POCT Competency Record
Accuchek Advantage

Check One: o Initial Competency (after training)  o Annual Competency 

Name:   1, 2, 3, 4, 5, 6, 7, 8, 9, 10,

Score: 0 %             Date: 5/18/2013

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POC Test:  Blood Glucose  Instrument: Accuchek ADVANTAGE

EMP  INITIALS

1. Read policy and Procedure

  

2. Verifies test strips and QC solution current (checks expiration date)

 

3. Performs 2 control levels (Lo and Hi)

  

4. States when quality control testing is required

  

5. Reports and documents results

  

6. Documents observation

  

7. Describes maintenance procedures of cleaning and changing batteries

  

CRITICAL POINTS:

  

a. Sample collection: must allow alcohol to dry prior to fingerstick

  

b. Reference Ranges for the appropriate population: Must accompany every glucose patient result

  

 

Sample No.  __   Result:   ____ mg/dL  Reference Range:  ____to____ mg/dL

Control Result ______  mg/dl   Control range _______  to ________ mg/dl

 

 

__PASS   __FAIL

VAL INITIALS: _____