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
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
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
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