POC staff vs size of facility

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I am looking at justifying my hospital creating another POC position (potentially a part time,) and am trying to get a baseline for what other similar facilities have in the way of POC staff.

How large is the scope of your POC program and how many POC staff do you have?


I am currently the POC coordinator at my facility, I have NO other POC staff. 
I am at a 350 bed hospital.
Not counting waived testing, I manage a little over 300 staff that run moderately complex testing.
This is mostly istat testing occurring in ED and NICU.
I am also over blood gas instruments for respiratory, OR, and CATH lab.

This is partially in response to the new CLIA requirements for technical consultants that will prevent me from delegating competency assessment to nurses in each department. Which is what I have been doing up to now.

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Your hospital size and volume of staff to manage for non-waived mod complex sounds about the same as me. I am the only POC person at my facility as well and my position was only created like 6 years ago. I do not delegate any of the non-waived mod complex competencies and it is very time consuming. I wish I had a part time person to help me, but I really don't think that is an option due to budget restraints.

Thanks Breana- 
How to you organize the competencies for so many people? Do you have set classes?

Do you have any redundancy for your program then? Another one of my problems is that I currently don’t have a great back up so if i suddenly needed to go on leave, the hospital would be in trouble.

I work with most departments and they include me in their skills days usually. Anyone that misses the skills days has to schedule a time with me to complete their competency. I also go up to the departments and observe a lot of testing.

When I went on maternity leave 3 years ago I had to train someone to cover me. Lots has changed since then though and really I wouldn't have someone to cover me if I was out for any significant length of time. It is just so hard to keep someone up to date on everything if they are not working in POC regularly. Its not an ideal situation AT ALL, but I make it work.

To support an additional FTE , staffing is based on how many test personnel you manage.  Testing personnel are counted by the number of test methods performed not the amount of staff.  For example, 1 staff member that is certified to perform blood gas, chem 8, and glucose would as 3 and not one.  I am not sure of the current number but I believe its around 1 POCC per every 500 testing personnel.  I am at capacity... will continue 

I was hired by an organization that used this as the justification to add another FTE.  
Laboratory Matters ATC staffing plan April 2018 Issue 1.pdf
In this organization ATC = POCC

We have 6 POCC's for two hospitals (~720 beds total) and 45 outpatient clinics. 3700 total trained staff on waived + moderate. Plus we oversee PPM.  It would be 4320 total trained staff if you count the number of moderate methods each staff member is trained on like Lillian mentioned above.  4700 trained staff if you also count the number of waived test each staff member is trained on. 

Thank you- counting staff like that puts me much closer to a 850 staff count.

I’m hoping that since there are a few other misc needs in our lab that’s enough to get someone partially assigned to POC even if they’re also doing other things. No one is happy that have currently have zero back up- and most of the units don’t currently have anything like “skill days” set up, making the change in CLIA requirements for competency assessment very impactful.

I am at a 650 bed academic institution.  I have myself, Supervisor, 3 CLS Specialists, 5 CLS and 3 unlicensed staff on the POC team.  By far the biggest team I've been a part of!  We have 750 mod complex competencies and approx 4000 waived, we're in California so nothing can be delegated.  Definitely seems like you could make the case for more staff -- my team records issues in an issue log and we try to calculate out the time spent on troubleshooting devices and competencies (just an estimate), might give you some leverage to show you need more help.

Thank you for the ATC staffing plan provided and it was very helpful.  However I have many identical devices that are for workflow/patient throughput issues that are not included in the formula.  Each device needs management resources for troubleshooting, tracking, etc., and that does not seem to be accounted for in large institutions.  Does anyone have an equation that uses a similar staffing plan, but includes number of devices not just tests and staff?

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