[Histonet] Re: High complexity testing

[joelle weaver]

yes, I know- just meant the things that were more complicated- as in my checklist is longer. I mis-spoke, or "mis-typed" I guess.  




Joelle Weaver MAOM, HTL (ASCP) QIHC
 
> Date: Wed, 9 Apr 2014 13:12:58 -0400
> From: tbraud <@t> holyredeemer.com
> To: histonet <@t> lists.utsouthwestern.edu
> Subject: [Histonet] Re: High complexity testing
> 
> Just to clarify, IHC is not high complexity testing.
> 
> Terri L. Braud, HT(ASCP)
> Anatomic Pathology Supervisor
> Holy Redeemer Hospital Laboratory
> 1648 Huntingdon Pike
> Meadowbrook, PA 19046
> Ph: 215-938-3676
> Fax: 215-938-3874
> 
> 
> Message: 12
> Date: Wed, 9 Apr 2014 12:26:47 +0000
> From: joelle weaver <joelleweaver <@t> hotmail.com>
> Subject: RE: [Histonet] RE: competency form
> 
> 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
>  
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