Two questions- competency/QC
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Nursing education does the competency assessing and then send the competencies to me so I can update the operator in the system. I noticed one assessor appears to fill out the answers to the quiz, makes copies and just has the operator sign it. To me, the operator should be filling out the quiz themselves. I want to set some standards for competencies. My director stated that this isn't written anywhere that it has to be done this way, so I need to go the director of nursing education. I felt like that was just common sense, but I know if I ask the person about it they will just say that they wrote the answers down for the person. Advice on how to handle this?
Also, waived testing (creatinine on i-Stat)- does CAP not require qc be ran on new lot and new shipment?
Also, waived testing (creatinine on i-Stat)- does CAP not require qc be ran on new lot and new shipment?
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However, I know that a delicate touch might be needed to resolve this.
The questions I have are is this for waived or moderately complex testing? Are any regulations involved? If you yo have some "teeth" behind you.
Either way I also start with explain the "why" behind what we need them to do.
Sometime that will help compliance if they understand that this quiz is to verify that the training has accomplished what we needed.
Jennifer, I agree with Anastasia and James that it could be a successful, non-threatening kind of approach to the nursing entity if you are able to gets the ducks in a row based on what hospital accreditation is in place.
If you only have waived testing, the CLIA is a COW and your hospital does not pay for any accreditation, it's doubtful you are getting CLIA-inspected on that waived testing. Without an accreditation guiding the way of 'how to do competency assessment, the only thing that may be needed is proof of training based on the MIFU. And a training quiz would not be required.
What other evidence do you feel is required by your lab (oversight) in order to 'pass' competency assessment (besides the written test)?
Does your lab have a written policy for how competency assessment is to be done? That's also a starting point.
I wish your laboratory director was reacting in a way that meant they'd engage the nursing dept about this.
Does your organization have an online training/certification system for non-lab nursing education? Lippincott? Maybe you could piggyback on a system that is already in place.
Taking a quiz of any kind must be completed by the person signing the exam! I hate to say this out loud but I will "It's cheating".
Some approaches:
Do you have an Orientation & Competency Policy for Point of Care testing? Most certifying agencies require some sort of policy or procedure related to annual competency.
Good Luck