Point of Care Testing - Fecal Occult Blood (FOB)
Data Definition Tool
This audit is to be completed by the manager or designee on a monthly basis. POCT audits are due by the last day of the month.
Instructions: Indicate Yes, No, NA (Not Applicable) for each question below.
Submit 1 POCT audit per month using the Point of Care Testing -Fecal Occult Blood (FOB) audit tool.
QUESTION
STANDARD
Has all testing performed in this patient care area been approved by the
Diagnostic Laboratories?
NOTE: All POCT Testing must be approved prior to implementation. If
WT.01.01.01, EP 4
WT.02.01.01, EP 1 & 2
1 unsure of area approval, contact Point of Care personnel.
Is there a designated trained trainer with documented current
2 competency?
WT.03.01.01, EP 2, 3, 4, & 6
Updated 8-8-14
LOCATION
POCT testing book
YES
Yes means you are NOT doing
any lab tests that you have not
been approved for. Approval
comes from the POCT
committee.
Manager/Educators Person trained by POCT in the
office training records last year to train other staff.
Emails
Has the patient care area notified the Laboratory (POC) of changes in
3 the list of testing personnel?
WT.02.01.01, EP 1
Are current documentation records for training and competency
4 records readily accessible?
Can staff produce a copy of the current procedure (hard copy or
5 online)?
Has the manager performed a documented review of patient chart
documentation to verify that patient results are properly documented
6 per procedure? (Review of Manager log)
WT.02.01.01, EP's 1 & 2
WT.03.01.01, EP 3
7 Are all reagents, controls, and kits stored at proper temperature?
Are all reagents, controls, and kit boxes labeled with an appropriate
8 expiration date and initials?
Is all original documentation of patient results retained for a minimum
9 of 2 years?
WT.01.01.01, EP 2 & 6
WT.01.01.01, EP 5
Have sent POCT updates when
someone leaves work area or
new staff comes to work area.
Manager/Educators Orientation records must be
office training records kept permanently, annual
recertifications must be kept for
2 years.
Computer/POCT
Can find procedure
manual
POCT testing book
Manager has done quarterly
chart audits.
WT.05.01.01, EP 4
WT.01.01.01, EP 2
WT.05.01.01, EP 5
Where supplies are
kept
Where supplies are
kept
EMR/Patient
log/Edocs
All supplies are kept at room
temp
Box and developer is labeled
with open date and initials
Patient results can be found for
last two years