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Ephrata Community Hospital- 12/2006 1 Ephrata Community Hospitals POCT Competency Program- Then and Now By Beverly McAllister Laboratory Operations Manager.

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Presentation on theme: "Ephrata Community Hospital- 12/2006 1 Ephrata Community Hospitals POCT Competency Program- Then and Now By Beverly McAllister Laboratory Operations Manager."— Presentation transcript:

1 Ephrata Community Hospital- 12/2006 1 Ephrata Community Hospitals POCT Competency Program- Then and Now By Beverly McAllister Laboratory Operations Manager

2 Ephrata Community Hospital- 12/2006 2 Demographics 135 bed Community Hospital 135 bed Community Hospital Located in Lancaster County, PA Located in Lancaster County, PA 12 types of Point-of-care tests 12 types of Point-of-care tests 6 POC tests brought in-house within the last 3 years 6 POC tests brought in-house within the last 3 years Abbott P-Web brought in-house within the last 2 years- prior to that QM2 in use for Precision PCx Abbott P-Web brought in-house within the last 2 years- prior to that QM2 in use for Precision PCx Physicians credentialed for PPT tests Physicians credentialed for PPT tests All Anesthesiologists trained/competencied on ISTAT All Anesthesiologists trained/competencied on ISTAT Operator lists are on Excel Spreadsheets by instruments/test type Operator lists are on Excel Spreadsheets by instruments/test type

3 Ephrata Community Hospital- 12/2006 3 POCT Operator Demographics Precision PCx Whole Blood Glucose Meter- 440 users Precision PCx Whole Blood Glucose Meter- 440 users Precision XTRA Whole Blood Glucose Users- 26 users Precision XTRA Whole Blood Glucose Users- 26 users Fecal Occult Blood- 150 users Fecal Occult Blood- 150 users Gastroccult- 40 users Gastroccult- 40 users Urine Pregnancy- 70 users Urine Pregnancy- 70 users Urine Dipstick- 90 users Urine Dipstick- 90 users Avoximeter- 6 users Avoximeter- 6 users Coaguchek- 12 users Coaguchek- 12 users Cholestech- 5 users Cholestech- 5 users Nitrazine paper- 50 users Nitrazine paper- 50 users ISTAT- 80 users ISTAT- 80 users

4 Ephrata Community Hospital- 12/2006 4 POCT LOCATION DEMOGRAPHICS Precision PCx- all areas Precision PCx- all areas Precision XTRA- Ambulance Life Support Unit Precision XTRA- Ambulance Life Support Unit Fecal Occult Blood- ED, IMCU, CCU Fecal Occult Blood- ED, IMCU, CCU Gastroccult- ED, IMCU, CCU Gastroccult- ED, IMCU, CCU Urine Pregnancy- ED, SSU Urine Pregnancy- ED, SSU Urine Dipstick – FMU, ED Urine Dipstick – FMU, ED Avoximeter- Cath Lab Avoximeter- Cath Lab Coaguchek- Cancer Center Coaguchek- Cancer Center Cholestech- Wellness Center Cholestech- Wellness Center Nitrazine Paper- FMU Nitrazine Paper- FMU ISTAT- Anesthesia, Cath Lab, Respiratory, NICU ISTAT- Anesthesia, Cath Lab, Respiratory, NICU

5 Ephrata Community Hospital- 12/2006 5 REGULATIONS- JCAHO- Current as of 9/2006 Standard- PC.16.30 Standard- PC.16.30 Staff receive specific training and orientation for the tests they perform, and must demonstrate satisfactory levels of competence. Staff receive specific training and orientation for the tests they perform, and must demonstrate satisfactory levels of competence.

6 Ephrata Community Hospital- 12/2006 6 Elements of Performance for PC.16.30 1.Staff members who perform testing have been oriented according to the hospitals specific services. 2.Staff members who perform testing have been trained for each test he or she is authorized to perform. 3.Those staff members who perform tests that require the use of an instrument have been trained on the use and maintenance of that instrument.

7 Ephrata Community Hospital- 12/2006 7 Elements of Performance for PC.16.30- cont. 4. Competence is assessed according to hospital policy at defined intervals. Testing always occurs at the time of orientation and annually thereafter. 5. Current competency is assessed using at least 2 of the following methods per person per test: Performing a test on a blind specimen Performing a test on a blind specimen Having the supervisor or qualified delegate periodically observe routine work Having the supervisor or qualified delegate periodically observe routine work Monitoring each users quality control performance Monitoring each users quality control performance Having written testing that is specific to the method assessed. Having written testing that is specific to the method assessed. 6. The director named on the CLIA certificate or qualified designee evaluates and documents evidence of orientation, training and competency.

