2010 Glucose Meter Competency

1. Scanning the barcode on the patient’s identification band ensures:

Results will go to that patient’s medical record

The test will be electronically billed

The physician will be able to view the results on Web Portal

All of the above

Scanning the patient’s identification bracelet or registration barcode labels enters the patient’s current admission identification. This 10 digit number is the only acceptable patient identification number. Without it, glucose meter results will not cross into the electronic medical record to be permanently documented and billed for.

Explanation

Scanning the patient’s identification bracelet or registration barcode labels enters the patient’s current admission identification. This 10 digit number is the only acceptable patient identification number. Without it, glucose meter results will not cross into the electronic medical record to be permanently documented and billed for.

2. A patient is transferred from another St. Luke’s facility and is still wearing the identification band from that campus. What must be done immediately after admission and before scanning by the glucose meter?

Leave the old band on, identifying patient by name and DOB only

The patient should have both bands on and either can be scanned by the glucose meter

The patient should ALWAYS have ONE ID bracelet on with the most current account number. When the glucose meter scans the barcode on the patient’s ID band, it reads the patient’s most current admission information. Scanning a patient ID from another campus or an old admission will lead to results going to the wrong medical record as well as billing errors.

Explanation

The patient should ALWAYS have ONE ID bracelet on with the most current account number. When the glucose meter scans the barcode on the patient’s ID band, it reads the patient’s most current admission information. Scanning a patient ID from another campus or an old admission will lead to results going to the wrong medical record as well as billing errors.

3. Proper sequence of procedure is:

Scan operator ID, scan strip, scan patient ID, apply blood, insert strip

Identify patient, don gloves, scan operator ID, scan patient ID, scan strip, insert strip, apply blood

Scan patient ID , scan operator ID, scan strip, apply blood, insert strip

Insert strip, apply blood, scan patient ID, scan operator ID, scan strip

The proper sequence of the glucose meter procedure is as follows: properly identify patient, put on gloves, scan operator ID from your employee badge, scan barcode of the patient’s ID bracelet, scan barcode of the reagent strip, insert strip into the meter. After puncturing the site, apply blood to the end of the strip.

Explanation

The proper sequence of the glucose meter procedure is as follows: properly identify patient, put on gloves, scan operator ID from your employee badge, scan barcode of the patient’s ID bracelet, scan barcode of the reagent strip, insert strip into the meter. After puncturing the site, apply blood to the end of the strip.

4. All glucose meter tests must be ordered by and reported to a physician.

True

False

It is NOT permissible for staff to perform glucose testing on staff, family members or visitors. All patient tests must be ordered by and reported to a physician.

Explanation

It is NOT permissible for staff to perform glucose testing on staff, family members or visitors. All patient tests must be ordered by and reported to a physician.

5. Please select your department:

SLB Location 1

SLB Location 2

SLA Location 1

SLA Location 2

None

The correct answer is "None" because the question asks the respondent to select their department, and "None" indicates that the person does not belong to any of the listed departments.

Explanation

The correct answer is "None" because the question asks the respondent to select their department, and "None" indicates that the person does not belong to any of the listed departments.

6. Which of the following can cause lower than expected glucose results:

Water or alcohol remaining on the puncture site

Excessive squeezing of the puncture site

Selecting “venous” specimen type when using capillary blood

All of the above

Any liquid remaining on the puncture site or excessive squeezing of the site can dilute out the blood sample leading to lower than expected glucose results. Running capillary blood in “venous” mode will also lead to lower glucose results.

Explanation

Any liquid remaining on the puncture site or excessive squeezing of the site can dilute out the blood sample leading to lower than expected glucose results. Running capillary blood in “venous” mode will also lead to lower glucose results.

7. To access the analyzer the operator must:

Be trained by Education Services or the Point of Care Testing Coordinators

Use a valid operator ID number by scanning the barcode on your employee badge

Complete a competency 6 months after initial training

Complete the annual competency distributed by the POCT Laboratory

All of the above

All personnel using the glucose meter are required to attend the Glucose Meter inservice. An operator ID number is required for all uses of the meter including Quality Control testing, patient testing and data review. All certified operators are required to complete a 6 month competency after initial training and annual thereafter.

Explanation

All personnel using the glucose meter are required to attend the Glucose Meter inservice. An operator ID number is required for all uses of the meter including Quality Control testing, patient testing and data review. All certified operators are required to complete a 6 month competency after initial training and annual thereafter.

8. All glucose meter supplies, including batteries, are distributed by the Central Storeroom.

True

False

The Central Storeroom will supply glucose meter batteries, strips, quality control solutions, lancets, gauze, alcohol swabs and bandages.

Explanation

The Central Storeroom will supply glucose meter batteries, strips, quality control solutions, lancets, gauze, alcohol swabs and bandages.

9. Both levels of Quality Control must be performed:

Every 24 hours of patient testing

A new box of strips is opened

If the meter has been dropped

All of the above

Both levels of glucose meter quality control are performed every 24 hours of patient testing as well as when a new box of test strips is opened or if the meter is dropped to be certain that the glucose results are accurate.

Explanation

Both levels of glucose meter quality control are performed every 24 hours of patient testing as well as when a new box of test strips is opened or if the meter is dropped to be certain that the glucose results are accurate.

10. The glucose Action Range (Critical Range) for patients > 28 days old at St. Luke's Hospital is:

500 mg/dl

400 mg/dl

500 mg/dl

450 mg/dl

The glucose Action Range (Critical Range) for patients > 28 days old is 500 mg/dl. Any value lower than 40 and higher than 500 should be repeated and acted upon.

Explanation

The glucose Action Range (Critical Range) for patients > 28 days old is 500 mg/dl. Any value lower than 40 and higher than 500 should be repeated and acted upon.

11. If a test error is suspected what Comment Code should be placed in the glucose meter?

Code 9

Code 12

Code 13

No code should be used

Comment Code 13 signifies a test error. The results will not cross into the patient’s permanent medical record. The test should be repeated on another sample.

Explanation

Comment Code 13 signifies a test error. The results will not cross into the patient’s permanent medical record. The test should be repeated on another sample.