Transcript Glucometer Competency Review - WellOne Primary Medical and
GLUCOSE TESTING USING THE TRUEtrack GLUCOMETER
WellOne For Medical Clinical Staff
WARNING Conducting this test exposes the operator to potentially infectious material. Standard precautions, including glove use, are required for this procedure. and should be handled in the same manner as a patient specimen, using all appropriate precautions.
Why we use and prescribe TRUEtrack: Reliable . Accurate. Easy operation. Cost effective for office and home use.
The TRUE family of blood glucose monitoring products is covered by most Medicaid and Medicare plans, and has a lower-than-average co-pay with many private insurances. Product users save an average of $400 per year on diabetic supplies.
Glucose Testing: Limitations
• • Hematocrit levels above 55% will cause lowered results. If comparing results between TRUEtrack and a lab system, perform a TRUEtrack blood test within 15 minutes of lab test. Results from TRUEtrack are considered accurate if within +/ 20% of lab results. If patient has recently eaten, fingerstick results from TRUEtrack can be up to 70 mg/dL (3.9 mmol/L) higher than venous lab results.
Glucometer supplies: Storage and Stability • • • • • • •
Test strips:
Store unopened test strips at room temperature (15-30ºC), away from direct sunlight Unopened test strips are stable until expiration date Opened test strips must be discarded after 120 days.
Store Test Strips in original vial only. Do not transfer old Test Strips to new vial.
Control solution:
Store solution at room temperature (15-30ºC) Unopened bottles are stable until expiration date Opened bottles are stable at room temperature 3 months after first opening.
Glucometer control solution must be discarded and replaced:
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By the expiration date or 3 months after opening (whichever comes first)
The correct answer is……
By the expiration date Or 3 months after opening (whichever comes first)
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Glucometer Control Testing
MAs are issued a glucometer for use and two levels of control must be tested and documented on the control testing log each day before the glucometer is used for patient results. Two levels of control solution must be tested on each glucometer in use daily. Two levels of control must also be run upon opening a new vials of test strips.
If either of the controls when tested does not register on the glucometer as within range, the glucometer MUST NOT BE USED for patient testing until the problem is identified and corrected
Glucometer controls must be checked and documented:
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Weekly
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Daily before patient use and whenever a new vial of test strips is opened Before each use
The correct answer is……………………………………………..
Daily before patient use and whenever a new vial of test strips is opened • •
Two levels of control solution must be tested on
each glucometer in use daily. This is based on the rationale that the glucometer unit may be exposed to adverse conditions that may impair function, necessitating daily verification of function and calibration.
Two levels of control must also be run upon
opening a new vials of test strips. The purpose of this is to check the integrity of the test strips before using.
When a glucometer control is not within range:
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the glucometer must not be used until the problem has been discovered and corrected
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the glucometer may still be used as long as the patient is not diabetic
The correct answer is…………
the glucometer must not be used until the problem has been discovered and corrected the glucometer may still be used as long as the patient is not diabetic
Glucose Testing: Coding the Meter
Calibration must be conducted when a new box of test strips is opened, or, if the meter is dropped . Coding of the meter will match the meter with the reactivity of the test strip. Each lot of test strips is assigned a function number identified on the code strip. Reset the code
for each new vial of test strips used or if the
meter is dropped. The function number appearing on the display must match the number appearing on the code strip, on the front of the code strip package, and on the back of the test strip.
Glucose Testing: Coding the Meter
Remove Code Chip from Test Strip Box. Match the number printed on the Code Chip to the number on the Test Strip Vial.
The insert the Code Chip into Meter
The glucometer must be coded:
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Each time a new vial of test strips is opened and anytime the meter is dropped
Click here to select this answer Prior to performing each test with the
glucometer
The correct answer is:
Each time a new vial of test strips is opened and anytime the meter is dropped Prior to performing each test with the glucometer
Glucose Testing: Standing Orders for MA staff Collect and test finger stick glucose on all known diabetic patients at each visit.
Glucose testing: General Steps
▫ Identify patient using two patient identifiers (name and DOB) ▫ Explain procedure to patient in culturally appropriate, age appropriate terms.
▫ Gather all necessary equipment and supplies prior to start of the procedure.
▫ Inspect all equipment and supplies for damage, general integrity and expiration date- do not use any damaged or expired materials ▫ Perform hand hygiene before and after patient contact; before and after donning gloves.
▫ Don gloves.
Glucose Testing: Procedural Steps
• • • • • • • • • • • Perform finger stick according to procedure.
Remove a test strip from vial. Always check expiration date. Be sure the code number (function number) on the display window matches the function number on the code strip and vial.
Insert the strip fully into the Meter. The meter will turn on when the strip is inserted.
A "beep" will sound, and the Function Number and previous test result will begin flashing in the display window.
Touch and hold the Test Strip in the Meter to the drop of blood until the meter beeps (within 5 seconds).
The blood glucose result will appear in the display window.
Use a 2 X 2 gauze to apply pressure to stop bleeding of the finger, if necessary. Apply Band-Aid if necessary.
Remove the used Test Strip from the Meter. The Meter will turn off automatically.
Dispose of gauze, cotton balls, test strip etc. in regular trash; unless materials are saturated with blood then dispose of in medical waste regulated trash.
Remove gloves and dispose.
Perform hand hygiene.
The meter must be turned on prior to inserting a test strip.
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True False
The correct answer is false….
The meter should not be turned on before inserting the test strip.The meter will turn on automatically when the test strip is inserted.
Record results……………..
Immediately and quickly repeat test results that are Lo, Hi, less than 60 or greater
than 400; for stat care.
If still at this range, immediately verbally report to health care provider with call
A glucose reading of less than 60 must be immediately verbally reported to the health care provider
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True
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False
The correct answer is………
Can the TRUEtrack® System be used for alternative site testing?
Yes. TRUEtrack® is suitable for fingertip and forearm testing
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You have reached the end of this program…..
For more information on the TRUEtrack glucometer system, visit: www.thesmartchoice.com
Once you are confident that you are comfortable with all the materials presented, proceed to the Glucose testing with the TRUEtrack Glucometer post-test at http://www.classmarker.com/professional/ Your username is the first initial of your first name followed by your full last name. Your password is= nwhealth
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