moderate complexity testing competency
1 followers
0 Likes
How does everyone assess competency for moderate complexity testing for respiratory therapy using the 6 elements of competency per CAP? Right now my hospital has a respiratory therapist sign off for observation of most of the elements. Then the POC coordinators observe blind sample testing and do the final sign off. (the POC coordinators all fulfill the requirements for assessing competency) I am curious on if anyone has had feedback from CAP and if just having the final sign off being performed by the POC coordinators at the hospital would be sufficient.
2 Replies
Reply
Subgroup Membership is required to post Replies
Join POCT Listserv now
Suggested Posts
| Topic | Replies | Likes | Views | Participants | Last Reply |
|---|---|---|---|---|---|
| Verify Now IQCP | 0 | 0 | 88 | ||
| i-STAT cTnI Interpretation and cutoff values | 2 | 0 | 131 | ||
| Competency assessment clarification - mod and highly complex | 8 | 0 | 431 |
1)Direct observation of patient test performance <--all nurses meet during annual competencies and run a mock patient (G3) and a control. Evaluation methods can be verbalize, demonstrate, observe, simulate etc....I note how they walk me through the process of collection and then watch how they load the mock sample provided
2)Monitoring the recording/reporting of test results.....I monitor RALS daily and keep logs and follow up information on any problems. I document their mock patient results too from competencies
3)Direct observation of instrument maintenance and required QC <--demonstration of proper maintenance/operation of I-Stat is what I look for, I also log all monthly QC, and walk them through the process of filling out maintenance forms if analyzers break.
4)Review of intermediate test results or worksheets, quality control proficiency testing, and preventive maintenance performance<--Proficiency testing is logged, all test rests are logged in RALS, and maintenance are logged..all PT, QC, and internal simulator results is reviewed and signed off by medical director monthly
5)Assessment of test performance <--watch & assess sample technique, PT performance and recording/result.
6) Assess problem-solving skills <-- PDA/CBL sent out annually to all I-Stat users
I have a form in which nurses sign that state:
By signing below, I verify that I have been trained and am competent to follow the waived/nonwaived procedures in which I have been trained. I verify that I have read the procedure and acknowledge that it is my responsibility to renew competency validation at the required intervals.
Additionally all ABG training is done by the RT director and competencies are done annually by her. She keeps up with all training documentation.
Hope this helped.
As long as you are not located in California the respiratory director can sign off on Competencies. For California all moderate complex users must have competencies assessed by someone qualified to perform high-complexity testing (i.e. CLS, MD).