Competency Assessment Guidelines PDF

 - Definition - Frequency - Six elements of competency assessment - Assessor - Corrective Action - Review and approval - Is the evaluation of the Technicians' and/or Technologists' ability to perform his/her assigned job duties correctly according to the...

 - Definition - Frequency - Six elements of competency assessment - Assessor - Corrective Action - Review and approval - Is the evaluation of the Technicians' and/or Technologists' ability to perform his/her assigned job duties correctly according to the section's policies and procedures. - Competency assessment evaluates an individual\'s ongoing ability to apply knowledge - **New employee:** first assessment within seven months from the start of testing and second assessment no later than 12 months from the start of testing. - **All employee:** - Annually, - When problems are identified with an individual\'s performance. - For any new process following training.  1. **Direct observations** of routine test performance, including, as applicable, patient/ sample identification and preparation; and specimen collection, handling, processing and testing. 2. **Monitoring the recording and reporting of test results**, including, as applicable, 3. **Review** of intermediate test results or worksheets, quality control records, proficiency testing results, and preventive maintenance records. - Assessment of the recording of quality control results and instrument maintenance data. - In element \#3 during the monthly supervisory review process of these records. 4. **Direct observation** of performance of instrument maintenance and function checks, as applicable. 5. **Assessment of test performance** through testing previously analyzed specimens, internal blind testing specimens (e.g., de-identified patient specimens) or external proficiency testing specimens. - Assessment of test performance in element \#5 during reviews of proficiency testing or alternative performance assessment records. 6. **Evaluation of problem-solving skills.** - Assessment of problem-solving skills in element \#6 from monthly reviews of corrective action logs where problems with quality control or instrument function were investigated. - **Laboratories often use a checklist to record and track elements assessed (Competency Assessment\_ LB-FO-P&P19-01 to LB-FO-P&P19-17 )** - **[Records supporting the assessment must be retained] (copies of worksheets, maintenance logs, etc. or [information traceable to the original record).]** - Competency assessment is performed by **[qualified individual (assessor)]** having the education and experience to evaluate the complexity of the testing being assessed. - **Section heads perform the competency assessment for the technical supervisor/s and laboratory doctors in their sections.** - **Section supervisors perform the competency assessment for seniors and lab** - **Lab medical director perform the competency assessment for all responsibilities of section heads.** - The section head or designee will be responsible for determining what additional training or retraining is required to bring the employee's performance up to standards. - **Example of remediation actions:** - Discuss the procedure with the employee. - Retraining of the employee to the specific procedure. - Have the employee reread the procedure and discuss it with him/her to clarify the misunderstanding. - Have the employee observe another trained staff. - Have the employee practice the procedure with blind samples. - Until the employee has been retrained and reassessed as competent on the task in question, he/she may not be allowed to perform the task and/or report results. - Document remediation action on competency form - The laboratory director ensures sufficient numbers of personnel with appropriate educational qualifications, documented training and experience, and adequate competency to meet the needs of the laboratory. - Assessor - Head of section. - Lab medical director. - **CAP : GEN.53400, GEN.53600, GEN.53625, GEN.53650, GEN.55499, GEN.55500, GEN.55505, GEN.55510, GEN.55525 ,GEN.57000 and DRA.11300.** - **CBAHI: LB.5**