Enforcement

  In order to assure timely cooperation from all departments and divisions, the following Point of Care Testing (POCT) enforcement plan will be implemented in place of the current voluntary or honor system.

 DESCRIPTION

The POCT office coordinates staff training, provides validated reagent materials to units performing POCT, and maintains records of patient and quality control testing, in order to comply with regulatory and licensing authorities.

 GUIDELINES

TRAINING

•          When training sessions or other meetings are requested by the Point of Care trainers or directors:

•          It should take no more than 2 weeks to come up with a scheduled date

•          The date should be within 6 weeks

RECORD HANDLING

•          Patient and quality control testing logs should be sent to the POCT office monthly.  If requests are made for these or for other forms needed for regulatory compliance (such as annual license applications or names and qualifications of testing personnel):

•          These records should be sent within 2 weeks of the request.

 ENFORCEMENT PLAN

For these requests, enforcement measures will involve three steps:

•          Initial requests will be directed to the Point of Care Testing site coordinator of a clinical location.  (Several requests will be made before proceeding to the next step; including at least one reminder of what the next step involves; but time limits will be based on the date of the initial request to the clinical site.)

•          For any request that is not met within the time frame stated, the POCT office will send a second notice to the department chair and/or a previously-identified secondary contact person designated by the chair.  The President of UMG will also be notified.  (We hope never to get to this step.)

•          If compliance is not achieved within one week of the second notice, reagents will be confiscated and testing will cease until compliance is achieved.  (We hope never to get to this step either.)

Send mail to martineu@umdnj.edu with questions or comments about this web site.
Last modified: August 03, 2005