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Super Users for Moderate Complex Blood Gas Analyzer
Super Users for Moderate Complex Blood Gas Analyzer
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It has been sometime since I looked into this and it is lunch time so I need the collective Point of Care brain for this.
Point of Care Super users would fall under technical consultants. If you have a moderate complex blood gas analyzer such as the epoc or the GEM 5000/7000. Nursing can act as super users to assess the competency of their peer nursing staff for the Point of Care department, correct?
My understanding was always, yes but someone asked me this question and I just wanted to verify with the regulations.
The December 28, 2024 rule change, only applied to high complexity testing.
Unless a nurse was grandfathered in (they were a technical consultant before Dec 24) they can no longer be a technical consultant. To qualify now you must have a bachelors in a biological or chemical degree or meet a very specific amount of science credits on their transcript. The changes were for moderately complex testing as well.
No, the December 28, 2024 rule applied to moderate complexity testing and technical consultants. If you have someone currently in that role, they are grandfathered in. Otherwise, nursing cannot be technical consultants unless they have the requisite number of biology and chemistry credits. In addition, for blood gases the TC must have a bachelor's degree, although it now also includes a bachelor's in respiratory or cardiovascular technology.
Great question, and the crux of our pain with this new ruling. Remember, you can use someone as a TC if they come from another site and were a TC there as long as it's less than 6 months since they left. The issue would be documenting their 2 years of experience. They can't just say "oh yes, I was a TC at my last job". We're looking at developing a form to document their experience, probably would need to be signed by their medical director? If anyone already has a form or process for this, please jump in!
I have lost two of my grandfathers/grandmothers in the OR (where there are several ABL90 blood gas analyzers). Luckily, I was able to review the transcripts of three of our OR nurses, and they qualified as TCs. I used the CAP form for transcript eval, and had my director sign off. I haven't had to evaluate a TC coming from another hospital- verifying the two years hands on experience would be challenging! 😥
To piggy-back off this conversation, my hospital currently has many nurses that run CG8 iSTAT cartridges (chemistry & blood gases) in areas such as cath/ep labs, OR, ED, and PICU. How would you interpret these updated CAP standards regarding RNs running blood gases? Would you say they cannot run them at all? My department is in the process of clarifying this with CAP, because from how we are interpreting this, it looks like only our respiratory therapists and perfusion team would be qualified to run this testing. Does that sound right?
If so, what is the point of having POC testing if the personnel qualification standards are so strict that they aren't qualified to run it? image.png
If you check the chart, it has "Qualify as listed above", which states that high school diploma, with appropriate testing. That would include your nursing personnel. They've called our respiratory folks separately for some reason.
I haven't had to evaluate a TC coming from another hospital- verifying the two years hands on experience would be challenging! 😥
If so, what is the point of having POC testing if the personnel qualification standards are so strict that they aren't qualified to run it?