Quidel QuickVue+ Strep A Test

Physician Checklist for Competency Assessment

UNDERSTANDS AND DISPLAYS KNOWLEDGE OF:

Objective Met

A: Performing Test

1. Follows proper procedures for patient identification and specimen __________

labeling required by JCAHO.

2. Add 4 drops Reagents A then 4 drops Reagent B to extraction tube. __________

3. Add specimen swab and swirl 5 times. Extract swab after one minute, __________

squeezing to extract all liquid as it is withdrawn from tube.

4. Dispensing 2 drops of specimen into Sample Well. __________

5. Test complete when blue color appears in the Test Complete Window. __________

6. Read test result in Result Window within 10 minutes. __________

7. Internal Controls. __________

8. Documentation of quality control and patient results through electronic __________

charting.

B. Received Procedure for Strep A – Quidel QuickVue+

1. Strep A – QuickVue+ _________

I HAVE BEEN TRAINED AND AM COMPETENT AT PERFORMING THE ABOVE TASK:

Physician Name:_________________________________________ Date:__________________

Physician Signature: _____________________________________

Trainer’s Signature: ______________________________________ Date: __________________