Author: Jennifer Carnevale

Pochi System Competency Assessment Record

Evaluation of Skills and Training

Proficiency Testing Review

Individual Information

Upon completion of this evaluation the listed employee is able to discuss/complete the listed tasks on the Pochi test system.

Met Not Met

Describes the purpose of the test and is familiar with the written procedure.
Demonstrates compliance with hand hygiene protocols and wears PPE while using the Pochi.
Demonstrates QC and understands QC corrective actions if QC is not acceptable
Describes proper sample type used for running a specimen
Successfully simulates a patient test and properly scans the barcode
Understands storage and stability of Pochi reagents
Understands result flags, analyzer errors, and reportable range and takes the proper actions
Understands analyzer maintenance of the and documentation
Explains troubleshooting procedures and documentation
Use of the patient account number as the patient ID.

Direct Observation

Sample/QC Processing
Reviewing of Results
Maintenance
Observer _______________________Date_____________

Acceptable Pochi Proficiency Performed:
Sample: Date:
Sample: Date:

Learning Assessment Exam

MTS Pochi Exam Completed with a passing score:
Date:____________________
See Attached PASS/FAIL

Pochi Maintenance Review

Date Range ___________to ______________
Start ups Performed_____________________
Maintenance Performed__________________
The person named has demonstrated that they can/have performed an appropriate number of maintenance and start up procedures for this testing system.

Name_____________________________________
ID#________________________ Floor___________
Date___________________________ Employee Signature ___________________________
Initial Training
Six Month Competency
Annual Competency

___________________________________________ Point of Care Signature Date
The Point of Care signature indicates that the above employee has met the requirement for competency.
Requirements: Initial: Evaluation of skills and training Six Month: Learning Assessment Test, Maintenance Review Annual: All listed sections