QC lockout
0 followers
0 Likes
Have any of you encountered resistance from staff as it pertains to lockout for non-waived test? If so, what was your alternative? I want to enforce lockout for the Hemochron (sig Elite), but I am encountering resistance from the pathology team and perfusion; since it could result in a delayed heart surgery. Thanks.
10 Replies
Reply
Subgroup Membership is required to post Replies
Join POCT Listserv now
Suggested Posts
| Topic | Replies | Likes | Views | Participants | Last Reply |
|---|---|---|---|---|---|
| Hemochron Sig Elite use outside of manufacturer temperature range | 0 | 0 | 37 | ||
| EPOC scanner issue post software update | 6 | 0 | 289 | ||
| PFA-100 | 0 | 0 | 118 |
You can specify a number of overrides that would allow for emergent patient testing. We allow 5 overrides before the users are locked out for QC. It has not been an issue for us.
No resistance here. If there is a lockout in an instrument, that means only authorized staff can use it.
It is tied to their Competency documentation which is required before anyone should use an instrument.
Also, if there is a lockout, you know who used the instrument and the operator ID is printed with the results.
If you are TJC inspected that can be part of their Tracer method when they inspect you.
Even CAP look for lockout and Operator ID on test results.
Pathology Team of all people should understand that only authorized staff should be doing lab tests.
They know to do QC when required but it does not have to be done right then and there.
They can postpone the testing because the instrument allows QC to be delayed but not for long.
Advise the Perfusion team to anticipate doing the QC before the start of the case.
We set the date when QC MUST be done. Perfusion knows when that is.
Pet is on point.
Every TJC inspector I have had over the last 8 years scrutinizes my Hemochron Jr logs for electronic QC being done every 8 hours.
Training and competencies are also closely reviewed.
When it comes to QC, I have the instruments programmed to account for the general hours of operation for the CCL and CVOR. This has helped to a large degree.
Both departments can do the Electronic QC while prepping for the patient.
As far as lockout due to competencies, I have an iron heart. I'm protecting the patient from incompetent people. Due competency assessment tests when required is part of the competency assessment.
Thanks everyone for your input! I'm new to POC so I am trying to implement new policies that would possibly help me manage 4 hospitals better. Do you all pass out QC to each department around the time they are due or do you have the UBE or perfusionist get them from the lab? Yvonne you stated that you specify a number of overrides, do you mange that through your interface (we have RALS) or is a meter setting?
Sent via Groupsite Mobile.
It is a setting in the meter configuration. You are able to choose what is best for your departments up to 999 overrides. We configure the meters directly, not through our middleware.
I set up the lockouts in RALS. The wet QC has to be done at least every 30 days, there is a lockout at 30 days, per the IQCP. They can run it early, like on a Friday, if it is due over the weekend, and it resets the date to 30 days. That helps if they get called in for an emergent case. They initiate the electronic QC before every case in the CVOR and EP lab while they set up the room. They have 1 override for EQC, but they don't know about it.
I do the same as Karen. Lockout is set up in RALS but we have it set for weekly. I have 70+ operators (soon to be over 100) and if we only did it monthly I wouldn't be able to keep anyone competent. It's a struggle as it is. I allow 2 overrides for sheath pulls and cath lab but 5 for open hearts. It has never been an issue. If you are using RALS, you do have to reset the lockout if they use them up or they will be locked out the next time its due.
As far as operator lock out...I had people that had not done any patients, let alone a QC during the year. I locked them out and made them go through orientation again. Fixed most of the problem.
Feel free to contact me if you have any questions. Welcome to POC!
Lois Snider
lois.snider@stclair.org
It is a setting in the meter configuration. You are able to choose what is best for your departments up to 999 overrides. We configure the meters directly, not through our middleware.
I also have my SigElite devices set to weekly QC. It's more than I need to do, but it helps me more easily meet non-waived competency requirements as it becomes a more regular part of their duties and they become more skilled overall. If we did the minimum of q30 days the users would unlikely never get to the point where they have the QC sample prep down pat. Or they would relegate it to one person doing it - which is contrary to CAP guidelines. Every month would be a new learning experience - likely started with a panicked phone call of "I can't get the QC to work!". I've not had a problem - the staff are very much into the weekly cycle, they can predict it and they have become skilled at doing it. We waste a few cartridges...but it's worth it.
I've never allowed the overrides of QC. I think if I did, every situation would become an 'emergency'.