3 Mar 2012 Government of Manitoba and its Ministers, officers, employees and agents make no. Science, Technology and Medicine open access publisher.Publish, read and share novel research. Establishment a Resource Management Program for Accreditation Process at the Medical LaboratorySedef Yenice1[1] Department of Biochemistry, Gayrettepe Florence Nightingale Hospital, Istanbul, Turkey1.
The laboratory can provide consistent test results of acceptable quality only when there is provision of appropriate facilities the laboratory environment. Table 2 and 3 summarize the requirements for laboratory director and technical supervisor, respectively.
Ensure that policies and procedures are established for monitoring individuals who conduct pre-analytical, analytical, and post-analytical phases of testing to assure that they are competent and maintain their competency to process specimens, perform test procedures and report test results promptly and proficiently, and whenever necessary, identify needs for remedial training or continuing education to improve skills. Specify, in writing, the responsibilities and duties of each consultant and each supervisor, as well as each person engaged in the performance of the pre-analytical, analytical, and post-analytical phases of testing. Figure 1 shows a checklist developed in our laboratory to assess the competency of a medical laboratory technician who performs point of care (POC) urinanalysis.
Face Velocities should be between 80 and 120 FPM at the working sash height with an optimum level of 100 FPM. Certification is required annually or any time the hood is moved or has had maintenance performed. All chemicals must be appropriately labeled and shall not be placed near or over floor drains. Smoking is prohibited throughout all facilities at the organisation (with the exception specially designed "designated smoking areas"),Lab Personnel shall not wear loose (e.g. All unnecessary material, boxes, and containers must be disposed of in the appropriate manner. All emergency and contingencies plans and evacuation routes shall be clearly posted in conspicuous places. Implementing a resource management program for accreditation process at the medical laboratory.
Employee competence and performance-based assessment: a College of American Pathologists Q-Probes study of laboratory personnel 522 institutions.
Personnel standards and quality assurance practices of biochemical genetic testing laboratories in the United States. Curriculum content and evaluation of resident competency in clinical pathology (laboratory medicine): a proposal. 1990A Guide for evaluating the performance of chemical protective clothing (CPC) Cincinnati, OH, US Department and Health and Human Services Public Health Service Centers for Disease Control and Prevention.
Primary containment for biohazards: selection, installation and use of biological safety cabinets. 2005 Protection of laboratory workers from occupationally acquired infections; approved guideline, 3 ed. 1995The association of state and territorial public health laboratory directors and US Department and Health and Human Services Public Health Service Centers for Disease Control and Prevention. London UK, 25 May 2016: New independent research from Towards Maturity, supported by Kallidus, reveals that the retail sector may be wedded to formal learning and has yet to explore the benefits of social and informal learning despite its growing commitment to investing in learning technologies and building its internal learning team. What can today's learning leaders teach us about using evidence to support performance and capability? Louise Pasterfield from Sponge UK explores Towards Maturity data to uncover practical ideas that could inspire change in your organisation.Induction matters.
Mindset, behaviour, values and the ability to reflect, change and grow are all valuable characteristics - but are they being nurtured? An employee competency and assessment checklist to assess the competency of a medical laboratory technician who performs point of care (POC) urinanalysis. IntroductionThe Laboratory Accreditation Program from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is one of the most widely used CMS-approved accreditation program.
These include adequate buildings, space within the laboratory, appropriate utilities, and supplies and equipment for performance of laboratory tests.
Any area which deals with corrosive, flammable or otherwise hazardous material is required to have immediate access to eyewash and drench shower facilities. All drains, including floor drains and cup sinks should be flushed with water on a weekly basis to eliminate sewer odors.
Glass containers and other potentially sharp objects shall not be disposed of in common office refuse. Washington: US Department and Health and Human Services Public Health Service Centers for Disease Control and Prevention.
Recommendations of CDC and the healthcare infection control practices advisory committee (HICPAC).
However, they provide a great opportunity for constructive reflection.Everyone loves winning awards.
Kirsty GreanyWhile it's easy to slip on the rose-tinted glasses when looking at the challenges of business 20 years ago, it's fair to say that the landscape has significantly shifted in the last couple of decades. Organisations with effective induction are more likely to retain their new recruits for longer. Organisations are becoming more team-based, with flatter and less hierarchical structures that see five generations working together - often dotted across different locations, using technology to connect and work.
The process also enables learning professionals to reflect on five key issues that impact on designing and delivering a modernised learning strategy. We hope that our contribution will help shape an environment where real-world research informs organisational improvement. Although your ideas may be compelling, it's not easy to execute a plan without support, co-operation and collaboration from peers, stakeholders and business leaders.