8 Ephrata Community Hospital- 12/2006 8 CAP Regulations- Current as of 10/31/06 POC.06700 Phase II Is there evidence that testing personnel have adequate, specific training to ensure competence? Is there evidence that testing personnel have adequate, specific training to ensure competence? POC. 06800 Phase II Is there a current list of POCT personnel that delineates the specific tests that each individual is authorized to perform? Is there a current list of POCT personnel that delineates the specific tests that each individual is authorized to perform?

9 Ephrata Community Hospital- 12/2006 9 CAP REGULATIONS- cont. POC.06900 Phase II POC.06900 Phase II Is there a documented program to ensure that each person performing POCT maintains satisfactory levels of competence? Is there a documented program to ensure that each person performing POCT maintains satisfactory levels of competence?

10 Ephrata Community Hospital- 12/2006 10 CAP Regulations- cont. NOTE: The records must make it possible for the Inspector to determine what skills were assessed and how those skills were measured. Some elements of competency assessment include, but are not limited to: 1.Direct observation of routine test performance, including patient prep, specimen handling, processing and testing 2.Monitoring the recording and reporting of tests results 3.Review of intermediate test results or worksheets, QC records, PT results, and PM records.

11 Ephrata Community Hospital- 12/2006 11 CAP Regulations- cont. 4. Direct observation of performance of instrument maintenance and function checks 5. Assessment of test performance through testing previously analyzed specimens, internal blind testing samples or external PT samples 6. Evaluation of problem solving skills

12 Ephrata Community Hospital- 12/2006 12 CAP Regulations- cont. Competency must be reassessed at least annually. During the first year that an individual is performing such patient testing, competency must be assessed every 6 months. All of the above elements that are applicable to an individuals duties must be evaluated for that individual. The competency of physicians who perform POC tests may be established and reassessed through the credentialing process of the institutions medical staff. Competency must be reassessed at least annually. During the first year that an individual is performing such patient testing, competency must be assessed every 6 months. All of the above elements that are applicable to an individuals duties must be evaluated for that individual. The competency of physicians who perform POC tests may be established and reassessed through the credentialing process of the institutions medical staff.

13 Ephrata Community Hospital- 12/2006 13 The Journey began in 2000……… Staff development was doing the training for whole blood glucose testing and fecal occult blood- They trained all RNs on both tests regardless of where they were working Staff development was doing the training for whole blood glucose testing and fecal occult blood- They trained all RNs on both tests regardless of where they were working I had no idea what other tests where being done in house and who was training them or if there was training I had no idea what other tests where being done in house and who was training them or if there was training No competency program existed at the time No competency program existed at the time Units were hiding POC products in filing cabinets. They would not admit to performing the tests Units were hiding POC products in filing cabinets. They would not admit to performing the tests We had just gone live with QCM2 in the fall of 1999. That was the only operator list I had We had just gone live with QCM2 in the fall of 1999. That was the only operator list I had

14 Ephrata Community Hospital- 12/2006 14 The journey continues…. First things first…. 1.Clean up the house 2.Identify what tests were being performed 3.Initiate competency program. 4.Initiate proficiency testing program 5.Comply with regulations.

15 Ephrata Community Hospital- 12/2006 15 The journey continues….. Paper, Paper and more Paper……. The first competency program consisted of a written test and no more, for whole blood glucose testing and fecal occult blood. That was in 2002. The tests had to be completed and returned to me by the last week of December. That would give me enough time to grade them and update the operator certification in QCM2. It was a nightmare getting all of the tests back.

16 Ephrata Community Hospital- 12/2006 16 The journey continues….. This process went on for several years. I added more written tests for those manual tests that did not have one or for those new products brought in-house. Staff development continued with the OCB and WBG training. I trained staff for all other tests. I also initiated a proficiency testing program and developed maintenance forms for the Precision PCx among other things. The process was becoming very painful-something had to give. This process went on for several years. I added more written tests for those manual tests that did not have one or for those new products brought in-house. Staff development continued with the OCB and WBG training. I trained staff for all other tests. I also initiated a proficiency testing program and developed maintenance forms for the Precision PCx among other things. The process was becoming very painful-something had to give.

17 Ephrata Community Hospital- 12/2006 17 The journey continues….. 2005- the straw that broke the camels back I had distributed all of the POCT competency tests to the nurse managers stating that if the staff did not complete and pass them as of 12/31/05, they would be locked out of the system and not be allowed to use the glucose meter. Well guess what happened!!!!! I had distributed all of the POCT competency tests to the nurse managers stating that if the staff did not complete and pass them as of 12/31/05, they would be locked out of the system and not be allowed to use the glucose meter. Well guess what happened!!!!!

