Accu-Chek COMPETENCY ASSESMENT

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Care Unit_______________ Date:__________ Time:_______

Name__________________________ SS#________________________
 

Task

Y

N

Obtain needed supplies?

O

O

Power-up and log in?

O

O

Enter MR# and verify strip code?

O

O

Properly inserts test strip?

O

O

Properly perform fingerstick?

O

O

Touch finger to the comfort cure to fully load the strip with blood. Re-applies as necessary within 15 seconds?

O

O

Completely fills the test chamber?

O

O

Read and properly records results?

O

O

Overall competent? 

O

O


 

Evaluated by:_______________________________________
 
 

Comments/Corrective action:

________________________________________________________________________________________________________________________________________________________________________________________________