TACT: A user’s Perspective

By

Anna Capps Jenner &

Ishmael Carboo

October 2018

TDL BT LabsTDL BT Hub Labs

Ealing

Ridgeway

Chaucer

Ross Hall

Cromwell

Priory

Rivers

Blackheath

Salford Quays

Northwick Park

Central Middlesex

Hospital of St. John and StElizabeth

London Independent

• TACT - ‘Training assessment and Competency Tool’

• Given opportunity to Pilot

• Automated system (reduce paperwork)

• Optional automatic email reminders for staff engagement targets

• Counts as CPD

• Randomisation of scenarios

• Ever improving scope of scenarios

Why say Yes to TACT?

TACT’s Aims & Objectives To provide:

• a fully-interactive knowledge-based training and competency assessment tool.

• scenarios representing a typical request received in a hospital-based BT lab.

• scenarios covering the main areas from BSH guidelines :• Sample and request acceptance

• ABO & RhD interpretation

• Antibody screen & Antibody identification

• Component selection

• complex cases:• One containing an un-interpretable (UI) ABO and/or D group

• Where the only correct red cell component selection is group O D Negative, except where the patient’s blood group is O D Negative

• Where the selection of red cell components requires adherence to a patient’s specific requirements.

Setup Challenges and Solutions

Trial and Error - TACT was a new system• Participants need connection to a printer • Internet platform – contact Claire we use Google Chrome • Blocked pop ups / screens popped up behind– incomplete exercises

Challenge Solution

Central co-ordination across the network (13 sites)

Lead TACT Administrator :- communicates all updates- TACT working group liaison

Monitoring of 80+ staff results Local administrators (BT seniors)

TACT Process in TDL

• Annual training log - managed by BT Seniors

• Staff provide evidence

• Each staff member to PASS four TACT scenarios per month

• Senior staff monitor staff progress and provide extra training if required.

GETTING STARTED

Example 1

Reject Mismatched Sample

Example 2

• .

Request test on LIMS

ABO/D & Antibody Screen

Antibody Identification (Printer needed)

Antibody Panel Sheet (Printer needed)

Summary of Results

Example 3

Issuing red cells for transfusion

GOING HOME

Management Benefits

Managers dashboard display enables:

• monitoring of performance and participation

• a full drill down into each participation completed by the participants.

• review completed cases and allows editing to results to take into account local policies and practices.

• the ability to view the request form, cassette images, panel profile sheets and stock fridge contents

Participant Benefits

• Instil confidence in own practical and theoretical knowledge

• Allows learning from virtual cases where scenarios are complicated by antibodies , blood group anomaly or transfusion requirements

• TACT may transferred across organisations.

• Can review own performance using the individual participation dashboard

TACT CPD Certificate awarded upon completion

Conclusion

• It works for us - we will continue using it

• We’d like antenatal, paediatric specialities, BMT’s added

Mark Slater TDL Priory Hospital Our TDL lead administrator and member of TACT working

NEQAS TACT working group (Claire Witham)For being at the end of the phone and prompt acting on any ideas or

issues we found

Our TDL Staff Who have worked with this system from the very beginning and

provided valuable feedback

THANK YOU