Roche ACCU-CHEK Inform II Guida Utente Scaricare il pdf (Pagina 18)

ANSWER SHEET FOR 2013 ACCU-CHEK INFORM II TEST COMPETENCY

Name________________________________ Lawson ID #________________

Date_________________________________

School/Facility Name_______________________Score___________________

Directions: Circle the best answer.

1. a b c d e

2. a b

3. a b c d e

4. a b c d

5. a b c d

6. a b c d

7. a b c d

8. a b c d

9. a b c d

10. a b

11. a b c d e

12. a b c d e

13. a b

14. a b

Instructor’s Name: ___________________________________________________

The undersigned certifies as follows:

I have read the Guidelines of Practice for Point-

of- Care ACCU-CHEK Inform II Blood Glucose

Monitoring System Policy. I understand this test

in of itself does not test competency. This test in

conjunction with a “hands on” demonstration is

needed to certify competency and allowing the

use of the ACCU-CHEK system.

Student Signature

Date

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Roche ACCU-CHEK Inform II Guida Utente Pagina 18