Point of Care Testing - GEM
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 -GEM audit tool.
Updated 8-8-14
QUESTION
1
2
3
4
5
6
STANDARD
LOCATION
YES
POCT testing manual Yes means you are NOT doing
Has all testing performed in this patient care area been approved by the
any lab tests that you have not
Diagnostic Laboratories?
been approved for. Approval
NOTE: All POCT Testing must be approved prior to implementation. If
WT.01.01.01, EP 4
comes from the POCT
unsure of area approval, contact Point of Care personnel.
WT.02.01.01, EP 1 & 2
committee.
Manager/Educators Person trained by POCT in the
Is there a designated trained trainer with documented current
WT.03.01.01, EP'2 2, 3, office training records last year to train other staff.
competency?
4, & 6
Emails
Have sent POCT updates when
someone leaves work area or
Has the patient care area notified the Laboratory (POC) of changes in
new staff comes to work area.
the list of testing personnel?
WT.02.01.01, EP 1
Manager/Educators Orientation records must be
WT.02.01.01, EP's 1 & office training records kept permanently, annual
Are current documentation records for training and competency
2
recertifications must be kept for
records readily accessible?
WT.03.01.01, EP 3
2 years.
Can staff produce a copy of the current procedure (hard copy or
Computer/POCT
Can find procedure
online)?
WT.01.01.01, EP 5
manual
Where supplies are
All supplies are kept are room
Are all reagents, controls, and kits stored at proper temperature?
WT.01.01.01, EP 2 & 6 kept
temp
POCT testing
Where appropriate, has profiency testing been performed per
7 procedure, reported within deadlines?
WT.03.01.01 EP 1, 4, & manual
5
All CAP samples have been
run and results sent to POCT