Glucose Training Specimen

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Hi All- I would like some feedback about what everyone uses as the patient sample for glucose recertification.  We have Nova meters connected to RALS, and we have had a John Doe patient, complete with wristband, active for training.  Operators scan the wristband, the meter fetches the information, and the operator is able to continue testing.
When my meters are connected to Novanet (which is the case for any new SN), the meter will only fetch patients that are in the same location as the meter (ie.lab location, patient must be in lab).  Currently our John Doe patient data appears in the meter in all hospital and outpatient locations.

How does everyone handle glucose recertification?  I am looking for alternate viable scenarios.

Thanks in advance!
Tilly

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We do the same thing at my organization. I have a "fake patient" that I manually built into NovaNet for our Inpatient Nova meters and a different "fake patient" for our outpatient Nova meters. Then I give the trainers the appropriate armband information for the "fake patient" that will work for the glucometers they are training on. We have different staff that train inpatients vs outpatients - so making two fake patients works for us.

Hi
We have staff run both levels of QC and perform the quiz in RALS.  Also have RALS and Nova Meters.  Do not have NovaNet. Have just under 500 operators in the hospital and 3 Urgent Care Sites.  Use QC instead of a mock patient due to IT issues - ADT information, off site locations, etc.

Good morning!

About our organization: 
We utilize Nova Net and QML. We now have Enterprise systems for both following EPIC go-live. Our region has 4 main hospitals, 4 free standing ED's, and we are adding more and more clinics all the time.

Our process:
For automatic recertification, we require all operators to run 2 sets of QC and 2 patients, minimum, every year. 99% of our operators have ample opportunity throughout the year to complete their 2 patients during their normal shifts. For any location or operator that does not see enough patients that require testing, we offer a "fake patient" account number that we set up in Nova Net. They are welcome to complete their testing at any time before the annual deadline.

Our glucometers are under our TJC accreditation so we chose running QC and taking a quiz to be the 2 out of 4 elements used for competency assessment.  We have the meters set up to lock unless 2 QCs (1 high and 1 low) are run at a minimum of once per year and have a quiz required for annual education in HealthStream.  Initially operators must be observed using the glucometer, but after that the recertification is automatic in RALS based on QC completion.  We also do not use NovaNet, only RALS.

We have Nova and QML and have our glucometers set for auto recert.  The operators have to do a QC sample and a fake patient annually.  We have our Nova buckets set up as inpatient and outpatient so the patient doesn't have to be in the same location as the meter.  I don't have the fake patient in our database so they have to select downtime override if the patient info isn't showing., We have QML setup to look for specific competency barcodes along with the QC to autorecert the operator.

Hello,
  Large health system here, and at >10,000 operators, we do not require a "patient" test as an element of competency for certification or recertification, as it has become untenable to maintain, and there are other options allowed by most regulatory agencies for waived tests such as this.  Two levels of QC per calendar year plus successful completion of a learning module with quiz recertifies our operators.

I admit that it is best practice however to do an actual patient so kudos to those of you upholding this requirement!

We have the nova and for initial training they complete a training module in Learn, a quiz in Rals and a quick hands on with us. They perform both levels of qc and a training patient. We created a barcode for them to scan. The meter isn't able to validate the ID which gives us a chance to explain the new patient override button. For annual they complete their quiz in Rals and both levels of QC. 

Hi Tilly - 
For Training we just use the QC material. For annual comp w/ direct observation I have them use the QC material also but, through the Proficiency pathway.  I make up a new Direct Observation code each year and have them programed in RALS in the Proficiency materials. Like this year is DO2025L1 and DO2025L2.  For new training we have multiple fake patients.  

Thanks Gina- and everyone who has responded to my question.  I will have to try various scenarios to see what will work best for our workflow.

Tilly

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