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Training Programme & Competency Framework

This section outlines the structured 5-stage competency methodology used to train and certify healthcare staff before granting independent, unsupervised access to the live Moana system.

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IMPORTANT:

Mandatory Competency Requirement No user proceeds to independent, unsupervised use of the live Moana system until they have demonstrated competency for ALL workflows relevant to their assigned role. Attendance at a training session is not sufficient — competency must be observed, demonstrated, and formally signed off by the certified trainer.

1. The 5-Stage Competency Progression​

Every trainee progresses through five standardized instructional stages:

StageActivityFormal Sign-Off Criterion
1. ObservedTrainee watches trainer complete the full workflow end-to-end, including exception and safety handling.Trainer confirms trainee observed all required steps.
2. Practised with GuidanceTrainee performs the workflow with the trainer present and available for immediate support.Trainer confirms guided practice is complete without fundamental errors.
3. Performed IndependentlyTrainee completes the full workflow without trainer guidance or prompting.Trainer confirms independent completion with zero prompts needed.
4. Scenario ExecutionTrainee completes a realistic, role-specific synthetic scenario from start to finish, including handling an exception or safety alert.Scenario completed without assistance; safety rules and alerts correctly handled.
5. Competency Sign-OffTrainer assesses trainee against the role competency checklist; signs and dates the official record.Trainer signature recorded; competency record filed as official go-live evidence.

2. Role-Based Core Modules & Key Competency Scenarios​

User RoleCore Training CurriculumKey Competency Demonstration Scenario
Hospital ReceptionistRegistration (Path A & B), OPD intake, Emergency intake, Appointments, Patient searchNear-duplicate detection: MPI path used correctly; Admin resolution workflow triggered.
Doctor / Medical OfficerPatient banner verification, SOAP note + mandatory ICD-10 coding, CPOE Orders (Rx/Lab/Imaging/Referrals), Drug-allergy advisory, Results review, Discharge summaryKnown allergy at prescribing: Advisory displayed; clinical alternative selected; order routed to pharmacy without dispensing hard-stop.
Ward Nurse / MidwifeVital signs + automated NEWS2 alerting, Task management (Five Rights), eMAR administration, Clinical escalation pathway, Shift handover, Paper downtimeNEWS2 ≥ 7 Alert: Attend patient immediately; call doctor; acknowledge alert; document response with timestamps.
Pharmacist / Senior PharmacistDispensing queue, Four-stage lifecycle, Four-eyes rule, Drug-alert hard stop, Controlled drug register, Inventory managementHard-stop at dispensing: Contact prescribing doctor; override documented; dispensing completed with full audit trail.
Laboratory Scientist / SupervisorOrder intake in LIS, Specimen tracking & barcodes, Result entry & delta checks, Supervisor verify, Dispatch step, Critical value dual-gate protocolCritical result protocol: Verbal contact before dispatch; Notify Clinician modal completed; doctor acknowledges within 30 minutes.
Radiologist / Imaging SpecialistRadiology worklist, OHIF PACS viewer, Structured report authoring (Findings/Impression/Recommendations), Report release, Doctor acknowledgmentCritical radiology finding: Verbal contact before report release; call documented in report; two-step verification model demonstrated.
Billing / Finance OfficerBilling module navigation, Charge review, Invoice generation, Payment processing, Insurance claims adjudicationComplete discharge billing: Automatic charges verified; manual lab & procedure charges entered; itemized invoice generated.
System / IT AdministratorUser account management, Role assignment, Audit log review, Backup & restore verification, Escalation pathways, Downtime testingStaff account lockout & permission verification: Reset performed; audit log reviewed; role permissions verified.