New CLIA requirements for Laboratory Technical Consultant and Non-Waived training/competency verification
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Happy Friday!!
As an organization, we are still trying to find a process to accommodate the changes CLIA made in January 2025 for the qualifications for Technical Consultant for Point of Care non-waived initial training and competency verification. Prior to January, we had a select few nurses who met the qualifications to sign other nurses off to perform non-waived POC testing, now that nursing no longer qualifies, our list of approved trainers is dwindling quickly.
Has anyone else had to re-build their training and competency program to accommodate this? Within my organization, there are 2 POCC for almost 1000 nurses. Not all perform non-waived testing however as we get new employees, I am finding it difficult to meet with each and every one of them to perform initial training and competency checks.
I would appreciate any insight anyone has as to how they handle their initial training and competency for their locations.
As an organization, we are still trying to find a process to accommodate the changes CLIA made in January 2025 for the qualifications for Technical Consultant for Point of Care non-waived initial training and competency verification. Prior to January, we had a select few nurses who met the qualifications to sign other nurses off to perform non-waived POC testing, now that nursing no longer qualifies, our list of approved trainers is dwindling quickly.
Has anyone else had to re-build their training and competency program to accommodate this? Within my organization, there are 2 POCC for almost 1000 nurses. Not all perform non-waived testing however as we get new employees, I am finding it difficult to meet with each and every one of them to perform initial training and competency checks.
I would appreciate any insight anyone has as to how they handle their initial training and competency for their locations.
19 Replies
The nurse had to be serving as a TC as of 12/28/2024.
To qualify as nurse TC, they had to already be performing competency assessments prior to the CLIA go-live date of 12/28/24.
Grandfathering for the delegated TC role, POC competency performers that are BSN degree: These would have to be your current TC RNs that were in their delegated role prior to the drop dead date of Dec 28th 2024. They would have needed to be listed with your accreditation agency and signed off as delegated by your medical director. If they were not in place prior to that date, they would need to qualify by new regulated means at this point.
We had our COLA Inspection yesterday and were told that nurses who were TC's could be grandfathered in as TC's but as of 12/28/2024 they can no longer "Observe" and sign off on competencies. This eliminates more than half of our designated staff we use to sign off on competencies for I-Stat each year. We argued they should be grandfathered in but was told yes, they could serve as a TC but did not qualify to Observe and sign off on competency unless they are qualified according to the new CLIA guidelines.
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