MA-R and POCT testing

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I wanted to see at other organizations who have ambulatory sites do you have MA-R staff? Since they are not going through a program and are simply getting registered they have a very limited scope. They can perform waived testing and do specimen collection so that is not a problem. I was wondering that due to their limited schooling do you limit them to the testing that they can perform or can they do all waived POCT in your organization?
I train all staff on our top 3 tests (UA, Urine Pregnancy and Glucose) myself but all the other testing (Flu, Strep A, RSV, Hgb, HgbA1c, INR, Mono, H.Pylori) are via training slides modules (with videos) and they then perform the test onsite for a staff member. 

Any insight would be helpful. Thanks.

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Anastasia,

I'm *guessing* your reference to MA-R refers to Medical Assistants.  This term being used to describe staff that have had no formal training in the health field of any kind.  Example:  An individual who's only work history is fast-food with no heath field training being asked to perform HCG, Strep or glucose finger-stickers as a medical assistant. 
  
I did some research on this and what I came up with was:
  • There is no educational level requirements or medical licensure requirements for the individual user to perform waived testing.  There is a HIV / biohazard requirement however that these individuals may never have received so we assign them a HIV / Biohazard eLearning that meets this requirement and the test system eLearning competency as well.

 Even if this HIV / Biohazard historical education wasn't a requirement I would still insist on it in my system.

I work for a Physicians Group that has 15 clinics.  I am the only MLS in the group.  We do have computer-based learning for all of our tests (our test menu is similar to yours).  Currently for our onboarding they are expected to do the computer-based learning, they then have time with our clinical trainers (they are a part of the same team I am on), and finally I come in to do a return to demonstration and review of some of the important lab things we do not cover in the computer-based learning.  This is usually within their first 3 weeks of hire.  Our Clinical trainers then have a 45 day check-in and 6 month check in with the new hire.  At 6 months they do a return to demonstration and fill out the competency form.

Please be aware that a title like MA-R in some states very clearly defines what they can do in regard to their scope.  For Example, Washington state has a defined scope of practice for MA-R, MA-C, MA-P, etc.  It feels weird to branch out from lab regulations into MA or nursing regulations, but necessary when they are your lab operators. 

This sounds similar to our new CA, clinical assistant, program. We cannot find enough MAs to fill all positions any longer. Our CAs come with no medical background. We are slowly introducing them to testing, one method at a time and evaluating performance and use over time.  In the hospital, we started with HA1C testing as that was a huge need, and now we are adding UPT. We are developing a sort of "Lab 101" elearn course that they will need to complete, in addition to the test method course and hands on training. This covers PPE, common lab abbreviations and terminology, patient ID, what is QC and why is it important. I had personally been training all the CAs so I knew that they were getting this basic info covered, but that's no longer going to be an option as we hire more and more. 
Jennifer's point is important - We spent much time, alongside compliance and nursing leaders, discussing and defining a very limited scope for these
employees. 

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Anastasia Augustine
over 2 years ago
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