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: 5/25/2013

  CRITICAL POINTS

 OPERATOR'S  INITIALS

a. Specimen:  The specimen may be either vaginal fluid or other body fluid; estimated to be stable for 2-5 minutes at room temperature; Whole blood, plasma or serum may not be used.
 

b. Patient Testing:  Using approximately 3 inches of pH paper, dispense one drop of fluid on to the paper and compare to the color chart; if testing vaginal fluid, take a sterile cotton swab and obtain a sample of the vaginal fluid by touching tip of swab against the vaginal wall - press the wet cotton swab against the strip of pH paper, and compare to color chart.
 

f. Quality Control:  Performed and documented once per month or whenever patient testing is performed (whichever is less) and when new roll of pH paper is put into use.
 

d. Reagent Storage:  store pH paper at room temperature and protected from light.
 

SAMPLE #_____     RESULT:   __________________________

 
o Pass o Fail
Validator:___________________