POC.06910 Competency Assessment - Nonwaived testing

We have a centralized system as well and for all quizzes and observations, we name them with the location.  These staff end up doing the competency multiple times across our facilities.  This happens specifically with our MRI Nurses who use iSTATs.

We are fortunate to have a POC coordinator at each of our facilities (all different CLIA's).  They manage all of the training and competencies at their facility using standardized forms and quizzes that are housed on a shared document management system (Policy Tech).  The forms/quizzes have each of the facilities listed at the top so the one where the assessment occurs is circled.  If an employee performs testing at multiple facilities, they meet with the POC coordinator at each to be signed off.

We do have this situation with our freestanding ED/UC sites. we have one electronic learning program for the operators, even if they test at multiple sites. The thing we do for each site is the hands-on training and competency assessment. That needs to be done at each site for mod complex testing. We didn't want to ask the operators to do multiple electronic programs with quizzes. This has been accepted by both COLA and CAP.

We do the same as Kathleen and Angie at my organization.  The only thing I would add, if the operator draws the creat in a green top tube the testing complexity changes to waived.  And then your Medical Director determines competency.  This is something we did at our offsite locations for Creatinine testing.  This helped with our CT/MRI dept only have to recertify at one location instead of all 4 they work at.  

Same situation here, and may I add that this requirement is simply maddening.  Because I require direct observation for mod complex and therefore have to meet with the operator in person anyway, I have them do their competency assessment on paper.  As the testing platforms are identical, on that document I specify the CLIA numbers that the document covers.  So far I have not been challenged on it by CAP inspectors.  

Gina, we also have a Learning Management System that all campuses and clinics use. To accomodate multiple CLIA#s ('labs'), we use a dedicated 'checkoff form/tool' for each CLIA# the employee works at. Although our program is standardized and we'd say 'every testing site performing analyte A does it the same following the standard SOP', we try to note on the checkoff form/validation tool if any teeny thing is a teeny bit different in the environment or the workflow. A copy of the quiz transcript is attached to the validation tool of the testing site for the packet for analyte A competency assessment. Each testing site must maintain a roster of active operators with dates of competency listed. Even if they are 'float' staff, they have to have competency packets in place in that CLIA#, and must be listed on the site roster, in order to perform testing. 

Hi! Same as everyone here, pretty much.  We have a single online module they have to complete and then they use a QR code to sign up for a direct observation/competency assessment of skills with the POCC at each of our sites.  We have them sign up for a 15 min slot.  Some of my ED staff can float between 4 hospital EDs and 4 FSED.  It's totally maddening since we are a completely standardized system at all locations.  
Mary

Hello!
This spring we are opening a new "second" hospital where iSTAT analyzers will be used. We use TELCOR QML as our data manager, and we use HealthStream for our competency checklists and quizzes. The new cite will have its own separate CAP/CLIA number. How do you manage certifications in QML (or in your system) so that personnel that will work in both facilities follow the required competency assessment frequency (POC.06915) at the new site? These same employees should continue with the annual competency schedule at the "first" hospital since these employees have performed assigned duties there for many years.

We also have the single online portion with quiz which applies for all sites then we complete paperwork (which includes direct observation documentation) for each CLIA test location.  I would have to second James Beck's sentiments in stating that it is maddening.  I think it is especially maddening for lab staff.  One of our sites is "one hospital, two campuses" (and 2 Lab CLIAs).  We have lab staff that work at both locations and need to complete all observations at BOTH sites.  Same test methods and such but different countertop... oiye.  While I'm venting here, I also don't quite agree with the 2 yr vs. 4 yr criteria when it comes to who can observe and train.  A 2yr tech with 30 years of experience can train staff but not observe them for competency.  And on the flip side, a 4 yr tech with 2 years of experience can observe someone for competency.  I feel for the 2 year techs that are awesome trainers and have to have a newby (that they probably trained) sign them off.