Amnisure ROM competency assessment component
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Those of you that use Amnisure ROM kits: how do you satisfy the competency assessment element "assessment of test performance through testing previously analyzed specimens, internal blind testing samples or external PT samples.."?
We participate in CAP PT, but that only covers 6 nurses for the year. I can mock up a sample but the problem is that the test kits are so expensive!
Christy Spence
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I use QC. Just don’t tell them what level.
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They pick a mock kit out of the box, so it is random.
We make a board with three test strips that we have prepared, usually a very weak positive along with a strong positive and either a negative or invalid strip. We label them 1,2, and 3.
We have one kit we have opened that the RN can walk through the process with (verbally going through collection) and when it comes to the reading of the strip, we have them use the test strips on the board.
We are inspected by TJC and they have always been fine with that due to the cost of the kits.
We have a large number of RN's trained and even with monthly QC and CAP PT we can't get all the RN's covered.
Yvonne
Per CLIA regulations, there must be direct observation of the testing personnel performing the test. Another required element of competency includes performing tests on blind samples, external quality control, proficiency specimens or other unknowns. This must also be performed as a test, but it can be done concurrently with the direct observation for convenience. Walk-through simulations do not meet the intent of the requirement. For further convenience, aliquots of amniotic fluid may be frozen and used as blind samples for future competencies.
Terry Guimon MT(ASCP)
Technical Specialist
College of American apthologists
Laboratory Accreditation Program
As a follow up to this-
1. Does anybody have the nurses collect the swab but lab run/perform the test?
2. If so, how do you handle the logistics of getting the swab and kit back down to lab promptly?
3. Are there any waived ROM tests out there?
For OB Dept the collection and testing is done in dept as a POC test. My OB/GYN clinic collects the swab, rinses it in the solvent vial, labels the vial and tubes us the vial with an order for testing. We order, test and result the sample in the lab.
I keep separate test swabs for the clinic that correspond with their kits and QC them monthly when OB does their QC.
1.
We have nurses sample, lab does the testing.
2.
It is sent down by pneumatic tube.
3.
No ROM tests is waived, that I know of. All moderately complex