Point of Care Testing - Glyco Hemoglobin (DCA)
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.
Updated 11-10-14
Submit 1 POCT audit per month using the Point of Care Testing -Glyco Hemoglobin (DCA) 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
1 unsure of area approval, contact Point of Care personnel.
WT.01.01.01, EP 4
WT.02.01.01, EP 1 & 2
Is there a designated trained trainer with documented current
2 competency?
WT.03.01.01, EP 2, 3, 4, & 6
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 the
3 list of testing personnel?
WT.02.01.01, EP 1
Are current documentation records for training and competency records WT.02.01.01, EP's 1 & 2
WT.03.01.01, EP 3
4 readily accessible?
5 Can staff produce a copy of the current procedure (hard copy or online)? WT.01.01.01, EP 5
6 Are all reagents, controls, and kits stored at proper temperature?
WT.01.01.01, EP 2 & 6
Are all reagents, controls, and kit boxes labeled with an appropriate
7 expiration date and initials?
8 Have corrective actions been documented?
WT.01.01.01, EP 2
WT.01.01.01, EP 2
Where appropriate, has proficiency testing been performed per
9 procedure, reported within deadlines?
WT.03.01.01, EP 1, 4, & 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
Where supplies are
Controls are refrigerated,
kept
cartridges are refrigerated or at
Room Temp when in use
Where supplies are
Controls have date of
kept
reconstitution on them and
altered expiration date,
cartridge box has date removed
from refrigerator and altered
expiration date
Problem log
If had problem it is noted
POCT testing book
All CAP testing samples have
been run and results sent to
POCT
10 Are maintenance records available and complete?
WT.05.01.01, EP 4 & 5
Maintenance log book Maintenance records are up to
date