FECAL OCCULT BLOOD     (COLOSCREEN)           

INITIALS

Competency Assessment:

      1.  Read entire Policy/Procedure
     2.  Complete and pass written test (Passing criteria is 100%)
     3.  Direct observation by preceptor (return demonstration, complete )

  TEST SCORE 0

Test taken on: 5/22/2013

 CRITICAL POINTS FROM POLICY AND PROCEDURE

OPERATOR INITIALS BELOW

a. Sample Application:  Must be thin smear.

b. Patient Mail-ins:  Must be developed within 12 days of sample application.

c. Development:  Specimen must be allowed to air dry prior to addition of developer.

d. Interpretation of Results:  After addition of developer, test must be read within 2 minutes. The presence of any blue or blue-green in, or near edge of circular area is considered a positive test.

f. Quality Control:  Always develop onboard controls when performing a patient test.  The positive control must turn blue, blue-green; the negative control should remain colorless.

g. Charting of Patient Results:  Do not record unless controls perform as expected.

h. Patient preparation: Patients must quit taking NSAIDS, red meats, etc

i. A positive GUAIAC is considered:   a. non-definitive, must be confirmed  b. diagnostic, no confirmation necessary

SAMPLE #_____     RESULT:   o Positive   o Negative

 o Pass o Fail    

Validator:________________