WAIVED testing comp.
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First, we are under CAP.
Can someone point me in the direction of where it states the training must be different from the competency? Also, where it states you have to use 2 of the elements. I am trying to work with nursing education on getting everything moved to an eLearning platform for our glucometers. They have agreed to add the module/quiz to the annual modules that they have to complete. However, I expressed interest in creating a separate training module that would only be completed initially and during their PCT training, individual training or general nurse orientation where they are about to be trained by an educator and run QC. There was some resistance on this, so I want to make sure I have my ducks in a row before our next meeting.
Can someone point me in the direction of where it states the training must be different from the competency? Also, where it states you have to use 2 of the elements. I am trying to work with nursing education on getting everything moved to an eLearning platform for our glucometers. They have agreed to add the module/quiz to the annual modules that they have to complete. However, I expressed interest in creating a separate training module that would only be completed initially and during their PCT training, individual training or general nurse orientation where they are about to be trained by an educator and run QC. There was some resistance on this, so I want to make sure I have my ducks in a row before our next meeting.
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The guide from CDC is also great: Ready? Set! Test!
Good Luck!
TRAINING: In the NOTE section of 55450, "prior to starting testing...each individual must have training and be evaluated for demonstration of skills required for all phases of testing..... "The only area in the standard titled: Personnel Training does it talk about competency is where it refers to ongoing competency.
COMPETENCY: In the NOTE section of 55499, "Competency assessment evaluates an individual's ongoing ability to apply knowledge and skills to achieve intended results. In what needs to be assessed for ongoing competency, CAP offers 6 criteria, and you can choose from them or have a medical director define. We use an e-learning with PowerPoint and quiz plus running both levels of QC, just like Jeremy. It is what we have defined.
There are no CLIA/CAP requirements for 2 elements of assessment as previously stated. However, if you are accredited, please check with your accreditation agency. For example, TJC WT.03.01.01 EP 5 does state the following:
Competency for waived testing is assessed using at least two of the following methods per person per test:
- Performance of a test on a blind specimen
- Periodic observation of routine work by the supervisor or qualified designee
- Monitoring of each user's quality control performance
- Use of a written test specific to the test assessed
Regarding training vs. competence assessment, they are two different things as previously mentioned. Training is focused on teaching individuals such things as how to turn on the meter, run a test, etc. Competence assessment is focused on assessing one's application of learning to ensure they can achieve a reliable result.
The question posed was: Can someone point me in the direction of where it states the training must be different from the competency?
The primary difference in definition is that one is completed prior to the user performing their first patient test and the other is an annual review of the test system. Does the regulations state anywhere that the two must be different in their make-up, or worded differently, in their requirements to complete?