VCHS TJC Compliance Matrix 8 1 08

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VCHS TJC Compliance Matrix 8 1 08 Powered By Docstoc
					                                                                                VCHS Staff Position TJC Compliance Matrix by Title and Location
                                                                                                 Does this position need to be   Does this position need to be TJC
         TITLE                AREA of WORK                               LOCATIONS                   TJC compliant? YES...                compliant? NO…
                                                     Medical Center, Thornton, VA, various campus
                                                     locations, various clinic locations, George Palade
                                                     Labs, Anti Viral Research Center, ACC, Pearlman,
                                                     Ratner Eye Center, Shiley, Retina/Glaucoma Res.,
                                                     County prisons, Out Patient Center, Children’s,
                                                     HRNC, 150 Washington Street, Multimodal Imaging                                                         If frequently or periodically visit locations under the
                                                     Lab, Radiology Imaging Lab, Bydder, Cancer Center, If located at facility under Medical Center          Medical Center license ALWAYS wear your ID badge in
SRA, Lab Assistants      Clinical Trials, Research   La Jolla Professional Center, DSDP Building        license                                              a visable location.
                                                                                                        Doing lab bench work, but working with patient
                                                                                                        samples and/or medical records where
                                                                                                        confidentiality is required (such as processing
                                                                                                        clinical trials patient samples in lab) if           If working in various county and state clinics or prison
                                                                                                        information will be placed into patient's clinical   locations for research BUT may be required for other
                                                                                                        file.                                                types of accreditation.

                                                  Medical Center, Thornton, VA, various campus
                                                  locations, Anti Viral Research Center , Ratner Eye
                                                  Center, Shiley, Retina/Glaucoma Res., Out Patient
                                                  Center, CAPS, HRNC, 150 Washington Street,                If located at facility under Medical Center
Admin Assistant,         Clinical Trials and      Cancer Center, La Jolla Professional Center, various      license as well as positions processing patient If periodically visit locations under the Medical Center
Community Health         Research involving human clinic locations, ACC, Pearlman, 402 Dickenson            information and overseeing patient records IF license ALWAYS wear your ID badge in a visable
Program Rep              subjects                 Street, County prisons, DSDP building                     information is going into patient clinical file location

                                                     Medical Center, Thornton, VA, various campus
                                                     locations, Anti Viral Research Center , Ratner Eye
                                                     Center, Shiley, Retina/Glaucoma Res., Out Patient
                                                     Center, CAPS, HRNC, 150 Washington Street,
Admin Assistants, and Administrative Office not      Cancer Center, La Jolla Professional Center, various                                                    If frequently or periodically visit locations under the
Directors of Functional located at facility under    clinic locations, ACC, Pearlman, 402 Dickenson                                                          Medical Center license ALWAYS wear your ID badge in
Area                    Medical Center license       Street, County prisons, DSDP building                                                                   a visable location
Statistian or            Clinical Trials and         Cancer Center area not under Medical Center
Programmer Analyst       Research                    license                                                                                                 UNLESS information is going into patient clinical chart
                                                     Cancer Center area not under Medical Center                                                             If part of conducting research and has NO clinical
Chief Dietician          Clinical Trials             license                                                                                                 patient contact, even if seen at Medical Center.


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                                                   Medical Center, various campus locations, various                                                   NO for TJC compliance BUT may be required by the
Hospital Assistant     Clinical Trials, Research   clinic locations, Cancer Center                                                                     County.
Survey Worker,
Counselor/Learning                                                                                      If worker is in a clinic or patients will be
Skills                 Clinical Trials, Research   Various campus locations, various clinic locations   referred by a doctor
Scientific Specialist-CL
Lab, Technologist
Cytogenetic II,          Research involving human                                                                                                      If they do not work in a facility under the Medical Center
Histotechnologist        subjects                 Campus                                                                                               license
                                                                                                                                                       Clinical area not in locations under the Medical Center
Social Worker          Clinical, Clinical Trials   County prisons, La Jolla Professional Center                                                        license

                                                                                                                                                       Clinical Trials that work with human subjects that do not
                                                                                                                                                       work in locations under the Medical Center license
                                                                                                                                                       do not work in location under the Medical Center license
                                                                                                        Periodically work in locations under the       and do not visit locations under the Medical Center
Clinical Nurse         Clinical Trials             Campus location, Perlman, ACC                        Medical Center license                         license
                                                                                                        Work in locations under the Medical Center
                                                                                                        license



             *If a position is required to be TJC compliant, complete items related to postion on VCHS HR Competency Process Required Elements




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posted:10/14/2012
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