March 5, 2005 April 24, 2006 May 2, 2007 June 16, 2008 June 16, 2009 June 30, 2010 May 31, 2011 May 31, 2012 May 31, 2013 May 8, 2014 Signature of Approval Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli UNIVERSITY HEALTH NETWORK LABORAORIES /MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY" are not controlled and should be checked against the document (titled as above) on the server prior to use D:\687285905.doc