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Point of Care Competency Testing at Lancaster General Hospital

Point of Care Competency Testing at Lancaster General Hospital. By Karen Espey, MT (ASCP) Lab Supervisor - POCT and Phlebotomy. LGH Highlights. Bed size – greater than 580 Number of POC sites – 10 sites Number of POC users – 3025 plus

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Point of Care Competency Testing at Lancaster General Hospital

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  1. Point of Care Competency Testing at Lancaster General Hospital By Karen Espey, MT (ASCP) Lab Supervisor - POCT and Phlebotomy

  2. LGH Highlights • Bed size – greater than 580 • Number of POC sites – 10 sites • Number of POC users – 3025 plus • Number of POC methods – 17 - includes waived and moderate complex testing • Two POC computer systems • MAS/RALS • Abbott • POCT Personnel – 1.5 FTE’s

  3. LGH Highlights • LGH is state, JCAHO and CAP accredited • POC users are trained during orientation by the POC department or validated trainer from the Education Department • Competency is assessed annually by the POC department for waived and moderate complex testing • Unit validators and the Education Department validate ONLY visual glucometer testing

  4. Competency Assessment Requirements CAP/JCAHO Requirements Elements of competency assessment include but are not limited to: • Direct observation (patients, qc, and maintenance) • Monitoring of test results • Review of records • Blind or proficiency testing • Evaluation of problem solving skills

  5. Annual Assessment of POCT at LGH UA dipstick testing • Written exam (procedure manual highlights and problem solving questions) • Visual (performance of an unknown) • Monitoring of quality of control Specific Gravity by Refractometer • Written exam (procedure manual highlights and problem solving questions) • Visual (performance of an unknown) • Monitoring of quality of control Urine Pregnancy • Written exam which includes a positive/negative test • Unknown Proficiency Testing • Problem solving questions included in written exam

  6. Annual Assessment of POCT at LGH Hemoccult/Gastroccult • Written exam which includes a positive/negative test • Unknown proficiency testing • Problem solving questions included in written exam DCA 2000/Glycohemoglobin • Written exam (procedure manual highlights and problem solving questions) • Visual observation of patient testing • Proficiency testing

  7. Annual Assessment of POCT at LGH ACT Testing (Response and Sig+) • Written exam (procedure manual highlights and problem solving questions) • Unknown proficiency testing • Monitoring of quality control i-STAT • Written exam (procedure manual highlights and problem solving questions) • Unknown proficiency testing • Explanation/observation of patient preparation and specimen collection

  8. Annual Assessment of POCT at LGH Coaguchek • Written exam (procedure manual highlights and problem solving questions) • Unknown proficiency testing • Explanation/observation of patient preparation and specimen collection • Monitoring of quality control Glucometer • Written exam (procedure manual highlights and problem solving questions) • Unknown proficiency testing • Explanation/observation of patient preparation and specimen collection • Monitoring of quality control bi-annually

  9. Annual Assessment of POCT at LGH Cholesterol • Written exam (procedure manual highlights and problem solving questions) • Unknown proficiency testing • Explanation/observation of patient preparation and specimen collection Amnioswabs • Written exam which includes a positive/negative test • Unknown Proficiency Testing • Problem solving questions included in written exam

  10. Annual Assessment of POCT at LGH Strep Testing • Written exam (procedure manual highlights and problem solving questions) • Unknown proficiency testing • Monitoring of quality control

  11. Tools for Annual Competency documentation • Netlearning program (procedure manual highlights, written competency tests, and used for procedural changes) • Net Manager (summarizes completed tests and provides grades for each individual) • Excel spreadsheet

  12. Managing Annual POC Competency at LGH • Test specific written exam appears in Netlearning for each individual to perform • Written exam requires > 80% to pass • Net Manager tallies all passing tests and generates a report • Visual competency logs completed by POC department, Education Department and validators

  13. Managing Annual POC Competency at LGH cont’d • Visual competency logs managed by POC department • Competencies are managed by using an Excel spreadsheet • Bi-monthly, validators and the Education Department are updated with a list of incomplete competencies • All competencies are to be completed by April 1st

  14. ???Questions??? Thank You

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