SOP
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Where do you house your POCT policies and procedures? What document control system do you use? How do you comply with COM.10300 (The lab has a defined process and records indicating that all personnel are knowledgeable about the contents of the policies and procedures (including changes) relevant to the scope of their testing activities.)
Thank you in advance!
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We use a document control system called OnBase. It is nice because it automatically puts documents in your review file when review is required. It also tracks changes and staff that review the document. No need to get attestation form readers. That said, it is a little clunky, but better than what I had at my prior healthcare system.
Our policies are online. In the annual learning module, I have a link to the policies and it is a hard stop that they must click on the policy to read it. I
also have one of the quiz questions in the module state they are knowledgeable about the procedure and know how to find it. They must answer true.
We use MediaLab for our document control of all Lab policies. The POC policies are also accessible to the hospital staff on the hospital website. I'm currently working towards also incorporating the POC policies into the nursing policies which are located in "360".
We use SharePoint, a Microsoft Cloud service. It manages all documents, revisions, etc. You can send workflows to people to approve SOP's or give feedback. Works well for us.
All of our SOP's are also available to all end users via the hospital's Intranet.
Thank you all for your quick responses!
I think my situation is similar to Jeremy's. We are moving to MediaLab to house our SOPs, but it doesn't sound like it can have 5000+ user accesses. So we are using the intranet for our POC SOPs. I would rather have just one system - much easier for revisions.
We are putting them on medialab for our use in POCT but we have all our POCT procedures on our Policy Tech website for the operators to access. Like Carolyn, we have it as part of our POCT competency module. They have a link to the policy and have to check off that they read the policy.
we have our POC in Policy Tech, it'll auto remind users to read and mark after they read it. On my training/competency form, I also indicating that they've read the procedure abc...and have them initial next to it.
however, for AccuChek glucose policy, my place house it in LMS since it's taken care together with nursing annual competency by Education department.