CLIA guidance regarding nurses as technical consultants
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Good afternoon. We've recently had a state CLIA validation and the issue of whether or not BSN nurses could be TC's was broached and we were told it was not acceptable. That being said, all the information I have found says otherwise. I was wondering if anyone has seen any current documentation that states that BSN nurses cannot be TC's. I'm calling CAP tomorrow to see what they recommend.
Thanks in advance,
Jessica Lang
Point of Care Supervisor
Kentucky
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Hi Jessica,
Look at your state regs for this one. Here in CA BSN nurses cannot be TC's, not sure about Kentucky.
Nursing science is considered a biological science. I would be interested to learn what info CAP gives you.
Jeremy Williford, PBT(ASCP)CM
Laboratory Services Coordinator
Laboratory
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From the Personnel Evaluation Roster FAQS from the CAP site (I printed this May of 2019) on page 7 (under the heading Educational Credentials) it states "A bachelor's or associates degree in nursing meets the requirement for earing a degree in a biological science for respectively, high complexity and moderate complexity testing personnel.". This should be able to be found at https://www.cap.org/laboratory-improvement.
A BSN is bachelors of a biological science. CAP told me this was OK as long as the BSN has had at least 2 years of experience with the test for which they would be a TC.
Yes, there is that caveat. We brought in digital refractometers for our Hem/Oncology departments. I had to cover the training/competencies for the first 2 years since they are still classified as moderately complex by the FDA.
I agree with Stephen, it is dependent on your state regulations. In CA, BSN does NOT qualify. Per CAP, however, BSN does qualify. Have to go with the more stringent one.