Competency Exam



[pic] Competency Exam

Employee Name: ___________________________ NUID# ___________ Date: ___________

Validator: ___________________ Validator’s Signature: _________________ PASS / FAIL

All testing personnel using the meter will successfully complete the following tasks:

|Tasks |(() |Validator Initials |

|Turn the meter on/ Wake the meter up. | | |

|Enter their assigned Operator ID via on screen keypad or barcode scan. | | |

|Enter or scan the test strip lot number information. | | |

|Keep the Stat Strip Glucose Test Strip vial tightly closed when not in use. Test strips should only be stored in | | |

|the original vial at room temp. | | |

|Enter the patient’s MRN number via on screen keypad or barcode scan. | | |

|Place the test strip into the meter. | | |

|Take a blood sample from a patient. (capillary, arterial or venous) | | |

|Place a drop of blood on the test strip. | | |

|Warning: The test strip must fill completely upon touching the blood droplet. If the test strip does not fill | | |

|completely, do not touch the test strip to the blood droplet a second time. Discard the test strip and repeat the| | |

|test with a new test strip. | | |

|View test data on screen. Accept or reject the result. | | |

|If applicable, enter a ‘Comment’ (e.g. MD Notified) | | |

|Remove and dispose of the test strip. | | |

|Perform QC testing as required. | | |

|Recall and review on-board test data. | | |

|Dock the meter in a Data Docking Station to automatically upload stored meter data and download updated setup | | |

|information. | | |

|Replace the Battery. | | |

|Clean the meter. | | |

All testing personnel will answer the following 5 questions (Passing score ≥ 80%)

Circle Correct Answer

|Once opened, test strips are good for 180 days and control solutions are good for 90 days or until manufacturer’s printed | |

|expiration date whichever comes first. |True False |

|Comments are mandatory when documenting: | |

|Action taken when QC results are out of range. |a b c |

|Action taken when critical patient results are obtained. | |

|All of the above | |

|Once opened, control solutions and test strips must be dated with open and expiration date. | |

| |True False |

|Which of the following are true about cleaning the meter? | |

|Clean/disinfect the meter surface with locally approved disinfectant wipes (i.e. Sani Wipes) between every patient. | |

|Clean/disinfect the meter surface with 10% bleach wipes (i.e. Clorox wipes) for isolation and C. diff. patients. |a b c |

|All of the above | |

|The test strip must fill completely upon touching the blood droplet. If the test strip does not fill completely, do not touch | |

|the test strip to the blood droplet a second time. Discard the test strip and repeat the test with a new strip. |True False |

Score: /5 ______% Validator Initials:_____

Remediation Score: /5 _____% Remediation Validator Initials:____

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