I agree with Tim.
We had similar problems until we contacted the Nursing Director. Our
training sessions suddenly became very popular. I also sent one of our
very poor audit reports to the Clinical and Nursing Directors, and was
invited to speak at a Best Practice Forum, organised by the Nursing
Director. I included a few POCT 'horror stories' that stressed the
importance of QC and EQA, and we have seen a dramatic improvement in
co-operation.
Our Link Nurses have also shown some reticence recently, but Nursing
Educator Facilitators have responded well to the training requirement,
and include POCT training sessions in their Induction training days.
Margaret McDonnell
Belfast
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Hogan, Tim
Sent: 06 January 2006 16:03
To: [log in to unmask]
Subject: Re: Blood glucose meter training
I would suggest ensuring that the nursing hierarchy are involved with
organising the training, and that your POCT Manager/co-ordinator liaises
and sits on such groups as Clinical Practices committees and is known to
individuals such as Director of Nursing and Directors of Education and
Training and links in to student nurse training. [If you do not have a
POCT Manager/co-ordinator, you need to get one!]Also audits of number of
trained staff fed back to your Risk management group, and anyone else
that you might think has influence. Eg. CNST leads, Trust Risk Group at
board level. Presentation of audits at MDT meetings. If only Pathology
is aware of the problem you won't get very far. We have waiting lists
for training!
Tim Hogan
Basildon
-----Original Message-----
From: Joan Pearson [mailto:[log in to unmask]]
Sent: 06 January 2006 15:28
To: [log in to unmask]
Subject: Re: Blood glucose meter training
Our experience is very similar, Iain.
We have Medisense meters and training of at least 2 key trainers per
ward/clinical area was delivered by the company as part of the contract
- on implementation and a refresher 18 months later. They also do
bimonthly audits of ward compliance with QC etc.
However, staff turnover is huge in this large Trust, together with
short-staffing, so proper cascade training, with record-keeping as the
Trust Policy requires, has not been good. An audit I did last year
showed that only a minority of clinical areas still had a key trainer or
kept proper records of cascade training. I followed that up with some
structured interviews on attitudes to POCT and found a depressing level
of ignorance about QC and EQA (even when they complied) and the
importance of training and how it was supposed to be delivered. I've
visited some sites where staff got stroppy about having to "waste" time
doing QC and EQA and explained why - this was very effective, but too
time-consuming to do as widely as I'd like.
We do have POCT staff on each main site, but not enough to visit every
ward regularly and keep awareness high. I don't know what the solution
is - letters and emails are not the answer.
>>> Woodrow Iain <[log in to unmask]> 05/01/2006 14:50 >>>
We have noted that it has been increasingly difficult to maintain
up-to-date training for users of our Advantage meters across the trust.
Link Nurses now seem less interested in undertaking cascade training,
and are also becoming increasingly difficult to recruit (another
consequence of Agenda for Change?). I should point out that we don't
have a POCT Facilitator, which is a major hindrance.
What is the experience of other Mailbase users?
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