COMPETENCY ASSESSMENT
Department: Nursing
Competency Statement:
Position: Student Nurse
Performs Glucose Testing Using the Accu-Chek Inform II
Performance Criteria:
1.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
Routine Testing Procedure
Cleanse with alcohol area of finger to be lanced. Allow to air dry.
Turn on bedside glucose meter.
Check battery status and f low place on charger.
Scan operator ID.
Select patient test.
Scan patient ID; if manually entering ID must include the letters “SV or PV” and all numbers including zeros.
Scan barcode on strip vial.
Insert strip.
Lance finger with appropriate device and depth and wipe away first drop of blood.
Hold meter at an angle.
Apply blood to strip.
If strip is properly dosed no yellow will be visible.
Results will be displayed within 5 seconds of application.
Select “Comment” button and enter appropriate comments (up to 3 choices). Typical comment is “Expected Result.”
Use “Repeat Test: only when the test was an error.
When done select “Checkmark” key to return to patient result. Select “Checkmark” key a second time to return to Main menu.
Discard strip and blood drawing supplies in appropriate biohazard waste receptacle.
Clean meter after every use with a small bleach pad.
p.
q.
2. Reviewing Results
a.
b.
c.
d.
3.
a.
b.
c.
Turn on bedside glucose meter.
Scan or manually enter operator ID and select “right arrow” key to get to Main Menu.
Select “Review Result.”
Results are displayed in reverse chronological order or select option “Patient” and enter patient ID or scan patient ID.
Verbalizes for Best Results and Troubleshooting.
Getting a good drop of blood and never using first drop of blood.
Troubleshooting “error messages,” e.g., dosed too soon, not enough blood, strips outdated or exposed to air, etc.
Troubleshooting when QC fails (inadvertent QC switch, not enough dosing, prolonged exposure of strips, replacing QC, and repeating
QC test).
Verbalizes “Repeat Test” is only used if test was an error and results are to be excluded from patient medical record.
d.
4. Quality Control
a.
b.
c.
d.
e.
f.
5.
a.
Verbalizes what to do when “QC Due” appears on the display.
State when to discard solution (at the expiration date, or 3 months after opening, whichever comes first.
Writes “OPEN DATE” on control and strip vial. Discard date for strips is the manufacturer’s expiration date.
Perform exactly like a routine test using one drop of one level of control solution instead of blood.
Gently squeeze drop of solution to yellow notch at end of strip.
Enter Comments for all testing.
Daily Maintenance
Demonstrate maintenance procedure for AccuChek performed as stated in Policy and Procedure.
b. Correctly state minimum cleaning frequency.
6. After testing is complete return glucose meter to charging cradle and assure connectivity.
7.
8.
9.
Document patient results and quality control and follow-up per procedure.
Identifies high and low critical values and appropriate follow-up.
Completes written AccuChek Competency test with a score of 80% or better.
References: 1)Roche Diagnostics Accu-Chek Inform II System Operator’s Manual
2)St. Joseph Health System Procedures
I have completed all of the above requirements and feel competent in performing the activities required.
Student Name
Student Signature
Assigned ID#:
Unit: _________________
Date:
I agree that the appropriate policies/procedures and resources have been reviewed and skill performance demonstrates basic
competency.
Instructor or Preceptor Signature __________________________________________________Date:
COMPETENCY ASSESSMENT - WRITTEN TEST - AccuChek – POCT
Competency Statement: Passed written test with at score of at least 80%.
Score: ______________
Circle the correct answer:
1. All strips and QC materials must be dated and initialed upon opening.
a. True
b. False
2. After the bottle of strips has been opened it has an expiration of:
a. Three (3) months after opening
c. Thirty (30) days after opening
b. Manufacturer’s expiration date
d. One (1) year after opening
3. After the Quality controls (High and Low level) have been opened, they have an expiration date of:
a. Three (3) months after opening
c. Thirty (30) days after opening
b. Manufacturer’s expiration date
d. One (1) year after opening
4. Two levels of quality control must be run daily before performing any patient tests.
a. True
b. False
5. Strips and QC materials are:
a. Stored at room temperature
6. The AccuChek instrument must be cleaned:
a. At least once daily
b. After each patient testing has been
performed
7. The AccuChek MUST NEVER be cleansed with alcohol:
a. True
b. Stored in refrigerator 2-4 C
c. When blood/body fluids can be seen
on instrument
d. After entering into an isolation room
e. All of the above
b. False
8. The Critical values for patient test results are:
a. Less than (<) 50 mg/dL and greater than (>) 400 mg/dL
b. Less than (<) 60 mg/dL and greater than (>) 500 mg/dL
c. Less than (<) 40 mg/dL and greater than (>) 600 mg/dL
d. Less than (<) 60 mg/dL and greater than (>) 600 mg/dL
9. If a patient test results in a critical value, the following must be performed:
a. Double check the result with another fingerstick
b. Order a GLUA in Meditech
c. Notify the appropriate physician and/or nurse with results
d. Patient can be treated for hyperglycemia/hypoglycemia
e. All of the above
10. Patient’s identification must consist of 12 digits including the letters PH @ PVH or SV @ SRM
(e.g. PH0012345678 or SV0012345678 and can be scanned or manually entered into the AccuChek.
a. True
b. False
References: Competency Assessment, St. Joseph Health Lab, product insert.