Point of Care department structure with multiple facilities

Hi Mary. We divide oversight based on location and instrument. Each coordinator has instruments they oversee (typically a mix of waived/nonwaived), but one individual has oversight of specific locations, especially if some of our sites have different CLIA than the hospital. We have 80 locations to oversee, so one person is responsible for med/surg, one for ambulatory, etc. And we try to even out the oversight as best as possible. 

We have a team of 4 POCCs who are responsible for POC procedure management, method validations, Proficiency testing, training, competency assessment, QC record review, and troubleshooting for 20 POC test platforms across 20 locations. At the primary hospital, our POCC team rotates training, competency, PT, method comparison and QC review duties monthly. POCCs are also assigned specific offsite locations for which they provide support to clinic staff on all things POC specific to their location. The POCC's provide special training and sign-offs annually, designating 'SuperUsers' among nursing/clinic staff who then observe return demonstrations and monitor completion of POCC created/managed electronic quizzes in their unit/clinic. We work with nursing educators and clinic managers to identify which POC test platforms are needed and which staff should be given the responsibility of training clinic staff and maintaining documentation for the POCC to review/present for inspection.

Mary,
We have a Med Tech assigned to oversee POC at each facility.  These individuals also have many other lab responsibilities.  They backed up by the POC  department at the primary (largest facility) which focuses entirely on POC.  We have begun sending POC teammates from the primary facility to the other locations to complete many of the larger POC studies: Cal/ver's, correlations for example.  This has helped our compliance.

We have waived and non-waived "SuperUsers" for training and re-certification of the users at all facilities on the floors (CNA's, RN's, RT's).  The non-waived "SuperUsers" which meet the "Technical Consultant" requirements are all trained and review the re-certification process with myself prior to be allowed to sign-off on any training/competencies.

Honestly I would prefer a larger POC team to allow all training/certification of the users to be completed by the Med Techs for better control but we don't have the FTE allotment for this.  

Jeremy 

Hi Mary,
We have 2 POCC at Children's Wisconsin.  We oversee all the POCT at the main hospital (300 beds), specialty clinics and hospital regional sites. (Waived TJC and Non-waived CAP accredited)  We also oversee our hospital in a hospital about 90 miles away in Neenah, WI (they run the Epoc and is accredited by TJC).  Additionally, we oversee the 6 urgent care clinics and 6 Child Advocacy clinics POCT.  We rely on our POCT Superusers to perform initial training and annual competencies.  We also do direct observation of our superusers annually before they check off the rest of the staff.  We are both MLS BSMT and so qualify as CLIA technical consultants. We are responsible for the same duties as Malissa's team.  

We do the same as Reine with Superusers.  We have 2 POCCs and oversee the hospital, 2 surgi centers and 30 clinics in 3 states.  We don't have specific sites to cover, we just base it on our schedule.  Our inpatient is CAP (waived and non waived) and Joint (waived only) and the clinics and surgi centers are Joint/CLIA.