Competency for staff at different locations
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Hello all,
How are you managing staff who are performing POC testing at different locations in the hospital and off campus provider offices. Does one competency assessment for each staff member doing the same testing act as an umbrella for your entire organization? Or do you have separate competency documentation at each location? We have several staff that bounce around to different locations performing various testing most of it overlapping. I am trying to streamline as much as possible without sacrificing the appropriate documentation and assessment requirements. Anything with a wish and prayer to get staff to be and stay more compliant! Haha!
Thanks in advance for your responses,
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Jackie P - I will email you privately so that I may be better able to apply what I've set up to your specific system needs and be sure I am conveying the message that I intended. Peggy
Peggy,
I'd be interested in your information as well.
Tracy
I am in the process of switching most if not all my point of care users to MediaLab for competency documentation. Once set up, it emails each user 30 days prior to their due date, prompts them to the site to complete their portion of the competency, including any exams that I have attached to the competency. It also prompts the person's educator (or me) that the person is due so that that part of the competency can also be documented. I receive notifications once things are complete so the I can extend their permissions on analyzers that require this. It will be a pleasure to get rid of all of the binders with paper competencies in due course of time. My hospital has over 900 point of care personnel of one type or another (pH to ISTAT).
If each site has their own CLIA license, the person's competency must be evaluated and documented separately for each site. Computer-based learning/evaluation can be one part of that, but for waived testing, there will also need to be an observed evaluation at each separate site where testing is performed, whether it be successful completion of QC or observation of patient testing. For moderate complexity testing, all six elements of competency will need to be documented at all sites where the person performs testing.
Under which Accreditation for waived testing is it required that observation be documented for each operator at each location where they are performing WT? or is this a State regulation? Thanks in advance, Peggy
JC does not require test performance observation for WT. It is one of the options for meeting the competency assessment requirements, but it is not a must have.
JC requires at least two of the following four elements be documented for competency assessment:
1) Performance of a blind specimen
2) Periodic observation of routine work by the supervisor or qualified designee
3) Monitoring of each user's quality control performance
4) Use of a written test specific to the test assessed
Technically, with a data manager, you can document 1) and 3) at multiple sites without direct observation as long as you can document with certainty that they occurred at a particular site.