Waived Testing Evaluation

PURPOSE
The goal of the waived testing function is to provide a framework for waived tests
by establishing minimum requirements for quality control, identifying responsibility for
testing, and reporting results according to all requirements for performing waived tests
including Clinical Laboratory Improvement Amendments of 1998 (CLIA88),
Department of Community Health requirements and JCAH O standards.

GLUCOSE TESTING BY FINGER STICK PROCEDURE

I. Purpose
To determine blood sugar level. Testing blood sugar is an integral part of diabetes
management. Testing helps monitor diabetes and make adjustments in medications, diet and exercise regimen as needed. The goal is to keep blood sugar
level as close to normal as possible. In doing so, long term health problems caused by abnormal blood sugar levels may be delayed or prevented.

II. Specimen
One large drop of whole blood collected by finger stick at the time of testing.
Glucose tests are to be performed as indicated by physician or nurse.

III. Materials
Evencare G2 Blood Glucose Monitoring System
Test Strips
Disposable Lancets
Alcohol Prep Pads
Gloves
Sharps Container

IV. Procedure
1. Wash hands and put on gloves.
2. Ask consumer to wash hands with soap and warm water and dry thoroughly
to clean area for prick.
3. Insert test strip. Clean finger with alcohol swab and wait it to dry.
4. Place disposable lancet against the side of finger and press. Be sure to rotate which
finger you use to avoid soreness or calluses.
5. Squeeze the finger gently to get a large, hanging drop of blood.
6. Apply drop of blood to test spot by only touching the drop to the test spot.
Allow few seconds for results.
7. Disposed the disposable lancet into the biohazard container.
8. Remove Test Strip and discard after obtaining and documenting results.
9. Remove gloves and wash hands.

V. Interpretation
1. Follow physician/ nurse orders regarding interpretation of test results.
Client’s home staff must communicate to habilitation staff any changes in
physician/ nurse orders regarding glucose levels as changes occur. Current
physician orders must be on site. Test results and any interventions must be
documented and communicated to home staff when client returns home.

VI. Quality Control
1. Check the Evencare G2 meter using Normal Glucose Control Solution -
Formula, which is available from drug stores or Authorized Evencare G2
Distributor. To do a Control solution test, follow the same procedure you would
if you were testing a blood sample. The Control Solution results will appear on
the meter display. The acceptable level for the Evencare Control Solution-Formula
is marked on the test strip vial or the foil wrapper. In addition, a Check Strip is
included with the meter. Follow manufacturer’s instruction for use of the check
strip.
2. Follow manufacturing guidelines.
3. Document quality control results in maintenance log.