Transcript Glucose, Whole Blood Accu

Glucose, Whole Blood
Accu-Chek Inform II®
Point of Care Testing Education
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Objectives:
The successful participant will be able to
1. Identify the components of the meter.
2. State the process for performing quality control tests and
patient tests.
3. Identify the acceptable specimens and potentially
unacceptable patients for fingerstick testing with the meter.
4. State the meter’s lowest and highest reportable value.
5. State what RR HI and CR LO messages mean.
6. State the method for cleaning the meter and the frequency.
7. State appropriate storage of the meter.
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Competency Certification:
• Only individuals who have documented competency
training may perform patient testing
– Complete this education program and the post-test
– Perform quality control tests using both HI and LO
– Demonstrate cleaning of the machine
• Recertify in 6 months then yearly thereafter
– Your badge will not work if your certification is not current
– Do not allow anyone to use your badge and do not borrow
anyone’s badge
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The Accu-Chek Inform Meter
Front of Accu-Chek Inform II
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Back of Accu-Chek Inform II
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Strips
Accu-Chek Inform II test
strips
•Test strips expire on the
manufacturer’s date on
vial – they do not need to be
labeled with the date opened
•Store tightly sealed at
room temperature
•Insert strip with “Accu-Chek”
writing face up
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Reagents
Accu-Chek Inform II Quality Control
(2 levels – HI and LO)
•Quality Control vials expire 3
months from the date of
opening or the manufacturer’s
expiration date, whichever
comes first
•Document “opened date” and
“expiration date” on vial when
opened
•Store at room temperature
Discard all reagents when expired
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Specimens
• Acceptable specimens
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Capillary
Venous
Arterial
Neonatal collected by heelstick (not cord blood)
• There are patients who may not be candidates
for FSBG due to potential for inaccurate results
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Marked edema (blood diluted by fluid)
Severe constriction (e.g., hypotension, vasopressors)
Hct less than 10% or greater than 65%
Patients with galactose over 15 mg/dL or ascorbic acid over 3mg/dL
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Performing a patient test
Explain the procedure to the patient . Wash your hands and don non-sterile gloves (PPE).
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Barcode scanner
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Key step – if
you do NOT
WAIT, you will
get an error
message!
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Remove test strip and discard. Clean the meter with the provide bleach-based
wipe, wiping all surfaces taking care not to drip fluid into the test strip site.
Discard the wipe.
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Non numerical codes that may appear
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RR HI = too high (over 600) for the meter to read
RR LO = too low (Less than 10) for the meter to read
CR HI = over the critical value of the ministry
CR LO = less than the critical value of the ministry
Error codes (see policy)
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A comment is required whenever a quality control
(QC) test is done or inventions are required (e.g.,
Critical Value). Up to 3 comments may be entered
for any result.
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Quality Control Testing
• Perform HI and LO
– Daily
– When the results are not consistent with the
patient’s condition
– When meter may have been dropped or damaged
– When lid on the strips has been left open
– Any time there is a question about the accuracy of
the meter or the strips
• Enter a comment
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How to perform a test (QC):
• Similar to performing a patient test
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Turn meter on
Press
to display the Operator ID screen
Scan “Operator ID”
Select “CONTROL TEST” from the menu
Press “LEVEL 1 (Lo)” to select correct control to analyze
Scan the “CONTROL” bottle barcode
Scan the test “STRIP” bottle barcode
Fully insert strip at the top edge of the meter with ‘Accu-Chek’ lettering facing upward
Touch drop of solution to the yellow area on the top of test strip
An Hourglass displays during test analysis
The test result displays a “PASS” or “FAIL” when completed
Press
to select a comment if appropriate
Press
to save comment and save result.
• Repeat for Level 2 (Hi)
• If quality control fails and troubleshooting is not effective, remove the
meter from service and notify the Laboratory.
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Instrument Maintenance:
• Cleaning:
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Disinfect meter between patients.
Avoid strip port .
Do not allow excess liquid to remain on device.
Disinfect the docking station/base as needed.
Avoid wetting the connector in the base unit.
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You are now done.
Complete and turn in the post test
Perform a HI and a LO QC
Demonstrate proper disinfecting of the meter to the
evaluator
Aristotle
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