Failure to Perform Quality Control Checks on New Glucometer and Inaccurate Documentation of Control Solution Expiration Dates
Penalty
Summary
The facility failed to ensure that a glucometer on one of two medication carts was maintained in safe operating condition. During an inspection and review of documentation, it was found that a new glucometer was put into use without performing the required Quality Control check prior to its use, as outlined in the manufacturer's instructions. The Quality Control Record for the new glucometer did not show any documentation of a control check before it was used for blood glucose testing. The Infection Preventionist (IP) confirmed that blood sugar checks were performed using the new glucometer before the Quality Control check was completed. Additionally, discrepancies were identified in the documentation of expiration dates for control solutions used with the glucometer. The Quality Control Record listed expiration dates for the Normal and High Control solutions that did not match the actual expiration dates on the solution bottles. A Licensed Vocational Nurse (LVN) verified these findings and stated she was not aware of the facility's protocols for glucometer checks, but agreed that a Quality Control check should be performed when new strips or glucometers are used.