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I am trying to redo the competency form for the ACT test. I reached out to CAP and they advised for element 1 to have a super user that is in the procedure room sign off on that for me. I will be creating a seperate "training" form I think. Otherwise, does this look ok? There isn't any maintenance or function checks on the i-stat so I wasn't sure how to show this other than having someone observe them cleaning the device itself?
My suggestions: For element 4: you can satisfy by directly observing cleaning or also by observing them run QC (external or internal) since these are function checks. For element 5: if using QC id suggest them running it as a patient since it is supposed to be blinded. can include the acceptable range and evaluation. For element 6: may want to include what score is required to pass
i-Stat Competency Form - ACTK.doci use this for training and competency. I have trainee do a blind sample at end of training as well as for competency at 6 months, annual and "yearly thereafter" as required. For blind sample can use QC as a patient OR whole blood. I prefer to use whole blood esp for training as the controls are not "red" and hard to see cartridge fill. Easiest whole blood with expected result is a heparininzed green top (get these from other areas - creat or trop users - just go grab one of their old samples and draw up in a small syringe) expected result is >1000. In an annual skills fair setting i will donate my own blood in a 10 cc syringe, fill a heparin microtainer, with my own blood, dispense the rest of the 10 cc syringe in a tube or urine cup. Take a drop or 2 from the microtainer and add to the urine cup. mix well - draw up in a syringe. Run a couple of times myself - then have staff run. with iSTAT we all get pretty much same answer. I then "grade" based on Proficiency testing criteria.
My suggestions:
For element 4: you can satisfy by directly observing cleaning or also by observing them run QC (external or internal) since these are function checks.
For element 5: if using QC id suggest them running it as a patient since it is supposed to be blinded. can include the acceptable range and evaluation.
For element 6: may want to include what score is required to pass
http://www.shl.uiowa.edu/publications/cliacorner/2022q3.pdf