Testing requirements of each organization are at least equivalent to those of CLIA '88, they execute to some extent different testing standards and rationales in reaching the goal of quality laboratory testing. Specimen collection facilities are designated to respect patient's privacy, security, comfort, and disabilities.
Eye wash bottles are not adequate equipment.Personal Protective Equipment Personal Protective Equipment such as goggles, masks, gloves and cover gowns must be readily available and not worn outside the immediate work areas. 40-75 liter must be stored in specific safety containers, 75 and over must be stored in a safety cabinet.Hazardous Waste Disposal Hazardous waste training is required for all employees who handle hazardous material. ConclusionResource management for accreditation process at the medical laboratories applies to many aspects of quality management including personnel, basic facilities, equipment, security and safety. Entering awards can be a daunting and time-consuming process - an additional task on top of everyday work. They get new employees up to speed quicker and help them reach their performance goals earlier.In its 2014 report about on onboarding, Aberdeen Group found that 68% of companies had no formal process in place. Since 1995, clinical laboratories surveyed using JCAHO standards have been deemed to be certifiable under CLIA '88 requirements. The laboratory director is responsible for defining the process of selecting and using equipment, reagents, and other supplies that affect the quality of services.
In addition to improving your employees' skills Keep good staff records Allowable Costs for County Welfare Department Staff.
The purpose of CLIA '88 is to ensure that all laboratory testing, wherever performed, is done accurately and according to good scientific practices and to provide assurance to the public that access to safe, accurate laboratory testing is available [1]. As part of this process, the director defines performance criteria for test methodologies, equipment, and quality control.
Manufacturer or other authoritative storage requirements are met, such as for temperature, ventilation and humidity. A comprehensive program that includes management commitment, effective training, regular audits of critical functions to identify potential problems, implementation of corrective action and establishment of priorities for improvement benefits the laboratory in many ways. It provides L&D teams with the perfect chance to step back and think about what has led to current organisational successes, before sharing those stories and successes.There is nothing more satisfying at work than thinking over your recent activities and realising that there is a lot to be proud of! We'll be digging into Towards Maturity's data to see what it tell us about changes in onboarding practice, as well as picking out some practical ideas that could inspire change in your own organisation.
They not only need to meet fundamental business targets, but must be dynamic problem solvers who know how to roll with (constant) change.Leadership and management skills really matter - and this includes mindsets, behaviours, values and the ability to reflect, change and grow. Top performing L&D teams are 3-5 times more likely to be delivering improved productivity and agility today and have much to teach us. I have had the pleasure of working with them and their customers for a number of years and have seen first hand their commitment to identifying and sharing great practices that really work. Joint Commission inspect their members using performance standards that meet or exceed those of CLIA. Employee orientation and competency assessment activities are accomplished through a number of training and measurement of performance once a year [7]. Only 13% of retailers are investing in blended learning while the average across all sectors is double that figure (26%), with top learning companies nearly three times more likely to be using blends than retail companies (35%). Seek, support and develop leaders right and you'll have more engaged, productive, and profitable businesses. It provides contemporary measures that focus on performance improvement and great tactics that help L&D teams become more responsive to the changing needs of business.


This research highlights the fact that L&D teams must develop new mind-sets and skills, quickly.
Another reason for performing competency assessment with laboratory personnel is that it is also a requirement of the College of American Pathologist (CAP) for accreditation. A policy covering security issues concerning patients, visitors, other customers, personnel, and property is established. Extinguishers must be properly mounted, unobstructed and be properly labeled for the intended use.
This may be due to a lack of required skills and knowledge, as the research indicates over half lack the confidence in incorporating new media in learning design and only 4% believe their L&D teams have the skills for facilitating collaboration. Benchmarking can help you get started on your way to winning and help you clarify what's been successful - here are 6 perfectly valid reasons to use it.How benchmarking can helpWe are not promising that benchmarking will definitely lead to trophies in the cabinet. So it's no wonder that companies spent nearly $31 billion on leadership programs last year.
It leverages the data of its in-depth Benchmark Study, the largest learning technology benchmark in Europe. CAP General Inspection Checklist indicate that the manual that describes training activities and evaluations must be specific for each job description.
Equipment (software and hardware), reference materials, consumables, reagents, and analytical systems are safeguarded from adjustments or tampering which would invalidate test results.Laboratory areas for which space and design should be addressed include areas where clerical functions are performed.
