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29 <br /> <br />XIII. FUNCTIONAL ANNEXES: <br /> <br />Kittitas County Public Health Department <br />Laboratory Procedures Plan <br />Annex A <br />Table of Contents <br /> <br />I. INTRODUCTION 29 <br />II. PLANNING ASSUMPTIONS 29 <br />III. RESPONSIBILITIES 30 <br />IV. CONCEPT OF OPERATIONS 30-31 <br />V. ATTACHMENT 32-35 <br /> Attachment A General Packing and Transportation Procedures 32-34 <br /> Attachment B DOH Laboratory Certification 35 <br /> <br /> <br />I. INTRODUCTION: <br />The use of laboratory services refers to classifying, handling, packing, and shipping hazardous <br />materials to local, state, and/or private laboratories to identify disease agents and environmental <br />health hazards. 24/7 Access to laboratory services will assist KCPHD in the surveillance of <br />diseases or environmental health hazards affecting Kittitas County during outbreaks and <br />emergency incidents. <br />II. PLANNING ASSUMPTIONS: <br />KCPHD has very limited capacity to collect specimens and has no testing capacity, internally. <br />This plan applies to incidents requiring services that exceed the capacity of KCPHD as well as <br />local health care providers and KVH. Local laboratory services will be overwhelmed in the case <br />of an outbreak. The Washington State Department of Health Public Health Laboratories in <br />Shoreline (accredited by the College of American Pathologists), Washington will be the main <br />laboratory contact. During a statewide disaster, KCPHD may utilize out of state laboratory <br />services. If a scene has been designated hazardous and a HAZMAT team is responding, KCPHD <br />will not collect samples and will defer to the appropriate agency.