Fora GD20 - Training Tools; Attachment 1: Training Checklist

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FORA GD20 Blood Glucose Monitoring System Training Checklist
Use the following checklist to assess the trainee’s understanding and knowledge of the
following areas:
Training Completed by:
The trainee must complete the training of the FORA GD20 Blood Glucose Monitoring System before performing
glucose testing on residents.
Attachment 1:
Area
Name of Trainee Date
Name of Instructo Sr ignature of Instructor
Area
Knows key features of FORA GD20 meter.
Understands different test types - fi nger, AST, quality control, preferred sample type and
sample volume.
Principles of quality testing and QC materials.
Only uses FORA GD20 test strips and FORA control solution with the FORA GD20 meter.
Understands the important features, benefi ts and limitations of the FORA GD20 system.
Knows the proper method of disposing of used test strips, lancet and gloves according to
facility procedures.
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 GD20 system.
Locates the serial number, test strip port, test strip ejector, M, C and SET buttons on the meter.
Locates the expiration date, fi rst opening date, lot number and control solution ranges on the
test strip vial. Locates sample area, confi rmation window, contact bars and test strip handle
on the test strips.
Locates the expiration date, fi rst 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 GD20 Blood Glucose
Monitoring System.
Demonstrates the correct test strip insertion technique.
Performs quality control tests at specifi c 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 GD20 meter.
Performs meter set up, memory retrieval and data transmission operations.
Demonstrates the proper actions to take for inaccurate results.
Understands the displayed error messages and corresponding actions to take.
Knowledge
Equipment
Practical
Task
Clinical Use of Device
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