Non-Waived competencies in low volume departments
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Hi all,
How do you handle non-waived competencies in low volume departments where users don't have the opportunity to run a patient test during the competency assessment period? CAP won't advise but has stated that the user cannot be considered competent if they don't run an actual patient. We do have them run blind samples in addition to meeting the other required elements. Thank you!
How do you handle non-waived competencies in low volume departments where users don't have the opportunity to run a patient test during the competency assessment period? CAP won't advise but has stated that the user cannot be considered competent if they don't run an actual patient. We do have them run blind samples in addition to meeting the other required elements. Thank you!
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We have them run a fake patient. We use QC material, but you could a sample that has a known result, or leftover PT material.
What is the low volume test that you perform?
For ACT, Volume may be <10/year in areas like IR. Some areas have higher volume but some staff work infrequently and may not be scheduled when testing is needed.
Handling non-waived competencies in low volume departments can indeed be challenging. Here are some strategies that might help:
- Blind Samples: As you mentioned, running blind samples is a good practice. This helps ensure that staff are familiar with the testing process and can accurately perform the tests.
- Proficiency Testing: Utilize proficiency testing samples from external providers. These samples are designed to mimic patient samples and can be used to assess competency.
- Simulated Patient Samples: Create simulated patient samples that mimic real patient conditions. This can help in assessing the staff's ability to handle actual patient samples.
- Direct Observation: Conduct direct observations of staff performing the test on these simulated or proficiency samples. This can include observing their technique, adherence to protocols, and problem-solving skills.
- Review of Records: Regularly review quality control records, maintenance logs, and previous test results to ensure that staff are consistently performing well.
- Problem-Solving Assessments: Include assessments that test the staff's ability to troubleshoot and solve problems that may arise during testing.
- Documentation: Ensure thorough documentation of all competency assessments, including the use of blind samples, proficiency testing, and direct observations
These methods can help maintain a high standard of competency even in low volume departments. It's important to document all these activities thoroughly to demonstrate compliance with regulatory requirements.
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