Compentencies
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Hi Everyone,
We run the Cholestech Lx, HemoChron, Hemocue Hb, Accuchek Inform II, and I-Stat at the hospital I work at. When we do competencies we have the nurses run a control, and then a control as a patient. I know the proficiencies that we have them run for I-Stat count for the blind testing part of the competency. I am unsure how to blind test for the competencies on the others. Any suggestions?
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Hi Christopher,
For blind test, I have used control material or previously analyzed patient sample.
Thank you carol.
So would running QC as a patient count as a blind testing?
Using QC as a blind testing sample would work if you have it stated in your policy.
I also have a question about competencies, but can't seem to figure out how to start a new discussion so I joined this discussion.
Because I just started a new job in a different health system I am new to CAP as an inspection agency, and new to iStats.. I searched the forum but didn't see anything and was wondering if iStat users or anyone else who gets inspected by CAP can help.
We currently use the CG8 iStat cartridge and ICU wants to add CG4 cartridges. We already have CG4 cartridges in our system and they only report out Lactate. For training and competency for those who already know iStat because they use it for CG8 cartridges, what needs to be done? Can a read and sign be sufficient to add the CG4 cartridges? Do we even need that? Or do we need to do all 6 elements on the CG4 cartridge too for training? When competency time rolls around can staff just run one of the cartridges, for controls and a patient, or will they need to do double the work on both cartridges. There is not much difference between the two cartridges and it is the same platform. My feeling is that one cartridge and a read and sign should be sufficient, but since I'm new to CAP and iStat I just wanted to check.
Thank you in advance for your information!!
Sue
We only have our users perform an unknown on one of the cartridges they utilize. Our training review and test covers all of the cartridges but we only require performance of a single unknown.
Susan, are the CG4's at the same campus with the same CLIA certificate?
We do direct observation and blind sample using one cartridge. Elements 2, 3 and 6 of the competency includes all cartridges.
Jillian,
Yes POC Lactate testing is on the same campus and CLIA certificate.
So does everyone feel that training on the new type iStat cartridge really isn't necessary? Maybe just a read and sign type thing since they have training on iStat as a system?
I gather from your responses that competencies only have to happen on one cartridge.
Thank you so much for your help!
Sue
I also have a question about competencies, but can’t seem to figure out how to start a new discussion so I joined this discussion.
Because I just started a new job in a different health system I am new to CAP as an inspection agency, and new to iStats.. I searched the forum but didn’t
see anything and was wondering if iStat users or anyone else who gets inspected by CAP can help.
We currently use the CG8 iStat cartridge and ICU wants to add CG4 cartridges. We already have CG4 cartridges in our system and they only report out Lactate.
For training and competency for those who already know iStat because they use it for CG8 cartridges, what needs to be done? Can a read and sign be sufficient to add the CG4 cartridges? Do we even need that? Or do we need to do all 6 elements on the CG4 cartridge
too for training? When competency time rolls around can staff just run one of the cartridges, for controls and a patient, or will they need to do double the work on both cartridges. There is not much difference between the two cartridges and it is the same
platform. My feeling is that one cartridge and a read and sign should be sufficient, but since I’m new to CAP and iStat I just wanted to check.
Thank you in advance for your information!!
Sue
I use linearity material as unknown sample for blind testing.
I cover the label so they would not know what level it is.
I then have different levels of patient sample with known expected values.
I have them scan a Test Patient Barcode that correspond to the different levels.
When we do Competency check or training, the staff run 2 Levels of QC,
and one unknown sample.
They can demonstrate how they scan patient ID, do QC and the unknown sample.
I also have a question about competencies, but can’t seem to figure out how to start a new discussion so I joined this discussion since it does pertain to competencies.
Because I just started a new job in a different health system I am new to CAP as an inspection agency, and new to iStats.. I searched the forum but didn’t
see anything and was wondering if iStat users or anyone else who gets inspected by CAP can help.
We currently use the CG8 iStat cartridge and ICU wants to add CG4 cartridges. We already have CG4 cartridges in our system and they only report out Lactate.
For training and competency for those who already know iStat because they use it for CG8 cartridges, what needs to be done? Can a read and sign be sufficient to add the CG4 cartridges? Do we even need that? Or do we need to do all 6 elements on the CG4 cartridge
too for training? When competency time rolls around can staff just run one of the cartridges, for controls and a patient, or will they need to do double the work on both cartridges. There is not much difference between the two cartridges and it is the same
platform. My feeling is that one cartridge and a read and sign should be sufficient, but since I’m new to CAP and iStat I just wanted to check.
Thank you in advance for your information!!
Sue
I don’t do separate comps for different cartridges. It’s the same as a comp on a large lab analyzer. You don’t need to comp each test performed, just the test
system as a whole.
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Our Training and competency on i-STAT is the same for most analytes except the collection portion.
Instrument operation is the same. If you perform ACT and/or PTINR, the details on collection should be specified.
It does not require another sheet of paper but should be included on the knowledge to learn,
e.g. ACT or PT sample cannot be contaminated with heparin; sample should be drawn
when the i-STAT is ready to accept the cartridge. Every second counts and will affect the result.
These specific steps should be included in the IQCP for each of these tests.
They are source of risk.