Employee failed written competency, but passed direct observation

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Hi all,

I'm new to the Point of Care world and have a question. We have an employee that failed their written competency, but passed their direct observation. Other than verbally going over all of the questions and correct answers with the employee, can the same quiz be issued again and attached to the original, to make sure they understand the correct answers? Or should an alternative written quiz be given with different questions?  I want to make sure we are covering all of our bases. Thank you! 

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Hi Jay, 
I would go over all the relevant points again with the employee, with a "retraining" checklist, and then give them the same quiz again if possible, to show that they now have the information they need.

Perfect. Thank you so much, Kathleen. Does the employee need to be removed from performing the testing until the second quiz is passed? 

Yes, we would remove them until they passed the quiz.

Quizzes are administered electronically through our learning management system.  If the employee does not receive a passing score, they can take the quiz up to 5 times.  The system randomly rearranges the order of the questions and the placement of the correct answer.  (You can't memorize A, A, D, C...)

We also have POCT lessons as part of annual recertification.  If someone fails the quiz 5 times, they must reach out to the POC coordinators.  We recommend that the employee review the lesson before trying the quiz again.

Thank you, Kathleen!

That's sounds great, Terry. Our in-house nurse competencies were just added to Health Stream and we are loving it so far, minus a few quirks. We are hoping to move forward with adding our offsite locations to our Learning Management System as well. These are great points you brought up that we can implement for when we get to that. Thank you so much, Terry! 

Terry - is your facility CAP accredited?  I am actually dealing with a similar issue for waived competency quizzes.  My users complete the quizzes electronically and then download a certificate of completion once they pass with an acceptable percentage.  Currently, we lock them out from the quiz after 2 attempts, and they have to contact us for re-education before their quiz is unlocked again; however, we have been looking at allowing 1 or 2 more attempts (so 3 or 4 total) before they get locked out.  I haven't been able to find anything regarding any regulatory statutes on this and am wondering if it is left up to the lab to determine.  Thoughts?  Any advice is greatly appreciated!

What is considered a "passing" score?

Passing score is 80%.  We try to make every quiz 10 questions.

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