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Run: Glucometer Cleaning and QC Verification

Daily glucometer cleaning and QC verification template for documenting device readiness, disinfection, control testing, and corrective actions before patient...

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Device Identification and Readiness

Record the device identifier for the glucometer being inspected.
Confirm the meter is available for use, with no visible damage and functional power status.
Verify the current strip lot is within expiration and matches the approved product in use.
Confirm control solution is within expiration and approved for the device.

Cleaning and Disinfection Verification

All external surfaces were cleaned using a fresh disinfectant wipe per manufacturer instructions for use (IFU).
Disinfectant remained wet for the full manufacturer-specified contact time.
Inspect the device housing, buttons, screen, and strip port for visible debris or residue.
Approved disinfectant wipes and related supplies are available, labeled, and not expired.

Quality Control Testing

Document whether the first control level result falls within the manufacturer-accepted range.
Document whether the second control level result falls within the manufacturer-accepted range, if required by the device or policy.
Verify QC documentation includes date, time, operator identification, meter ID, strip lot, and control lot.
If any QC result is out of range, confirm the device was taken out of service and escalation was initiated per SOP.

Documentation and Compliance

Inspector attests that the daily cleaning and QC verification was completed accurately.
Record any deficiencies, corrective actions, notifications, or device hold status.
Confirm the inspection was completed in accordance with applicable CLIA requirements and the glucometer manufacturer IFU.

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