18 Ephrata Community Hospital- 12/2006 18 the straw that broke the camels back…….. I got a call around 0900 on 12/31/05 stating that no one could get into the glucose meter. Only one operator ID worked and all of the staff was using it. I told the nursing supervisor the reason for that was due to the staff not taking their competency exam and they were now locked out. To make the long story short, I had to come in and recertify all staff regardless of whether or not they took the exam. On 1/2/06, I met with the VP of Nursing, the nurse managers and staff development. Things started to change that moment. After thorough discussion of the regulations and the process currently in place, we were all on the same page. We all wanted to do a good job and meet each others needs as well as comply with the regulations. I got a call around 0900 on 12/31/05 stating that no one could get into the glucose meter. Only one operator ID worked and all of the staff was using it. I told the nursing supervisor the reason for that was due to the staff not taking their competency exam and they were now locked out. To make the long story short, I had to come in and recertify all staff regardless of whether or not they took the exam. On 1/2/06, I met with the VP of Nursing, the nurse managers and staff development. Things started to change that moment. After thorough discussion of the regulations and the process currently in place, we were all on the same page. We all wanted to do a good job and meet each others needs as well as comply with the regulations.

19 Ephrata Community Hospital- 12/2006 19 How did it all end…….. In 2006- the following changes were made: 1.All of the written competency exams were transitioned to Healthstream No more paper No more paper Nurse manager accountability Nurse manager accountability POCT operator accountability POCT operator accountability Staff knows they will be locked out if the exams are not completed. Staff knows they will be locked out if the exams are not completed. 2. Receive a Terms/Hires document from HR every month so I can keep track of and update the Operators Users list in Excel and QCM3 3. Creation of Test specific Operators list in Excel 4. Review of POC test menu by department- was able to eliminate testing in some areas. 5. Developed written Training/Competency Program with training documents for all POC tests as well as a POCT Competency Assessment Form 6. Involved nursing with POCT Competency Program. Defined roles for POCT Coordinator, Nurse manager, Staff development and Nurse educator. 7. Addition of POCT coordinator assistant. 8. Development of POCT QI Report Card.

20 Ephrata Community Hospital- 12/2006 20 Theres still work to be done….. 1.Need to go back and retrain the nurse educators on the manual tests- There is no training documentation 2.Get signature lists of all POCT operators performing manual tests in which QC is documented manually. This is so we can read the initials of each POC operator to allow them to receive credit for successfully performing QC. 3.Initiate performance of testing unknown specimen for manual tests 4.Training of POCT coordinator assistant.

21 Ephrata Community Hospital- 12/2006 21 What have we learned……. 1.POCT coordinator is the leader and Leadership is the act of accomplishing more than the science of management says is possible!!! 2.Nursing and the POCT coordinator need to work as a team to get the job done completely- Cant do it alone 3.Communication and understanding is key! 4.Question-Why you are doing something? Is there value in it? Can it be done differently? 5.Rome was not built in a day- A good program takes time to mature

22 Ephrata Community Hospital- 12/2006 22 POINT-OF-CARE COMPETENCY ASSESSMENT FORM NAME:__________________________________________________________ DEPT.:____________________OPERATOR ID:____________________ COMPETENCY ASSESSMENT FOR YEAR:_________________________ 1.All employees must have at least 2 competency assessment methods to be deemed competent for each test method performed. Healthstream Module is mandatory; therefore one of the other 5 methods MUST be completed. 2.As you complete a competency assessment method, date and initial the completion. If you are being observed, the observer MUST date and initial observation. 3.If you do not perform one of the test procedures listed, document N/A indicating Not Applicable. 4.Please keep this record in your files. Inspectors may ask for it. Test MethodCompleted Healthstream Module- MANDATORY Direct ObservationMonitor documenting test resultsPerform quality controlPerform unknown specimen Perform proficiency test sample Precision PCX glucose meter Precision XTRA glucose meter Fecal Occult Blood Gastric Occult Blood Urine Dipstick Urine Pregnancy Nitrazine Test ISTAT Avoximeter

