Training Tools; Attachment 1: Fora Md Blood Glucose Monitoring System Training Checklist - Fora MD Operations & Procedures Manual

TRAINING TOOLS

Attachment 1: FORA MD Blood Glucose Monitoring System
Training Checklist
Use the following checklist to assess the trainee's understanding and knowledge of the following areas:
AREA
Knows key features of FORA MD meter.
Understands different test types - finger, quality control, preferred sample type and sample volume.
Principles of quality testing and QC materials.
Only uses FORA MD test strips and FORA control solution with the FORA MD meter.
Understands the important features, benefits and limitations of the FORA MD system.
Knows the proper method of disposing of used test strips, lancet and gloves according to facility procedures.
Understands the displayed error messages and corresponding actions to take.
Understands the appropriate steps to take for troubleshooting.
Knows the actions to be taken when the results are abnormally high or low.
Understands the information required to be documented by law and by institution.
Identify the essential equipment used with the FORA MD system.
Locates the serial number, test strip port, test strip ejector, M and SET buttons on the meter.
Locates the expiration date, first opening date, lot number and control solution ranges on the test strip vial. Locates
sample area, confirmation window, contact bars and test strip handle on the test strips.
Locates the expiration date, first opening date and lot number on the control solution bottle.
Knows the proper storage conditions of the meter, test strips and control solutions.
Knows how to maintain the meter.
Demonstrates proper safety lancet technique when collecting a blood sample.
Demonstrates the correct blood testing procedures using the FORA MD Blood Glucose Monitoring System.
Demonstrates the correct test strip insertion technique.
Performs quality control tests at specific times and determines if the results are acceptable. Takes appropriate action if
there is a problem.
Demonstrates the proper cleaning and disinfecting techniques for the FORA MD meter.
Performs meter set up, memory retrieval and data transmission operations.
Demonstrates the proper actions to take for inaccurate results.
Training Completed by:
Name of Trainee
The trainee must complete the training of the FORA MD Blood Glucose Monitoring System before performing
glucose testing on residents.
TASK
CLINICAL USE OF DEVICE
Date Name of Instructor Signature of Instructor
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