Is the question that Ronnie posed yesterday requesting justification of the need and extent of competency documentation for histology, or is it just a form needed? The general checklist pretty much sums up the necessity for doing, and required elements to me- GEN. 55500 and CLIA. Maybe I am not understanding? As for a form, I would expect that the specific items on any forms will vary by your personnel and by the testing and processes you perform. What I did to document initial training and competency was a make a summary checklist for each "bench" with tasks and direct observations "DO" for initial training & documentation of satisfactory performance before patient testing. I just put all those checklists together in a summary table for each person. High complexity; such as grossing, IHC, FISH scoring get more attention and documentation, the waived tests, you have more discretion,- but I thought it easier to do everything about the same. I have not been inspected on this document yet ( so can't say if CAP will have issues with it- but will know soon...) but here is basically what I did to meet GEN.55500 or the main parts; Defined how competency is monitored- method and frequency ( just included as part of the competency SOP) Orientation and initial training documentation in a checklist for general lab, safety Training checklist on each technical bench, instrument, major procedure PT records and performance/results DO- a practical assessment ( block, slides, stains), for the assessment of previously analyzed specimens, and a PI feedback checklist for the technical from this audit of issues- how/what to improve Check off in performing QC, calibration, patient ID procedures ( acceptable error rates), examples for file DO of grossing, other performance such as instrument programming/maintenance Written quiz, policies & procedures, troubleshooting( problem solving documentation) Continuing education participation records
Joelle Weaver MAOM, HTL (ASCP) QIHC > From: sm...@msn.com > To: amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; > histonet@lists.utsouthwestern.edu > Date: Wed, 9 Apr 2014 11:10:18 +0000 > Subject: RE: [Histonet] RE: competency form > CC: > > We were recently dinged by CAP for our competency assessments in all areas. > While that's no longer my immediate responsibility, I would love to be able > to assist the lab manager with some information so we can tweek our > assessments if you all wouldn't mind sharing with me as well. > Thanks a bunch. > Sheila Haas > MicroPath Laboratories, Inc. > Quality Assurance Coordinator > > > From: amber.mcken...@gastrodocs.net > > To: ronald.hous...@nationwidechildrens.org; > > histonet@lists.utsouthwestern.edu > > Date: Tue, 8 Apr 2014 21:17:44 +0000 > > CC: > > Subject: [Histonet] RE: competency form > > > > Can you pass it on to me as well? I'd love to compare what I've got to > > what someone else is doing. > > Thanks, > > Amber > > > > -----Original Message----- > > From: histonet-boun...@lists.utsouthwestern.edu > > [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, > > Ronald > > Sent: Tuesday, April 08, 2014 2:37 PM > > To: Histonet > > Subject: [Histonet] competency form > > > > Can someone please share the competency form(s) they are using to satisfy > > CAP? > > > > I am having problems convincing our QA/Compliance folks of the differences > > between testing in AP compared to the other lab disciplines, who do read > > our test results > > > > Thanks > > > > Ronnie Houston, MS HT(ASCP)QIHC > > Anatomic Pathology Manager > > ChildLab, a Division of Nationwide Children's Hospital www.childlab.com > > > > 700 Children's Drive > > Columbus, OH 43205 > > (P) 614-722-5450 > > (F) 614-722-2899 > > ronald.hous...@nationwidechildrens.org<mailto:ronald.hous...@nationwidechildrens.org> > > www.NationwideChildrens.org<http://www.nationwidechildrens.org/> > > > > "One person with passion is better than forty people merely interested." > > ~ E.M. Forster > > > > _______________________________________________ > > Histonet mailing list > > Histonet@lists.utsouthwestern.edu > > http://lists.utsouthwestern.edu/mailman/listinfo/histonet > > > > _______________________________________________ > > Histonet mailing list > > Histonet@lists.utsouthwestern.edu > > http://lists.utsouthwestern.edu/mailman/listinfo/histonet > > _______________________________________________ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
