Competency Test Assessment for staff floating under multiple CLIA Certifications

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If you have POCT users who float to the units under different CLIA certifications in the same organization, could you please share how you manage their competency test assessment on the same instrument on the same test, for example, the glucose meter? 
1. Do they have a separate competency test for the glucose meter under each CLIA? 
2. How do you manage their user ID under the same organization?
3. Which middleware do you use to monitor the user's certification status?

Thank you so much for your help!  

7 Replies

1.  We are CAP accredited. Our glucometer is waived.  We have a system glucometer policy and a standardized competency for the glucometer.  Once the user has completed this at one facility they can automatically be granted access to all glucometers within the system.  No additional competency steps required.

  • HOWEVER,  our non-waived testing systems which are also systemized (same policy and usage but at different licensed facilities).  These individuals must complete the skill-check at each licensed facility they work at.  They do NOT need to repeat the eLearning component of the competency for each facility they add.  They are treated at each facility as a new user: must completed the intial, semi-annual and 12 month within the first year at that facility.
2.  Our middleware (Telcor QML) allows us to grant/deny access to specific facilities/depts.

Jeremy MacDonald,

What do you require for annual recertification competency (glucometer - waived)?
~ thanks

In our system: The users must complete the eLearning, review with a glucometer SuperUser and perform a passing QC again, every 12 months.  We have a system recertification month that all users must recertify.  
  
Given that the regulatory requirements are much more lenient for the waived testing competencies... I know that some facilities require the user to just run QC once within the year and be automatically recertified or similar.  This however can allow users that may have developed bad habits over the year to continue them, or staff that has performed only 1 test in the past 11 months to be recertified.  
Our goal is for a known user of skill and knowledge (SuperUser) to review with the person being reciertied to mitigate the above.  Ideally this person would be a POC coordinator, however we just don't have the staff for this so we rely largely on nursing leadership to identify these glucometer SuperUsers.

Thank you, Jeremy! 

Jeremy, understood. We have the same issues here. Unfortunately, I think some of our "clinical educators" lack the knowledge and have bad habits too. Do you have a certification requirement for educators? We're thinking about developing one to keep them up to date too.

We do have RN "Clinical Educators"  that also act as glucometer Superusers, but they do not focus on the glucometer.  The majority of the glucometer SuperUsers are staff that have been identified by their dept leadership as someone that would be good in this roll.  I encourage leadership to identify staff that are known to follow procedure and personally perform a lot of glucometer testing.   We have a large system and have >600 glucometer Superusers.  Its of no surprise that some are better than others.  All of which are free to contact myself and my team to ask questions... which they do.  Myself and the POC team get lots of emails.

We have a elearning specifically designed to educate the SuperUsers on the correct steps to recerty the user, last step being to contact the lab to update the user.

Jeremy,
I like your idea regarding superusers. I think our clinical educators have their plates full with all other nursing education requirements. 
Would it be possible for you to send me a transcript of your superuser elearning? I would like to see what you've done and possibly use a modification for our hospital. 

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