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