Laboratory Personnel Dr/Ehsan Moahmen Rizk The Quality Management System Personnel-Module 12 Organization Personnel Equipment Purchasing & Inventory Process Control Information Management Documents & Records Occurrence Management Assessment Process Improvement Customer Service Facilities & Safety 2 Laboratory Staff YOU ARE: • The most critical part of the quality system • The laboratory’s greatest asset • An important partner in patient care YOU ALSO: • Bring your integrity and professionalism to the healthcare community Success or failure of quality system is dependent on the laboratory staff Knowledge and skills Motivation Personnel-Module 12 Commitment 3 3 Job Qualifications Continuing Education Job Descriptions Personnel Management Orientation Competency Assessment Training Personnel-Module 12 4 4 Motivated employees are more committed to their work praise recognition bonuses benefits flexible time … Personnel-Module 12 5 Job Descriptions “Laboratory Management shall have job descriptions that define qualifications and duties for all personnel.” ISO 15189:2007 Personnel-Module 12 6 Qualified New Employee Job Description Orientation Task-specific Training Retraining Competency Assessment Competency Recognition Personnel-Module 12 7 Orientation Personnel-Module 12 8 Job Description Task-specific Training Retraining Competency Assessment Competency Recognition Personnel-Module 12 9 9 Laboratory director 1. 2. provide advice to those requesting information about the choice of tests, the use of the laboratory service and the interpretation of laboratory data relate and function effectively with: applicable accrediting and regulatory agencies, Clinical Staff the healthcare community the patient population served Personnel-Module 12 10 Laboratory director (continue) 3. Define, implement and monitor standards of performance and quality improvement of the medical laboratory service 4. Ensure that there are sufficient qualified personnel with adequate documented training and experience to meet the needs of the laboratory; Personnel-Module 12 11 Laboratory director (continue) 5. Plan, set goals, develop and allocate resources appropriate to the medical environment; including budget planning and financial management, provide educational programs for the medical and laboratory staff and participate in educational programs of the institution; 6. implement a safe laboratory environment in compliance with good practice and applicable regulations Personnel-Module 12 12 Laboratory Manger 1. Responsible for the day-to-day management of the testing laboratory 2. Ensuring that there are enough personnel with adequate training and experience to conduct the work 3. Ensuring that the laboratory has a standard operating procedures complete, up-to-date, available for performing tests, and followed personnel Personnel-Module 12 manual of that are personnel by those 13 Laboratory Manger (continue) 4. Maintaining a quality assurance program to assure the proper performance and reporting of all test results; maintaining acceptable analytical performance for all controls and standards; maintaining quality control testing; and assuring and documenting the validity, reliability, accuracy, precision, and performance characteristics of each test and test system 5. Taking all corrective actions that may be necessary to maintain satisfactory operation and performance of the laboratory 6. Responsible for review, reporting of test results Personnel-Module 12 interpretation, and 14 QA manger Design, implementation, maintenance and improvement of the quality management system. This include the following: 1. Management support of all laboratory personnel by providing them with the appropriate authority and resources to carry out their duties; 2. Arrangements to ensure that management and personnel are free from any undue internal and external commercial, financial or other pressures and influences that may adversely affect the quality of their work 3. Policies and procedures for ensuring the protection of confidential information Personnel-Module 12 15 QA manger (continue) 4. The organizational and management structure of the laboratory and its relationship to any other organization with which it may be associated 5. Specified responsibilities, interrelationships of all personnel 6. Adequate training of all staff and supervision appropriate to their experience and level of responsibility by competent persons 7. Technical management which has overall responsibility for the technical operations and the provision of resources needed to ensure the required quality of laboratory procedures Personnel-Module 12 authority, and 16 Lab. technician 1. Performing laboratory tests in order to produce reliable and precise data by carrying out routine tasks accurately and following strict methodologies to carry out analyses 2. Preparing specimens and samples 3. Constructing, maintaining laboratory equipment and operating standard 4. Ensuring the laboratory is well-stocked and resourced Personnel-Module 12 17 Lab. Technician (continue) 1. Recording the results and conducting them to lab manger 2. using computers and performing mathematical calculations for test results 3. keeping up to date with technical developments, especially those which can save time and improve reliability; 4. Helping lab manger in conducting searches 5. following and ensuring strict safety procedures and safety checks Personnel-Module 12 18 Computer Lab. technician Responsible for the maintenance and operations of computer labs and related equipments as printers&Faxes. Assist lab users with computer-related issues such as creating user log-on accounts and passwords, The operation of the computer and the network Keeping Personnel-Module 12 records of equipment and lab supplies 19 Internal audits In order to verify that operations continue to comply with the requirements of the quality management system, internal audits of all elements of the system, both managerial and technical, should be conducted at intervals defined by the system itself. Personnel-Module 12 20 Internal audits (continue) Audits should be formally planned, organized and carried out by the quality manager or designated qualified personnel. The procedures for internal audits should be defined and documented and include the types of audit, frequencies, methodologies and required documentation. The results of internal audits should be submitted to laboratory management for review. Personnel-Module 12 21 Competency Assessment Methods Direct Observation checklists Technologist Name Procedure for Evaluation Procedure item Indirect Observations monitoring records re-testing case studies Technologist Title Evaluation Date Accept Partial Evaluator No Comment Read procedure manual Equipment set up appropriately Work area neat Reagent preparation Perform task accurately Perform task timely Give previously analyzed specimens for testing Other: Specify Provide written exercises to assess: •Problem solving skills •Knowledge Personnel-Module 12 •Interpretation 22 Policies and Processes Policy writingmanagement responsibility Review annually and modify when necessary Processes Who will conduct assessment? Personnel-Module 12 What will be assessed? When will assessments occur? 23 Competency assessment documentation use standard forms date and keep confidential Personnel-Module 12 24 Training Continuing Education Personnel-Module 12 25 25 Training Methods and Resources Personnel-Module 12 26 26 Performance Appraisal competencies professional behavior observation to safety Efficiency customer service Personnel-Module 12 adherence to policy communication 27 27 Performance Appraisal Meetings formal regular constructive objective complete fair documented Personnel-Module 12 28 28 Personnel Records Training Records Performance Appraisal John Smith Competency Assessment Competency Assessmen CONFIDENTIAL Personnel-Module 12 29 Summary Personnel management is critical to success of a quality management system. Job descriptions should describe tasks and authorities. Competency must be assessed. Training will help to assure competent staff. Methods for attracting and personnel must be addressed. Personnel-Module 12 accurately retaining 30 Key Messages Personnel are the most important resource in the laboratory. Managers must create an environment that will fully support all laboratory personnel in order to maintain a high quality of laboratory performance. Continuing education is vital to personnel competency. Personnel-Module 12 31 Personnel-Module 12 32 32