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USER RETRAINING FORM

ABL 90 FLEX
Staff Name: ___________________________ Meditech ID (3/4) _______________________
(Capital letters) ( letters and Numbers)
Ward/Unit: ____________________________ Date: ________________________

Initial appropriate Box

Do you feel competenet / feel you
need retraining on any of the below
Competent Need
ReTraining
1. Basic analyzer components

2. Sample requirements and handling

3. Sample processing

4. Basic cleaning

DEMONSTRATION OF COMPETENCY

Staff must perform two blood gas samples, the result print out of these samples must be attached to
this form when complete.
This is to assess Knowledge of sample requirements, specimen processing and result look up.
Please make sure you are logged on when performing these samples as this will be used as proof of performance
Tick when complete

Signature:_____________________Date:______________

Attach all relevant documents

(Blood gas print off and Completed retraining sheet)
Send to the Laboratory