ACT Competency Assessment
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I am having a hard time wrapping my mind around the competency for ACT testing on our i-stats, this is our only non-waived test. I don't feel that the current competency really captures this.
1) How do I perform direct observation when the testing is done in the OR, Cath Lab or ICU but ICU hardly ever has a patient to do this with?
I looked through some posts and people were talking about creating fake patients and letting them run it that way using QC, but is that truly observing routine patient testing? If you do it this way, does that cover 1, 3 and 5?
I watched a webinar on the whitehair site and the presenter said that if things on the list don't apply, just put N/A beside them- does anyone else do this?
2) For element number 2, the results flow straight from the device to the middleware, then to the LIS, so would showing a completed patient report with result on it show competency for this?
3) element 4, the only 'maintenance' the operators do is clean the machine. Would you just write the date your observed this?
I apologize for all of the questions, but thank you in advance for your help!
1) How do I perform direct observation when the testing is done in the OR, Cath Lab or ICU but ICU hardly ever has a patient to do this with?
I looked through some posts and people were talking about creating fake patients and letting them run it that way using QC, but is that truly observing routine patient testing? If you do it this way, does that cover 1, 3 and 5?
I watched a webinar on the whitehair site and the presenter said that if things on the list don't apply, just put N/A beside them- does anyone else do this?
2) For element number 2, the results flow straight from the device to the middleware, then to the LIS, so would showing a completed patient report with result on it show competency for this?
3) element 4, the only 'maintenance' the operators do is clean the machine. Would you just write the date your observed this?
I apologize for all of the questions, but thank you in advance for your help!
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1- after discussing it with my lab director, we have decided to make a direct observation form to be completed by the charge nurse. I will sign the bottom confirming the charge rn was trained in direct observation (since they do not qualify as technical consultants). I will then have them run QC in front of me during their annual skills.
2- yes, a printout of a completed report should suffice.
3- you should have a maintenance log showing that cleaning is being done. That is your proof of maintenance.