QC Worksheet for Whole Blood Glucose Testing
Capillary Whole Blood Glucose Control Log Sheet
Manufacturer: ________________________________ SN: _______________
Health Dept: __________________________________ Site: ________________
QC Data (reagent specifics)
| |Lot Number |Expiration Date |Expected Range |
|Optics check or | | | | |
|Calibration strip | | | | |
|High Level Control | | | | |
|Low Level Control | | | | |
|Test Strip | | |type: [ ] GOD [ ] GDH |
Q.C. Results for each run
|Optics check or |High Control |Low Control |Pass/ |Date |Initials |
|Calibration strip | | |Fail | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
Date Corrective Action: (use reverse side as needed)
| | |
| | |
| | |
_________________________ ___/___/___ _____________________________ ____/____/____
Site Coordinator: Date Laboratory Director/Technical Consultant Date
RLF-53
Rev. 6/9/2006
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- sample template for diagnostics
- optional long term care assessment and care planning tool
- qc worksheet for whole blood glucose testing
- nurse tools blood glucose monitoring rational
- trauma resuscitation record
- business analysis document
- obstetric nursing care plan
- wisewoman program guidance document
- blood glucose curve sheet
Related searches
- cvs blood glucose test kit
- blood glucose charts free printable
- blood glucose after exercise chart
- fasting blood glucose levels chart
- blood glucose monitoring chart template
- blood glucose curve chart template
- acceptable blood glucose range
- glucose testing kit walgreens
- blood glucose hemoglobin a1c correlation
- blood glucose curve form
- how long to reduce blood glucose level
- a1c blood glucose chart