Aims of and participation in TACT

Welcome to the UK NEQAS BTLP TACT system. The aim of this system is to provide laboratory staff and managers with an interactive knowledge-based training and competency assessment tool, not solely focussed on the practical applications of training, but on the theoretical knowledge of all laboratory Biomedical Scientists working in blood transfusion.

Currently, TACT features a single scenario based on routine request handling, representing a typical request received in a hospital based blood transfusion laboratory. Cases are randomly generated for users to work through, with six areas of automated assessment, based on BCSH guidelines. These are sample and request acceptance, ABO interpretation, D interpretation, antibody screen, antibody identification (and exclusion), and component selection for possible issue. With the data and rules that are held by the system it is possible to generate hundreds of cases within each scenario type where no two are likely to be the same.

The additional features that will be embedded in TACT to provide the opportunity for managers to review scenarios with staff against local practices, are coming in a later release, due early in 2015. Every laboratory will be able to set its own targets for engagement for staff within each of the assessment areas. The TACT system initially defaults the target levels, but subscribing laboratory managers will be able to adjust these figures to suit their own laboratory needs. The laboratory manager now has a dashboard display that keeps him/her informed of staff performance as well as how frequently each member of staff is accessing TACT. Staff can build a portfolio of activity and outcomes which can be used to inform a competency rating.

Activities attempted/completed within TACT may be used as CPD evidence, and be transferred across organisations. The automated scoring areas are awarded against criteria linked to BCSH guidelines.

BCSH 2012 Guidelines for pre-transfusion compatibility procedures in blood transfusion laboratories states ‘Unless secure electronic patient identification systems are in place, a second sample should be requested for confirmation of the ABO group of a first time patient prior to transfusion, where this does not impede the delivery of urgent red cells or other components’. The current iteration of TACT does not hold any patient transfusion history, or the ability to request a second sample before red cell component issue is performed. As the tests ‘Serological XM’ and ‘EI’ are not currently active in the first release version of TACT, we would ask laboratory managers and members to temporarily suspend any local policy calling for a second sample to have been tested before red cell components are crossmatched, and view the exercise as a selection of units for potential issue. The functionality of providing a second sample and the inclusion of patient transfusion history are features of the software scheduled to be introduced to the system in the very near future, along with crossmatching and EI.

Minimum System Requirements.

You will need either Internet Explorer v9, Google Chrome v28 or Firefox v22 to access the system. The minimum screen resolution to achieve optimal screen display is 1024 x 768. This will allow all of the user interface elements to be visible at once.

Accessing the System.

The TACT site may be accessed using the following link:tact.ukneqasbtlp.org.uk

It can take up to 72 hours for a TACT account to be authorised. There is no charge levied for subscription to TACT.

Social Media.

The TACT social media pages can be accessed:

http://www.facebook.com/btlp.tact

Follow @btlp_tact

Disclaimer

Any resemblance to any persons living or dead represented by the ‘patients’ generated in the scenarios of TACT is entirely unintended and coincidental.

Location

The Scheme is hosted by the West Hertfordshire Hospitals NHS Trust and is based at Watford General Hospital, in a Unit shared with UK NEQAS (H) and (FMH)

Yes, TACT can be accessed from any PC that complies with the minimum operating requirements specified in the ‘end user instruction manual – subscriptions’, available on the UK NEQAS BTLP website http://www.ukneqasbtlp.org

Yes, TACT is available to subscribe to from 03/11/2014 for laboratory managers, and for memberships to be purchased. The TACT system went live on 17/11/2014, and is available for full use by laboratory staff. Learn more.

Full instructions for purchasing memberships are given in the ‘end user instruction manual – subscriptions’ on page 8, available on the UK NEQAS BTLP website http://www.ukneqasbtlp.org

Subscription to TACT is free, but a purchase order number is required at the point of subscription. The purchase order is raised in the same way you would renew your annual registration to UK NEQAS BTLP. The organisation is West Hertfordshire Hospitals NHS Trust, and the email address is [email protected] . However, we do not require you to email the purchase order to us, as all of the invoicing is done through the TACT system.

From 01/04/2015 you may add membership to TACT to your BTLP re-registration for the next financial year, if you wish, but only up until your PO for BTLP re-registration has been raised. You can also raise a separate PO for membership to TACT if you do not want this to be added to your BTLP re-registration next year.

Please ensure you are using a browser that meets the minimum specifications for running the TACT software. These minimum requirements are given in the end user instruction manual, available on the UK NEQAS BTLP TACT website http://www.ukneqasbtlp.org/tact.php. Please also ensure that your browser has Javascript enabled. Your organisation IT department should be able to assist you with checking this.

The yellow warning bar appears because the order for memberships requires approval by UK NEQAS before the memberships appear in the TACT front office. This may take up to 72 hours. Once the order is approved, you may add the details of your staff members at your convenience, up to the limit selected at the purchasing stage.

No, you can raise one PO and have one subscription for any number of sites in your network. However, this will mean that only one laboratory manager at the primary site will be able to view all of the member records in the laboratory overview dashboard. If there is more than one laboratory manager, or individual to whom the responsibility for monitoring TACT members across your sites falls to, you may want to consider creating separate subscriptions for each site. Input your primary site PRN and any additional PRN’s in the relevant field’s when subscribing, then select the total number of memberships you require at the purchasing stage, according to the number of subscriptions.

Yes, you can add TACT engagement to your educational activity log with the IBMS and BBTS CPD schemes. CPD points are earned when TACT engagement is recorded as a total amount of time spent using TACT over an annual timescale.

You can find your username at the bottom of the email containing the link to change your password. The email has the subject ‘New Password Request’.

The ‘performance dashboard’ feature of TACT is a partially completed development, due to be finished April 2015. This feature will give laboratory managers the ability to tailor staff member engagement with TACT, and to monitor and perform a drill-down review all scenarios completed by members. There will also be the ability to re-run any single scenario that was completed incorrectly, with the error(s) highlighted as a learning exercise for any member. Incorrect results will then be able to be reviewed and amended by the laboratory manager, with an auditable comment box available for closure of the scenario.

There are no ‘exercises’ in TACT, in the sense of other NEQAS schemes. TACT is an online interactive system that is available 24 hours a day, 7 days a week. There are 100’s of different ‘scenarios’ that can be worked through. Members of TACT can log in whenever convenient, either at work or at home, and complete as many or as few scenarios at a time. The score for the scenario is given immediately upon completion. There is no limit to the number of times a member may log on to complete a scenario. The laboratory manager will soon be able to set targets for staff engagement with the system with the next update of TACT, scheduled to be released either at the end of December or early January.

You can take advantage of a limited single user free trial by subscribing to TACT. Follow the link given below which will take you to the subscription user manual. You need to follow up to page 7. http://www.ukneqash.org/documents/TACT%20End%20User%20Instruction%20Manual%20B-108%20version2%20subscription(1).pdf The TACT free trial will expire after a period of 2 weeks. If you would like to purchase memberships for TACT after accessing the free trial, please contact a member of the TACT team with your requirements. There is also a user manual on the UK NEQAS website for how to log in and use TACT, should you require it.

I have made deliberate errors in the scenarios I have completed. Is it possible for these to be removed from my TACT record? There is a development currently being worked upon which allows the subscriber to clear the dashboard of any member, including their own, on a single use basis.