Training classes should be offered through the Fire Marshal.Pressurized Cylinders All cylinders must be stored in proper locations. What is more 71% do not believe that their own staff lack skills to manage their own learning. Secondly, the scale of the work ahead, as 95% of respondents want to improve induction with only 39% meeting that goal. Also, just 23% agree that their L&D teams have the skills to use technology for business advantage. These are tried and tested approaches that we've used in partnership with our clients to produce effective and award-winning learning interventions that deliver impactful change.1.
The planning process by lab leaders needs to address the ability to provide these and other resources, as required. Because this function is often critical to reporting the correct result on a patient or maintaining specimen identity, consideration should be given to providing areas where interruptions are uncommon and individuals can give full concentration to the transcriptions or data entry being completed.One of the fundamental processes is to develop an Employees Occupational Safety and Health Program (EOSHP) to address all types of hazardous materials and wastes in the laboratory [17]. All cylinders must be secured in an upright position and properly restrained to prevent falling. With such a big gap between aspiration and performance, the induction challenge seems daunting but there is evidence that learning innovation is turning the tide. There should also be adequate education to appropriate staff about the quality management system plan and implementation. The records must make it possible for the inspector to be able to determine what skills were assessed and how those skills were measured. Our EOSHP project was introduced as a reference case and published in the source book entitled “Understanding Health Care Facility Safety” by Joint Commission [18]. Here are six compelling reasons why benchmarking can help turn the possibility of being an award winner into a reality:1. This communication delineates an execution of resource management (RSM) program and some quality assurance tools that have been developed and tailored in our laboratory to comply with the requirements for laboratory accreditation by Joint Commission International (JCI) [2].2. Retraining and reassessment of employee competency must occur when problems are identified with employee performance. Cylinders of all gases having a Health Hazard Rating of 3 or 4 shall be kept in a continuously mechanical ventilated hood or other ventilated enclosure.
The Towards Maturity benchmarking process gets organisations, and L&D in particular, thinking on the right track.
Incredibly, ‘Top Deckers' are 50 times more likely than the lowest performers to improve talent strategies to keep their best people.
These aren't the only source of future leaders, of course, as many other potentials are already in-house, out there to be recruited or returning to work after having children. However, the world of work is changing and organisations are increasingly looking for more modern approaches to learning that support the fast-moving world of work and the needs of an increasingly digital workforce. Methods The objectives of this work were achieved in accordance with the mission of the hospital, the objectives of our laboratory, any applicable laws or regulations and all relevant accreditation standards. The training and assessment program must be documented and specific for each job description [8]. It is essential to communicate the hazard information and protective measures required to use these chemicals safely to exposed or potentially exposed employees who may use the chemicals.
Maximum number of cylinders of a flammable gas shall be not more than 3 (25 x 127cm) 45 square meter in an unsprinkled space or not more than 6 (25 x 127cm) in a sprinkled space of 45 square meter. It’s a great place to start, if you want to establish a strong foundation for change. Work with the subject matter expert or the business customer to identify the main objective of the programme. The related policies and procedures were developed to provide guidance for workers when implementing the process. The implementation of EOSHP incorporates the establishment of a Chemical Hygiene Plan, description of a Hazard Communication Quality Standard (HCQS), development an Employee’s Guide to Handle the Hazardous Chemicals to assist the laboratory staff in complying with the EOSHP HCQS, identification of the staff who will be responsible for the initial set up of the EOSHP and the day-to-day activities necessary to comply with each aspect of the HCQS, construction an inventory of all hazardous chemicals used in the laboratory and a written list comprising the hazard descriptions of chemicals. Liquefied Gas Cylinders in laboratory work areas shall not exceed 3 cylinders (23 x 76cm) in a sprinkled space or exceed 2 cylinders (23 x 76cm) in an unsprinkled space.Room Use Identification All access doors must be marked when rooms or areas are being used for chemical, biological or radioactive purposes as outlined in the Chemical Hygiene Plan. Our research with employees in this sector shows that staff are more able to learn for themselves than L&D give them credit for. Using real life ideas can help inspire new approaches that will make a difference in your own situation.
The vast majority we talked with were frustrated by the lack of transfer back to the job after managers had participated in training. This will not only help you design the programme, but will also help you measure its effectiveness. The policies were generated based on standard requirements for resource provision and management by JCI [3]. Trainings include department policies, job-related tasks, patient safety and Employees Occupational Safety and Health Program (EOSHP). In this respect, guidelines of NFPA (National Fire Protection Association, USA) provide comprehensive source to delineate hazard symbols and classifications [19].
It's very easy in today's busy world to not make time for reflection, yet reflection is critical to success. Inspiration by example We've identified four techniques used by organisations in their induction programmes that relate to the tactics of the top performing organisations highlight in the Towards Maturity Industry Benchmark Report.
The purpose of the Show is to inform and inspire L&D professionals to improve not just their personal performance but that of their organisation.
