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Northwest Medical Genter { ' r ^^-Training/Gompetency Documentation ATTR0VED

WHOLE BLOOD
Emproyee Name (print): lvL?.C{tun

GLUCOSE

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CRITICAL ELEMENTS

2.

Per National Patient Safety Standards, uses two patient identifiers: Name and

DOB

Collects and handles specimen according to policy:

Collectfresh whole capillary

blood by performing a fingerstick on adults or heelstick on neonates, wipe the first drop of
blood awav; or collects blood from a line using approved technique including clearinq
line. See policv '13027 and 13003 for correct blood collection procedures.
Performs patient testing according to policy: SCAN the bar-code on the patient's
armband. Scan strip lot, insert strip, touch strip tip to next drop of free flowing blood.
Keep the meter horizontal to avoid drippinq blood into the electronics of
glucometer. Repeat any adult result < 70 or >400 mgidL, and any neonate <40 or
>200 mg/dl by the same sampling method, and test with the same equipment to
verity the result. lf repeat value is consistent with first blood glucose result call any
critical value <50 or >400 mg/dl for adults, and <40 or >200 mg/dl for neonates OR
follow the adulVneonatal hypoglycemic policy OR treat per written orders. lf repeat value
is not consistent obtain a STAT LAB DRAWN blood glucose (preferably by peripheral

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Educational
sample result:

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Date of Test:

stick) and treat patient based on the glucose value obtain from ihe lab drawn specimen.
repeat result is consistent with first blood glucose result and is > 50 but < 70 mg/dl for
adults follow the hypoglycemic policy OR written orders. Clean meter after each
use with disinfectant.

5.

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Review Policy 13027

4.

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Observation Date

1.
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Records and reports patient results accurately, including critical values: Dock
meter to download information into Hospital lnformation System. Document actions taken
on criticalvalues.

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Action, Maintenance

1.

Performs LIQUID QC according to policy: Run two levels of liquid control every 24
hours of use. (demonstrate liquid QC performance now)

LCIC pefformed on:

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Verbalize

2. Takes corrective action as needed: RepeaUtroubleshoot any unacceptable QC. If

necessary, take instrument out of service and exchange for a different meter in clinical
lab.

3.

ldentifies and maintains correct storage conditions of testing supplies. Controls

are only good for 90 days after opening. Date controls with open date and 90 day

4.

Maintenance: Change batteries when necessary... Menu, 2 review setup, 2 system

status, must be >2.4V. Clean meter and docking station.

Date

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Employee Signature:

Date: sf lslrr

Evaluated by:

Date: slr=l,t

Criteria For Competencv:

1. Each operator must complete the written test ilglthis document.
2. Each operator must be obseryed performing a routine patient test or a skills demonstration using an educational sample,
3. Each operator must complete the other areas of this checklist.

Nancy Koprowski
Point of Coordinator, LAB

Revised November 2013

Northwest Medical Center

6200 N. La Cholla Blvd.

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