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 Number of POC methods – 17 - includes waived and moderate complex testing Two POC computer systems MAS/RALS Abbott POCT Personnel – 1.5 FTE’s
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
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
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
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
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
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
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
Annual Assessment of POCT at LGH Strep Testing Written exam (procedure manual highlights and problem solving questions) Unknown proficiency testing Monitoring of quality control
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
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
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
???Questions??? Thank You