FOOTHILL COLLEGE
Glucometer Skill Sheet
Candidate Name: _________________________________________ Date: ______________________
Examiner Name and Signature: _________________________________________________________
Time Started: __________ Time Ended: __________ Points: _____/15 PASS/FAIL (Circle One)
Points Possible | Points Awarded | |
Identifies need for blood glucose level | 1 | |
Identifies the normal parameters for blood glucose level | 1 | |
Identifies potential complications
Erroneous reading BSI exposure |
1 | |
Selects, checks, assembles equipment | ||
Glucometer | 1 | |
Test strip | 1 | |
Needle or spring-loaded puncture device | 1 | |
Alcohol swabs | 1 | |
Band-Aid | 1 | |
Checks blood glucose level | ||
Turns on glucometer and interests test strip | 1 | |
Preps fingertip with alcohol prep | 1 | |
Lances prepped site with needle/lancet, drawing capillary blood | 1 | |
Disposes of sharps appropriately | 1 | |
Expresses blood sample and transfers to test strip | 1 | |
Applies pressure and dresses fingertip wound | 1 | |
Records reading from glucometer and documents | 1 |
Points Possible: 15 Total Points Awarded_______________
Critical Criteria
● Contaminates equipment or site
● Failure to dispose of sharps in a safe manner
● Failure to correctly read and interpret blood glucose reading