Embedded Files
NABL Manuals
ISO 15189 :2022 Reference
5.2.3 Delegated Responsibilities
6.2.1, 6.2.2 Competence of Personnel
6.4.4 Equipment used by Competent Personnel
7.3.2 Competent personnel review the results
8.2.2 Objectives and Policy address Competence
8.3.2 Document Approval by Competent personnel
A4: POCT Competency
NABL 112 Reference
5.1 For authorization of reports
QSM Reference
5.1.6 Competence assessment
QSP Reference
QSP 01 Personnel
QSP 27 Staff Competence
DM Reference
Supervisors & Manager
Supervisors & Manager
POCT
POCT
Glucometer
METHODIST LEBONHEUR HEALTHCARE SYSTEM PEDIATRIC KEY
ACCU-CHEK INFORM INITIAL TRAINING SKILLS CHECKLIST
Associates Name:
Associates #
Nursing Unit
Mark appropriate boxes:
Initial Certification
Barcode Needed (Date Issued
Lab use Only)
Completed
Not Completed Assoc.
Circle appropriate title: RN LPN PHLEB Paramedic MT MLT
Assoc.
Initials
Initials
1. Assembles equipment: Accu-Chek Inform, Comfort Curve Test Strips, Code Key, Control Solutions, Collection
Supplies
2. Demonstrates knowledge of Code Key usage:
When changed
True False The code key must be changed each time a new can of test strips is opened.
Proper installation and removal, including verification of code number
True False The code key does not have to match the code on the can of test strips.
3. Demonstrates proper patient testing technique
Enters correct patient identification number.
The correct patient identification number is FIN# (Barcode on armband)
Verbalizes proper collection of specimen
True False Gloves are not necessary when performing patient or control testing or cleaning.
Demonstrates correct dosing of test strip
True False The first drop of blood from a fingerstick may be used to dose the test strip.
True False Additional sample may be added up to 15 seconds after dosing test strip.
Understands corrective action for out of range results
A test result that reads "HI" indicates the glucose value is >600 mg/dl
A test result that reads "LO" indicates the glucose value is
<10 mg/dl
A result of < 35 mg/dl or 500 mg/dl must be verified with a serum sample sent to the lab.
Understands proper procedure for isolation patients
True False The Accu-Chek meter can not be taken into an isolation room.
4. Demonstrates proper control testing technique
Checks expiration date of strips and controls
Control solutions are stable for 3 Months after opening.
Inserts test strip properly (Demonstrates during testing)
Applies control solution to strip correctly
True False It is acceptable for the yellow target area to NOT be completely covered.
5. Demonstrates knowledge of quality control procedure including: When to perform QC
True False Controls should be tested after a new can of test strips is opened.
Steps to follow if QC is out of range Proper QC material, including correctly selecting lot number.
6. Demonstrates proper cleaning of analyzer.
True False The analyzer may be cleaned by using a cloth soaked with alcohol or Clorox
6. Demonstrates proper cleaning of analyzer. True False The analyzer may be cleaned by using a cloth soaked with alcohol or Clorox
7. Demonstrates proper care of analyzer Understands connectivity concept
Demonstrates correct docking of analyzer in base unit
True False The analyzer may be left in the purple carrying case when not in use.
Demonstrates care in handling Inform analyzer screen
8. Knows to contact 24 Hotline number (1-800-440-3638) for any analyzer related problems.
9. Is knowledgeable about use of appropriate comment codes.
A comment code is required for <3 Month patient test result 40 mg/dl or >150 mg/dl (Alert value) A comment code is required for >3 Month patient test results <55 mg/dl or > 300 mg/dl (Alert value)
10. Acknowledges importance of not divulging operator identification number. 11
. Testing personnel are knowledgeable of the contents of the procedure manual as it pertains to the scope of their testing activities.
PART II: Unknown testing
Result
Control Range
Glucose
Passed
Needs to repeat
I have been trained to properly use the Inform whole blood glucose monitor. I feel prepared to use the method with confidence on patient and control samples.
Trainee Signature
Trainer Signature
Date of Training
Quick Competency Assessment Sheet
Quick Competency Assessment Sheet
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