, Score: 0%, must retake test. Scroll down for missed test question numbers

POCT Competency Assessment
 HGB A1C

 

Name:  

Date:

Emp ID:

Clinic / Unit:
TSM Name:

Preceptor(s):

CERT EXPIRES: 

Hemoglobin a1c
 

AFTER TAKING ONLINE TEST AND READING THE POLICY, EMPLOYEE PERFORMS A TEST AND  MARKS RESULTS BELOW.  THE PRECEPTOR OR TSM GRADES RESULTS FOR ACCURACY. 

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: 5/18/2013

 CRITICAL POINTS

OPERATOR'S  INITIALS

4. Verifies reagents are current (per expiration date) & understands storage requirements.

5. Understands acceptable specimen types and dosing of capillary tube limitations (hint: sample stability)

 

6. Performs simulated patient test (passing criteria=  7% variance) and records below in shaded area)

  • Successfully performs quality control & documents it

  • Reviews patient results for critical values

  • Reviews patient results for critical values.

  • Reports and documents results

  • Describes weekly, monthly, quarterly maintenance  procedures:

SAMPLE RESULT:   _________%  TARGET ___________ %

 

 
o Pass o Fail
Validator:___________________
  

If your Score is NOT 100%, missed test question numbers follow: 1, 2, 3, 4, 5,

Please Print this page and bring to check offs. Passing Score is 100%
This application requires INTERNET EXPLORER. Application will not work properly with NETSCAPE. 

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