The implementation of this resource management (RSM) program is undertaken in five major sub-fields.
During the first year that an individual is performing such patient testing, competency must be assessed every six months [9-16]. In accordance with the EOSHP HCQS, the Material Safety Data Sheets (MSDS) for the specific hazardous products or chemicals should be supplied.
They are three times more likely to use benchmarking as a performance improvement tool - benchmarking against the tactics that improve performance. By benchmarking you enable yourself to reflect, take stock and focus on the activities that really make a difference.2. While every organisation is different, examples of good practice and innovation in other companies can offer inspiration for change. First, it seems there's a lack of measures put in place for management and leadership training.
By reflecting on and analysing organisational performance, activities and practices, L&D can identify organisational strengths and areas of high performance. Secondly, it seems that the learning strategy many apply to management and leadership training is often out of sync with the audience's needs. In addition, appropriate resources are provided for the maintenance and improvement of the quality management system.
Appropriate signs and labels are prepared as hazard warnings to convey the hazardous effects of the materials. The leading sports retailer has been providing online onboarding since 2013 with more than 25,000 employees, across the 19 countries going through the programme. Data from Towards Maturity reveals that 83% of new starters like to learn at their own pace, with 44% using their own mobile to learn.With this in mind, Sports Direct used the Adapt multi-device responsive elearning framework for its online content. Required job qualifications are defined for all laboratory staff positions, as well as job expectations. Receive your Personalised Benchmark report analysing current performance and tailored action plans valued at £300 - free until 15 July.
Just as importantly, benchmarking identifies weaknesses and those areas of low performance.


It means employees can access the elearning on a smartphone or tablet, giving them maximum flexibility. You can read more about Sports Direct's approach to induction in Inside Learning Technologies & Skills magazine. Only 39% offer mobile content, and 30% have no plans to implement social media for leadership development.
Guidelines are determined in the event of a chemical spill, incident, or leak from a sealed container.
Towards Maturity data reveals that 87% of Top Deck organisations agree that top managers are involved in promoting learning, compared with an average of 37%.UK infrastructure company, Story Contracting features a video message from the company owner and Chief Executive, Fred Story in its new online induction. It's no wonder then, that there is a lack of transfer from learning to doing, if the learning doesn't fit in with everyday lives and habits in the first place and isn't focused on supporting performance there and then. The not for profit organisation champions better work and working lives and has been setting the benchmark for excellence in people and organisation development for more than 100 years. Pinpointing strengths and weaknesses enables L&D and business leaders to really hone in on performance. This isn't to say there aren't some great examples of modern, blended, performance-focused leadership development - there are some cited in Towards Maturity's paper. A copy of the Employee’s Guide to Handle the Hazardous Chemicals is handed out as training source document.
What can we learn from these?How leadership solutions can #makeithappenIt's time to close the gaps and deliver the type of learning solutions that will engage and really help leaders. The primary policies for managing biological hazards should define the mechanisms for oversight for controlling exposures to biological materials in the workplace and include the bloodborne pathogens and exposure plan [21-25]. Benchmarking does what it says: it provides organisations with a benchmark to measure themselves against others. New staff and partners joining Specsavers are able to earn a virtual coin by completing the company's new induction course.
To really help them, we need to offer easy to find performance support that is genuinely useful and relevant to leaders and managers' points of need. The related policies and procedures for handling biohazardous materials need to be developed to provide guidance for worker safety when handling or exposure to biological agents and included in the new employee orientation and annual update training programs (Fig.
You can use it to see how you are performing on various aspects of organisational practice compared to others.
The business then makes a real cash donation to the charity chosen by employees in proportion to the number of virtual coins earned.You can read more about the Specsavers' approach here.
Since 2003, over 4,500 organisations and 23,000 learners have contributed to Towards Maturity's leading benchmarks.
For example, have you properly embraced mobile learning and are reaping the kinds of benefits that some organisations are enjoying?
But we also need to help develop those deeper skills and behaviours in ways that fit with leader's (crazy) lifestyles. The administration and supervision of patient exposures to and infection with biological agents is the primary responsibility of organization’s Infection Control Unit. What are the top performing companies in the Towards Maturity benchmark doing in terms of mobile learning? An average of 48% of Benchmark respondents reported that elearning not being tailored sufficiently was a barrier to success.
As a baseline, that means moving away from solely ‘event' based learning - three-day workshops or long online courses - and embracing more resource or micro-learning approaches that provide short challenges and tasks as nuggets that help build skills and insights over time.
