Read UCHC Competency Checklist: ORIENTATION text version

UCHC Competency Checklist: ORIENTATION Position Title: Pulmonary Function Specialist Cluster Area:

Method of Instruction Key: P = Protocol/Procedure Review E = Education Session S = Self Learning Package C = Clinical Practice D = Demonstration

Employee Name:

Unit: Pulmonary Lab

Method of Evaluation Key: O = Observation (in clinical setting) RD = Return Demonstration T = Written Test V = Verbal Review

Self-Assessment by Employee

Never Done Needs Review/ Competent Practice Method of Instruction (Use Instruction Key on Left)

Validation of Competency

Evaluation Method (Use Evaluation Key on Left)

Date

Initials

A. GETTING INTO THE SYSTEM

Locates On-Line Manuals UCHC Policies John Dempsey Hospital Administration Manual Infection Control Manual Locates Hard Copy Manuals on Unit UCHC Safety Manual Utility Failure Manual Obtains network, LCR, Pyxis, & Unit-Specific Access Recalls Proper Call-Out Procedures Identifies unit-based orientation plan and timing of evaluations Identifies Performance Improvement Indicators? Places contact information onto unit/department Disaster Call Tree (Safety Manual)

B. SAFETY/INFECTION CONTROL

Locates fire alarms, extinguishers and exits Demonstrates appropriate use of Red-Bag Waste Identifies and locates personal protective equipment Reviews Safety Plan for unit Verbalizes the use and online location of Material Safety Data Sheets (MSDS)

C. EQUIPMENT

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Revised 2009 Pulmonary Lab Pulmonary Function Specialist Competency - Orientation

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UCHC Competency Checklist: ORIENTATION Position Title: Pulmonary Function Specialist Cluster Area:

Method of Instruction Key: P = Protocol/Procedure Review E = Education Session S = Self Learning Package C = Clinical Practice D = Demonstration

Employee Name:

Unit: Pulmonary Lab

Method of Evaluation Key: O = Observation (in clinical setting) RD = Return Demonstration T = Written Test V = Verbal Review

Self-Assessment by Employee

Never Done Needs Review/ Competent Practice Method of Instruction (Use Instruction Key on Left)

Validation of Competency

Evaluation Method (Use Evaluation Key on Left)

Date

Initials

Locates equipment manuals Nellcor N600 and Nonin oximeters Pulmonary Function Systems: VMAXX 229 Encore V62J Body Box Datascope monitor

D. DOCUMENTATION/COMMUNICATION

Accesses patient information in LCR Accesses email account Locates link to Patient Safety Net IDX: Schedule patients appointments/report generation (work schedules) PFT Report processing, completion and generation. Net link generation Daily Lab Charges

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Revised 2009 Pulmonary Lab Pulmonary Function Specialist Competency - Orientation

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UCHC Competency Checklist: ORIENTATION Position Title: Pulmonary Function Specialist Cluster Area:

Method of Instruction Key: P = Protocol/Procedure Review E = Education Session S = Self Learning Package C = Clinical Practice D = Demonstration

Employee Name:

Unit: Pulmonary Lab

Method of Evaluation Key: O = Observation (in clinical setting) RD = Return Demonstration T = Written Test V = Verbal Review

Self-Assessment by Employee

Never Done Needs Review/ Competent Practice Method of Instruction (Use Instruction Key on Left)

Validation of Competency

Evaluation Method (Use Evaluation Key on Left)

Date

Initials

E. PROVISION OF CARE

UCHC POLICIES AND PROCEDURES Review policies and procedures applicable to Pulmonary Function area of care HOSPITAL ADMINISTRATIVE MANUAL Review policies and procedures applicable to Pulmonary Function area of care

DEPARTMENT PRACTICE MANUAL Review policies and procedures in the Pulmonary Function Department Manual UNIT PRACTICE MANUAL - aware of content and/or provides care according to the following protocols/procedures: Full review of the Pulmonary Lab Policy and Procedure Manual PFT Testing: Perform PFT testing to include patient instruction, demonstration and verbalize procedure of : Spirometry Lung Volume Diffusion Capacity Maximum Voluntary Ventilation Methacholine Challenge Exercise Testing- Comprehensive and Exercise Induced Asthma Protocol Initials Signature Initials Signature Initials Signature

Revised 2009 Pulmonary Lab Pulmonary Function Specialist Competency - Orientation

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UCHC Competency Checklist: ORIENTATION Position Title: Pulmonary Function Specialist Cluster Area:

Method of Instruction Key: P = Protocol/Procedure Review E = Education Session S = Self Learning Package C = Clinical Practice D = Demonstration

Employee Name:

Unit: Pulmonary Lab

Method of Evaluation Key: O = Observation (in clinical setting) RD = Return Demonstration T = Written Test V = Verbal Review

Self-Assessment by Employee

Never Done Needs Review/ Competent Practice Method of Instruction (Use Instruction Key on Left)

Validation of Competency

Evaluation Method (Use Evaluation Key on Left)

Date

Initials

Cpap Mask fittings Bronchoscopy Assists and maintenance of cart 6 Minute Walk test Calibration/ Cleaning and Maintenance of Equipment

