f) Practices in accordance Observation with Trust Infection Control Policy and Sharps Inoculation and Management Policy to avoid needle stick injury. g) Practices in accordance Observation with Trust Infection Prevention and Control Policy and Hand Hygiene Procedure and Standard Precautions Procedure to avoid contamination and cross infection. h) Interprets and actions Observation results in accordance with role and responsibilities. i) Documents all care given Observation in accordance with Trust policy & procedures. Source: SHFT Blood Glucose Monitoring Protocol Date all elements of competency tool completed to level 3: ……………………………… Name: Signature: …………………………………………… …………………………………….. Status: Date: ………………………………………….. …………………………………………... I confirm that I have the above named individual and can verify that he/she demonstrates competency in blood glucose monitoring. Assessor: Signature: ……………………………………… ……………………………………… Status: Date: …………………………………………. …………………………………………….. Review dates Competent Healthcare Verifier Comments (yes/no) Professional/ signature Assessor signature
f) Practices in accordance with Trust Infection Control Policy and Sharps Inoculation and Management Policy to avoid needle stick injury. Observation g) Practices in accordance with Trust Infection Prevention and Control Policy and Hand Hygiene Procedure and Standard Precautions Procedure to avoid contamination and cross infection. Observation h) Interprets and actions results in accordance with role and responsibilities. Observation i) Documents all care given in accordance with Trust policy & procedures. Observation Source: SHFT Blood Glucose Monitoring Protocol Date all elements of competency tool completed to level 3: ……………………………… Name: …………………………………………… Signature: …………………………………….. Status: ………………………………………….. Date: …………………………………………... I confirm that I have the above named individual and can verify that he/she demonstrates competency in blood glucose monitoring. Assessor: ……………………………………… Signature: ……………………………………… Status: …………………………………………. Date: …………………………………………….. Review dates Competent (yes/no) Healthcare Professional/ Assessor signature Verifier signature Comments