23 Ephrata Community Hospital- 12/2006 23 ISTAT TRAINING DOCUMENT Name:_________________________________ Date:_______________________ Department:___________________________Operator ID: _________________ GOAL: To Demonstrate competency in the use of the ISTAT System Evaluators Initials Identifies components of the ISTAT System_______________ Identifies patient using 2 patient identifiers_______________ Describes proper specimen collection _______________ Handles the specimen properly _______________ Fills and closes the cartridge correctly _______________ Inserts and removes the cartridge correctly_______________ Describes proper cartridge storage requirements _______________ Accurately enters data into the ISTAT _______________ Explains all prompts and displays _______________ Demonstrates access to stored patient results_______________ Describes what to do with patient results _______________ Describes the use of the Electronic Simulator _______________ Describes the care of the system_______________ Demonstrates docking the ISTAT_______________ Reviews Procedure _______________ EVALUATOR:__________________________________DATE:_________________

24 Ephrata Community Hospital- 12/2006 24 URINE PREGNANCY TEST TRAINING DOCUMENT Name: ______________________________________ Date: ______________________ Department: ____________________________ GOAL: To Demonstrate competency in the use of the ImmunoCard Stat HCG Advantage Pregnancy Test Evaluators Initials Identifies proper storage requirements of the test card __________________ Identifies and describes correct QC material and usage __________________ Identifies patient using two patient identifiers __________________ Describes proper specimen collection __________________ Handles specimen properly __________________ Identifies correct specimen volume __________________ Knows how to handle a cloudy urine specimen __________________ Accurately dispenses specimen into test card __________________ States incubation time __________________ Accurately interprets results __________________ Correctly identifies result documentation form __________________ States situations that may call for retesting __________________ Describes invalid test results __________________ Explains hook effect and what to do if it is suspected __________________ Reviews procedure __________________ EVALUATOR: ___________________________________ DATE: _______________

25 Ephrata Community Hospital- 12/2006 25 POINT-OF-CARE TESTING ISTAT OPERATOR COMPETENCY LIST YEAR: 2006 PARTIAL LIST PARTIAL LIST ISTAT COMPETENCY ASSESSMENT TYPES NAMEDEPTOP IDWRITTEN TESTREVIEW OF QCUNKNOWN SPECDIRECT OBS BARR, MAGGIEANESTHESIA8679XX X BEECH, ROBERTANESTHESIA6893XX X BERKOWITZ, ALANANESTHESIA8541XX X COOK, ARLENEANESTHESIA438XX X FAVORITE, SUEANESTHESIA6969XX X MCKANE, ROBERTANESTHESIA6827XX X NOLL, DAWNANESTHESIA7471XX X BUCEK, JEANINEANESTHESIA3568X XX CASSANO, DONANESTHESIA6888X xx CICERO, LARRYANESTHESIA8453X XX CULP, DAVIDANESTHESIA4005X XX JURGENSEN, MARCUSANESTHESIA7160X XX ZANG, DICKANESTHESIA1970X XX GARVIN, ROBERTANESTHESIA4685X XX HILL, KATHYANESTHESIA3942X XX KLICK, ROBERTANESTHESIA5847X ON FMLA LEE, CHANGANESTHESIA6529X XX MELAMED, BRIANANESTHESIA9119X XX MITCHELL, MARYCATH LAB8631X xx OBER, RAYCATH LAB8535X xx RAMBO, DALECATH LAB8983X xx

26 Ephrata Community Hospital- 12/2006 26 Equipment Management Plan ECH Environmental Safety Committee QI Initiative/Goals Report Card - FY 2007 IndicatorTarget 7/068/069/0610/0611/0612/061/072/073/074/07 5/076/07 1. Monthly preventative maintenance will have electrical checks completed according to schedule. 11 beds scheduled per month - 122 beds. Measurement: % of beds inspected in their appropriate month (7/1/06 – 6/30/07 (ES) Green = Average of 100% of beds completed in their specified month. Yellow = Average 90% of beds completed in their specified month. Red =,Average of 80% of beds completed in their specified month. 100% of beds inspecte d in specifie d month 100 % 2. Rental equipment will have a current, accurate and separate inventory. Measurement: Numerator: # of items rented (equipment) vs the number of items with inspection sticker. (ES, DP) Green = 100%/month Yellow = 1 missed/month Red = 2 missed/month 100% per month 3. ISTAT users completing annual competency. Measurement: Numerator: Number of trained ISTAT users completing 2 forms of JCAHO approved competency requirements. Denominator: Total number of trained ISTAT users. (DG, BMc) Green = 25%/quarter, 100%/year Yellow = 15-20%/quarter Red = <15%/quarter 25%/ Quarter with 100% compet ent by 12/06 85% 100 %

27 Ephrata Community Hospital- 12/2006 27 Any questions?


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