[Histonet] RE: competency form

[joelle weaver]

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: smah2 <@t> msn.com
> To: amber.mckenzie <@t> gastrodocs.net; ronald.houston <@t> nationwidechildrens.org; histonet <@t> 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.mckenzie <@t> gastrodocs.net
> > To: Ronald.Houston <@t> nationwidechildrens.org; histonet <@t> 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-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> 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.houston <@t> nationwidechildrens.org<mailto:ronald.houston <@t> nationwidechildrens.org>
> > www.NationwideChildrens.org<http://www.nationwidechildrens.org/>
> > 
> > "One person with passion is better than forty people merely interested."
> > ~ E.M. Forster
> > 
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