Waived testing auto recertification

14 followers
0 Likes

For waived testing, such as fingerstick glucose, does anyone use the auto recertification function in RALS?  If so, what paramaters do you use to auto recertify?
Currently we have it set up to recertify if they successfully perform both levels of QC and at least one patient test in the last 12 months.
Does anyone just recertify with just successful QC performance?

9 Replies

Hi Deborah,
We use the auto recertification in RALS for our glucometers and have it set up to recertify with just 1 high and 1 low QC performed successfully in the last 12 months.  In addition to this we have annual education that is assigned through our online learning management system (HealthStream) which includes policy review, an educational video on cleaning the meter, and a test.  This helps to meet our TJC requirements for competency for waived testing. 

Hi
We use the auto recertification in RALS, too.  Successful performance of QC within the last 120 days and the exam in eQuiz (testing application that's an add-on item in RALS).  It's a fairly seamless process.  Currently, have to meet TJC guidelines also - 2 of the 6 elements of CLIA/CAP competency requirements.
  • Message to staff through the meter 14 days prior to expiration - to run QC and do exam
  • Each month the clinical leaders on the floors get a list of staff expired or expiring in the next 30-60 days.

This is our first year to auto certify in RALS. It's been a mind set change and a few bumps but has worked very well. We send a message to staff on the meters 30 days prior to expiration instructing them to perform level 1 and level 3 QC. They are also required to complete an annual exam in Symplr netlearning. I am able to export the exam dates from Symplr and then upload them into RALS using the LMS File Integration process. All 3 elements (both QC leveles and exam) must be completed before users are auto certified.  I initiate an email from within RALS at 15 days out if they still need to complete recertification; we are a smaller facility so this is not to overwhelming or time consuming. Directors are notified typically monthly of the expired users. If the user is expired they have to contact me to complete their certificaton again. We'll see how this process continues to work as we get further into using auto certification. 

I am hoping to implement auto recertification.  For those who have it already, if you set your parameters (QC & patient) and have them take a on-line training with quiz, you don't need any other physical competency form?  

We are Joint Commission accredited and the last several inspections the inspectors we've had have preferred electronic review of any documents.

Cathy - would you mind elaborating a bit on what the TJC inspectors prefer? 
Does this mean they prefer an online quiz vs a paper quiz (with or without the electronic quiz being tied to the middleware)?

Since we have not so far acquired eQuiz, and we use the hospital-wide online compliance platform for POC quizes, we don't use auto-recert in clinics because our TJC accredited WT program requires operators to (1) pass the quiz plus (2) either pass QC or perform a patient test under observation.

Thanks a bunch. 

We only require operators of waived testing submit an annual "paper" form if they are new, have allowed their competency status to expire, or require re-training.  Annual recertification criteria requires running both controls and passing the quiz (100%) in the 90-day window before the competency expiration date.  (We also use RALS with eQUIZ).

So-- for those using the eQuiz in RALS-- how do your end-users access the eQUIZ? Do they all have UNs and PWs to access RALS? Is RALS installed on the nursing unit computers?

All operators have an assigned User Name and Password to access RALS and they access the quiz by logging into RALS.  

Reply
Subgroup Membership is required to post Replies
Join POCT Listserv now
9
Replies
0
Likes
14
Followers
1007
Views
Liked By:
Suggested Posts
TopicRepliesLikesViewsParticipantsLast Reply
Roche Chemstrip specific gravity
Laura Ball
2 days ago
1094
Michael Bishop
2 days ago
Anybody have experience with the Actalyke?
Edith Synnefakis
3 days ago
00134
Edith Synnefakis
3 days ago
Cal/Ver Istat pCO2
Autilia Sisti
3 days ago
20252
Autilia Sisti
2 days ago