Assessments of risk for the biological safety management activities are accomplished through a number of audits and data collections on a semi-annual basis. It can be really useful to know what characteristics top performing companies have in common and what is driving their success.5. United Biscuits (UB), the company behind household names such as McVitie's, Jaffa Cakes and Penguin, wanted to make sure its induction programme was relevant to both new starters and any existing employees who might access the training.
We would say that providing simulations, interactive videos and meaningful games can make smart use of a leaders' precious time, and build the competence and confidence leadership roles require - so ROI for L&D too.
All occupational exposures to or injuries from biological materials are to be reported by employees to the EOSHP coordinator. UB used video of real employees talking about their jobs to add relevance and authenticity to the content.You can read more about the experience at United Biscuits in HR Grapevine magazine.
Biological safety posters including the information, reporting and reduction of exposures to bloodborne pathogens and tuberculosis [28] are posted in all major areas of the laboratory facilities.
This report gives clear, insightful indicators about your strategy's current strengths and how that compares to your peers.
Supporting or providing social spaces for informal learning and sharing is key too - the how will depend on who your audience is and how they currently work together.Measurement comes into play here as you have managers, teams, and peers providing tailored feedback about performance and application.
A Laboratory Waste Management program should be established to safely control hazardous chemical and biological waste from receipt or generation through use or final disposal in the laboratory.
The aim is to help L&D professionals focus on one area of action that will help them deliver impact.
But leadership and management development is often holistic, and ongoing - like a journey rather than a series of interventions. And, if improving induction is your focus, there are more ideas in Sponge UK's Rough Guide to Induction. To track what tools, learning, and performance support is used by an individual is a bit of a red-herring - especially if you're genuinely offering it up to help them in anyway that works for them.
Louise PasterfieldManaging Director, Sponge UK Louise has more than 20 years' experience in learning and design and is passionate about making elearning absorbing so staff can apply what they have learned immediately into the workplace.Her interest is in how best to harness technology so people can learn, grow and make a difference to their organisations.
There has to be some bigger, business goals to be measured, alongside the individuals' performance or growth targets, and it might take a little while for the data to come in for these. Chemical waste is characterized as non-hazardous or hazardous in accordance with the rules and regulations specified by OSHA (The federal Occupational Safety and Health Administration, USA) [29,30].
With this regard, a substance, which exhibits one of the four hazardous characteristics (corrosivity, ignitability, reactivity, toxicity), is delineated as Hazardous Chemical Waste. In terms of those millennials as future leaders - don't leave it too late before you start developing them.
Chemical waste that does not exhibit any of the hazardous characteristics as defined above is considered non-hazardous chemical waste. In Deloitte's report on this generation, Not only is this generation notoriously flighty and ready to up and leave within two years, but 70% of those ready to jump ship cite lack of leadership training as the reason why. Any waste that is potentially biohazardous, infectious, or pathological is described as Biological Waste. A Waste Characterization Checklist needs to be developed to determine whether the waste is hazardous or non-hazardous (Fig. Just think about how that Personalised Benchmark Report will help you deliver better results.Unsure if you are ready?Benchmarking will help you make up your mind if you should enter an award this year or wait until next year when you have had a chance to build further on current successes. So to attract and retain talent, and build leaders of tomorrow, open up those digital, multi-device resources -  simulations, diagnostics, videos, podcasts, tools and more to anyone who's interested. The ALARA program [31] and associated work practices are put in practice to reduce risks to workers by keeping doses well below the limits. Laboratory instruments and analytical systems are tested upon installation, and prior to use to assure their capability of meeting performance expectations.
For new analytical methods, the laboratory verifies, at a minimum, accuracy, precision and the reportable range, as well as confirming that the reference range applies to its patient population. If the laboratory has modified the test or if the method is very complex with many steps, the laboratory also verifies analytical sensitivity and analytical specificity. The laboratory leaders provide for a program to regularly monitor and demonstrate proper calibration and function of instruments, reagents, and analytical systems. Calibration, calibration verification, function checks, and preventive maintenance are performed on instruments and analytical systems, as needed, and at least according to manufacturers' recommendations. All required verification checks are documented, along with remedial action when instruments or test methods did not meet performance expectations. Records of major repairs, parts replacement, and semiannual or annual calibration checks and preventive maintenance must be retained for the life of the instrument. Procedures should be determined to check periodically the validity and quality of reagents and water quality used in laboratory testing. The details of environmental conditions and supporting safety utilities are represented in Table 4. The laboratory's safety processes should include adequate fire detection and prevention policies. Adequate safety devices such as emergency eyewash, safety cans, puncture-resistant containers for discarding all waste sharps [37], fire extinguishers and blankets are made available and training should be provided to all laboratory staff.



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