2015 KentuckyOne West – Jewish Hospital Competency Skills Check List
1
PRINT Name: ______________________________ Date:______________________
Unit: ______________________
Competency: Blood Glucose/Novastat – This form will be kept in personnel file
Critical Elements – Must scan employee badge when performing QC
Docking/Charging Station
Demonstrates and discusses what to do with the glucose meter when not in use.
1.
2.
Place the meter into the docking/charging station.
The left green light indicates connected to the network.
3.
4.
The middle green light flashing indicates data transferring.
The right green light is when the battery is fully charged.
5. The right amber light is when the meter is charging.
Cleaning the Meter – CAP Element #4
Demonstrates how to clean the meter.
6.
Clean the meter with a cloth that has been dampened with 10% bleach solution or disinfectant wipe.
7.
Immediately follow with a water-dampened cloth to remove all cleansing residue.
8.
Dry thoroughly with a soft cloth or lint-free tissue.
Quality Control Test on the Nova Stat Glucose Meter – CAP Element #5
Demonstrates doing a quality control test on the meter.
9.
From welcome screen, press login.
10. Enter or scan Operator ID and press Accept.
11. From Patient test screen, press QC
12. Enter strip lot no and press Accept.
13. Enter QC lot no and press Accept.
14. Insert test strip into meter.
15. While holding meter horizontally or downward, touch QC control drop to end of strip
16. Result will appear within 6 seconds.
17. To accept result press accept.
Reporting Results – CAP Element #2 and #3
18. Review Patient Results on the meter
Met
Remediation
2015 KentuckyOne West – Jewish Hospital Competency Skills Check List
19. Review QC Results on the meter
20. What are the steps of reporting normal values?
Document values in charting system
21. What are the steps of reporting critical patient values?**
If the result value is outside the critical limits established (50-500 mg/dL) by the hospital, the following steps should be taken.
Values below 70 mg/dL, the Hypoglycemia Policy and Procedure in the JHSMH Patient Care folder should be followed.
Values above 500 mg/dL.
1. Repeat the patient test. If the new test value matches the original value plus or minus 15%, the result is
declared valid.
2. If the repeated test is not within plus or minus 15%, a specimen should be drawn immediately and sent to
the laboratory for comparison. These two tests must be done relatively at the same time.
3. Notify the physician per individual physician protocol.
COMPLETE THE FOLLOWING QUESTIONS- Problem Solving – CAP Elements #6
22. What do you do if the expiration date is not on the Strips? Discard and get new bottle and label with expiration of
180 days
23. What reasons would a QC fail? Repeat the test if fails again contact the Point of Care Coordinator at Lab
24. How often should you dock the meter? All the time
25. Who should you contact if you are concerned with the integrity of the meter? Point of Care Coordinator at Lab
26. Who do you contact if you need strips or QC solutions? Central Supply
27. When do the Quality Controls expire? 90 days
When do the Strips expire? 180 days
Who labels the expiration on the QC and Strips when opened? The health care worker opening the new bottles
Evaluation/ Validation Methods
Type of Validation
Periodic observation of routine work by the
X Orientation/Initial
supervisor or qualified designee
1 Year
Monitoring of each user’s quality control
Annual
performance
Use of a written test or learning module
Employee Signature
Validator Signature
Final Revision Date: 03/11/2015
2