F. PRACTICUMS & SKILL VALIDATIONS Completes Practicum and Skill Validations for role in the Pulmonary Lab Demonstrates correct procedure for the following: Perform daily calibrations and adjust or correct to match the control standards. Perform Quality Control testing to determine the accuracy and precision of the equipment against a known standard. Perform pulmonary function testing to include patient instruction, demonstration and verbalize minimum spirometry standards: FVC Long volumes DLco Methacholine Challenge Testing, exercise testing, 6 minute walk Perform oximetry testing and verbalize instances that may affect accuracy and interfere with light transmission. Arterial blood gases: Demonstrate correct technique contraindications Initials Signature Initials Signature Initials Signature

Revised 2009 Pulmonary Lab Pulmonary Function Specialist Competency - Orientation

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UCHC Competency Checklist: ORIENTATION Position Title: Pulmonary Function Specialist Cluster Area:

Method of Instruction Key: P = Protocol/Procedure Review E = Education Session S = Self Learning Package C = Clinical Practice D = Demonstration

Employee Name:

Unit: Pulmonary Lab

Method of Evaluation Key: O = Observation (in clinical setting) RD = Return Demonstration T = Written Test V = Verbal Review

Self-Assessment by Employee

Never Done Needs Review/ Competent Practice Method of Instruction (Use Instruction Key on Left)

Validation of Competency

Evaluation Method (Use Evaluation Key on Left)

Date

Initials

Demonstrate correct technique for Lidocaine injection Perform CPAP mask fittings, indications, fitting and assembly of equipment Assist with bronchoscopy procedures to include patient assessment, hazards and complications, equipment and med preparations, video recording and equipment sterilization Stock bronchoscopy cart after each procedure and maintain emergency availability. Initiate and maintain patient records and daily charges, to include demonstration of the departmental filing system. Take patient histories. Assess patient status. IDX Scheduling appointments/arrivals Scheduling specialty tests, meths, bronchs, cpap, exercise Requisition and schedule printout PFT Testing/Passwords PFT 6 minute walks Cpap mask fittings Abg draws(3 supervised) Bronchoscopy assist Methacholine challenge Exercise Testing Initials Signature Initials Signature Initials Signature

Revised 2009 Pulmonary Lab Pulmonary Function Specialist Competency - Orientation

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UCHC Competency Checklist: ORIENTATION Position Title: Pulmonary Function Specialist Cluster Area:

Method of Instruction Key: P = Protocol/Procedure Review E = Education Session S = Self Learning Package C = Clinical Practice D = Demonstration

Employee Name:

Unit: Pulmonary Lab

Method of Evaluation Key: O = Observation (in clinical setting) RD = Return Demonstration T = Written Test V = Verbal Review

Self-Assessment by Employee

Never Done Needs Review/ Competent Practice Method of Instruction (Use Instruction Key on Left)

Validation of Competency

Evaluation Method (Use Evaluation Key on Left)

Date

Initials

Exercise Oximetry Research studies Misc studies - 18% O2 Upkeep of lab Report Processing completes chart report generation process Interp/Netlink Charges Charge generation/forms Misc computer access Badge /Kronos SDS access PPT system/fingerprint access Email account/ computer Passwords Department Mission Statement Department Organizational Chart I Tour of Department Introduction to Staff Departmental Policies and Procedures Department Forms ID/Name Badge, Security System Initials Signature Initials Signature Initials Signature

Revised 2009 Pulmonary Lab Pulmonary Function Specialist Competency - Orientation

Page 6 of 7

UCHC Competency Checklist: ORIENTATION Position Title: Pulmonary Function Specialist Cluster Area:

Method of Instruction Key: P = Protocol/Procedure Review E = Education Session S = Self Learning Package C = Clinical Practice D = Demonstration

Employee Name:

Unit: Pulmonary Lab

Method of Evaluation Key: O = Observation (in clinical setting) RD = Return Demonstration T = Written Test V = Verbal Review

Self-Assessment by Employee

Never Done Needs Review/ Competent Practice Method of Instruction (Use Instruction Key on Left)

Validation of Competency

Evaluation Method (Use Evaluation Key on Left)

Date

Initials

Keys Parking Permit Department Meetings and Communication Job Description Performance Standards and Evaluations Dress Code Department Performance Improvement Program Office Equipment (e.g., Fax, Copier, Computer System. and Telephone) Safety Issues (e.g., Fire, Chemical Hazards, Disasters, etc.) Spirometry (including use of Bronchodilator) Lung volumes maneuvers Diffusion 6 minute walk test Exercise Testing- Comprehensive and Asthma Challenge Methacholine Challenge Bronchoscopy Assists and maintenance of cart Cpap mask fittings Pulse Oximetry with Exercise Arterial Blood Gas Punctures Respiratory Pressures (MIP/MEP) Annual Mandatory Training/Code Blue CPR (bi-annual)

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Revised 2009 Pulmonary Lab Pulmonary Function Specialist Competency - Orientation

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UCHC Competency Checklist: ORIENTATION

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UCHC Competency Checklist: ORIENTATION
UCHC Competency Checklist: ORIENTATION