GLUCOMETER COMPETENCY
Employee
Date
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Month
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Day
Year
Date
Procedure
Sets date/time on glucometer
Writes date opened on vial of strips
Uses control solution correctly
Codes machine
Checks memory for prior results
Finger cleansed prior to obtaining sample
Obtains adequate amount of blood
Identifies methods to improve blood flow
Applies blood correctly to test strip
Discards lancet according to standard precaution guidelines
Cleans meter according to OSHA guidelines and manufacturer’s recommendations
Evaluated by
Signature
Date
/
Month
/
Day
Year
Date
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