Point of Care Testing - ISTAT
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 8-8-14
Submit 1 POCT audit per month using the Point of Care Testing -ISTAT audit tool.
QUESTION
1
2
3
4
5
6
7
STANDARD
LOCATION
POCT testing book
YES
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, 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
Has the manager performed a documented review of patient chart
POCT testing book
Manager has done quarterly
documentation to verify that patient results are properly documented
chart audits.
per procedure? (Review of Manager log)
WT.05.01.01, EP 4
Where supplies are
Unused cartridges are stored in
kept
the refrigerator, and at RT when
in use. Controls are stored
refrigerated, or for 5 days at RT
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
8 expiration date and initials?
Have QC documentation logs been completed as required by
9 procedure?
10 Have corrective actions been documented?
11 Are all QC records kept for a minimum of 2 years?
Where supplies are
kept
Cartridges are labeled with open
date, altered date and initials.
Controls labeled with altered
date when removed from
refrigerator and initials
QC Log Book
QC is performed as noted in the
procedure depending on type of
cartridge used
If had problem it is noted
Yes, if you have your records
There is a signature to indicate
reviewed weekly.
WT.01.01.01, EP 2
WT.04.01.01, EP 1 & 2
WT.05.01.01, EP 1
WT.01.01.01, EP 2
WT.05.01.01, EP 5
Problem log
QC Log Book
QC Log Book
WT.01.01.01, EP 2
Has the manager or designee performed a weekly review and sign off of WT.04.01.01, EP 1 & 2
WT.05.01.01, EP 1
12 quality control and other test specific required documentation?
Where appropriate, has proficiency testing been performed per
WT.03.01.01, EP 1, 4, & POCT testing book
5
13 procedure, reported within deadlines?
All CAP samples were run and
results returned to POCT