BGM competency question

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This is probably a simple question, but I would like to know what people typically do to satisfy the requirements for BGM competency.  Since it is waived, I think a knowledge test and running a control is sufficient. (There is no requirement for direct observation.)
Right now we are doing the quiz and a direct observation of an actual patient test- they are doing finger sticks on themselves or each other.  I would like to eliminate the finger stick in favor of running a control. We have them do controls AND a finger stick at orientation.  This makes more sense to me because at orientation, there are sometimes students who have NEVER done a finger stick or used a glucometer before.

What's typical for annual competency? Yea or Nay to the finger stick?

Thanks in advance for your feedback! 

6 Replies

We use quiz and controls for annual competency. We also accept performance of PT in lieu of running controls. We have over 2,400 operators and cannot observe finger sticks on everyone for annual competency.

What I do for our proficiency is, at any of the stages they are at, initial, 6 months or their yearly. They run both levels of controls and perform a fake patient. Basically because not all operators run QC through out the year, the fake patient is so that they follow what they do at the bedside. I would be afraid to have them poke each other in fear of finding someone with an elevated glucose and then what do you do. 
At each educational time, we review the process and procedures and cover 
anything that is new that will be implicated for the year. They also take a quiz
to verify what has been covered, and at least they have a basic knowledge of
what was covered 

I do an annual procedure review and quiz in our LMS, and staff are required to complete two levels of QC at least once every 90 days. If this is not completed, they are locked out of the meter.

Training:  All new employees/operators must attend a POC class. They must do a skills assessment, run a patient and QC.
Once they are entered into QML they have one year to do auto-recert requirements.
Annual Competency:  Built to auto-recertify through QML if they completed 3 patients and 2 sets of QC.

Our competency includes quiz and control performance.  No finger sticks. I agree with David on that. 

We used to have in-person skills fair  and we require staff to do a set of QC and test an unknown fake sample.  We do not require fingerstick.  They also have to complete the Healthstream ( learning) module and pass the test 100%. 
You would not believe how many we have to re-educate on their technique. 
Only 2 of the 6 elements are required for waived test but it does not hurt for them to know more. 
After COVID happen, we decided to start auto-certification in Telcor QML. 
The on-line learning module is still a must  with 100% score on the test. 
2 patient tests and a set of QC is all we require for the year. 
If many Flow Errors are committed by an operator, we require that they are observed by the supervisor on  their technique. 
New hires are required to meet with the nurse educator to get certified for the BGM. They are required to pass the Learning module, run QC and a fake sample. They are also taught disinfection of the meter after each  patient test. 

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