Transcription of Technician Proficiency Evaluation Date: Technician Name ...
1 Technician Proficiency EvaluationTechnician Name:_____Facility/Location:_____Date:__ ___Examiner:_____*Checks in the above blocks indicate that competency was assessed through direct observation (unless otherwise stated).Inspection ItemDescriptionCommentsRecordkeepingTech nician Certification (current/posted)Booth Certification (current/posted)Is the current booth cerification form used?DD2217 calibration checks (past 5 yrs)Retrieve calibration records from DOEHRSE lectroacoustic calibration checks (5 yrs)Command rosters received semi-annuallyCommand ResponsibilityCalibrationVisual check of equipmentFunctional Listening checkBiologic calibration check (DD2217)DOEHRS-HCCurrent DOEHRS-HC versionUpdated through monthly patches?
2 DOEHRS system is connected to internetUsersActive user / Demonstrate DOEHRS-HC loginDelete inactive/invalid users (Admin accts).Accurate Audiologist/HCPM Admin default dataDemonstrate Add new user/update Examiner dataCurrent certification # in user profileAccurate test facility UIC in user profileUICsUICs listed in DOEHRS HC are currentHow is this validated? How often?Create, edit, & delete a UIC/WICUIC Finder & SDOC list located on PC desktopDemonstrate search components of UICs are not listed as "Other"Must be USN, USMC, booth stations have functioning equipmentAccess to spare/loaner equip as neededSerial #'s match on hardware & in softwareAudiometers, headphones, calibratorsTest AdministrationPt instructions, prep, seating, headset placementCorrect entry/edit of patient demographic dataImport records/DR InquireAdminister test (2215 or 2216)
3 Perform manual audiometric testingDemonstrate edit/delete audiogramKnow when this is appropriate to Education/TrainingAppropriate/effective training delivered?Tympanometry (perform, interpret, referral criteria)Patient Counseling/DispositionDetailed explanation of test resultsAppropriate referral process to AudiologyData RepositoryCurrent / Active DR Acct / Demonstrate DR loginCheck user account password is stored in DOEHRS-HCReportsEnd of Day reportLists, Forms, Reports, Audit TrailsData ManagementBackup data to external or shared driveData is exported at least weekly, prefer daily Check DR upload 'sVariety of choices, sizes & samples on-handAccurate HPD info recorded in DOEHRSO toscopy performedCorrect otoscopy technique observed?
4 HPDs are re-fitted on STS patientsCorrect fitting technique observed?Counseling on HPD care & useHPD fittings are documented in pt recordGuidance/InstructionsLocal SOPNEHC TM or (as applicable)BUMED INST. Instruction (as applicable)DODINST User ManualDOEHRS-HC Assistance/Problem ReportingHCP Manager contact infoSummary Results # Health Records Reviewed: _____ # Errors Noted: _____ Pass / Fail / Re-assess Summary/Comments.
5 Plan of Action: Examiner Signature:_____
