Multiple CLIA sites, single competency management system

If non-waived you must demonstrate the 6 elements for each site.  I maintain a spreadsheet where I show shared team members and document QC, PT performance, direct observations are performed at each site and shared on-line knowledge based quiz.  My issue is the 1st year competency requirements but I schedule annual competencies during the same timeframe and use the latest date as the last certification date.  You got to be well organized.
I hope that this helps.

Thanks Sonya! Was mostly referring to waived, glucometer in particular for setting device lockout. 

I am also curious, as we are a multiple hospital system with systemwide POC with RALS.  Staff moves around now more than ever due being short staffed.  Our training is also a standardized approach, running the iSTAT is the same at one vs another.  I think POC is always the square peg trying to fit into the round circle and it just doesn't work the same as main lab.  I think RALS needs to work on this if CAP isn't going to budge, also goes for lock out of manual test entry--as long as one is up to date you can enter any

Spreadsheets are great but get tricky! I have RT's that have been trained at main site for years, now they are moving to another site--so they have to start initial training and 6 month competency for that site. Seems like a paper tiger to me.  Definitely hard until they get on the yearly cycle

Hi Steve - 
With the interfaced devices to RALS the people at the off site physician offices, it goes by the expiration date in RALS.  The Superv. RN and Nursing Educator take care of competencies done with each operator from their assigned "home location".  Usually other manual POC test, RSB, for example are done at or around the same time. This is scheduled, with the individual, that needs their comps updated.  Oversight is taken care of by the Supv. RN, Nurse Educator or me the POCC.  The Lab POCC, competency and sign off on those preforming the training/competency at each individual office and Nurse Educator.  
All comps/in-service are scanned into a common drive we have developed ( myself and Nurse Educator) these are put in folders according to Location and each individual.  This way when they travel to another location the folder can be copied and grabbed over by the new location they travel to.

Hi,
We also use facility specific IDs, which is their ID preceded by a letter specific to the facility. We use Telcor, and there is an upgrade available which Telcor says will allow us to certify an operator for multiple facilities, at which point we will be able to standardize to one operator ID,

I think individual inspectors understand the system approach and the fact that we have standardized processes at multiple hospitals/clinics, etc. However, CLIA and thus the other regulatory agencies have rules (antiquated, for sure) that they have to follow. We do one electronic learning program, and then a checklist for each site. It required some changes in the learning systems, as well as Telcor. The testing personnel get very frustrated to be told that they need to do the same thing at multiple sites, and for some areas, pulling in someone from another site to cover can happen in an hour or so, definitely not time to do training. Once again, we are years ahead of the regulatory agencies. CLIA really needs to come into the 21st century!