Transcript Advantage III

Diagnostics
Accu-Chek Inform II
Blood Glucose Monitoring
System.
Nurse Educator: Lois Sandford,
RN
By the end of this session you will be able to:
Diagnostics
Training Objectives
• Explain why training is required.
• Identify contraindications/test interferences.
• State Why and When you have to quality control your
meter.
• Perform a Quality control test as per hospital policy.
• Identify Point of Care contact on site and where you get
your meter supplies.
• “The use of blood glucose meters by untrained staff,
without adequate management supervision of the
equipment and without the use of quality control
procedures, can lead to misleading results, adversely
affecting the treatment of patients”
Diagnostics
Why Training?
DH
• Medicine and Healthcare Products Regulatory Agency
• Nursing & Midwifery Council
• Local Trust
• RCN
• Department of Health
Due to the Hazard Notices being issued the MHRA recommend that therapeutic decisions
should not be based on a capillary sample in these circumstances:
•
Dehydration
• Hypotension
• Shock
• Peripheral Occulsive Disease
• Hyperosmolar Non-Ketotic Coma
Venous Sample should be sent to the Lab
for verification of blood glucose level
• Diabetic Ketoacidosis
• Unconscious Patients
• Decompensated Heart Failure NYHA Class IV
Diagnostics
Contraindications for use of Blood Glucose System.
Diagnostics
LIMITATIONS.
Due to medical conditions:
• Galactose
> 1.11 mmol/L
(overestimation)
• Lipids
> 16.8 mmol/L
(overestimation)
• Sodium
> 150 mmol/L
(underestimation)
(Hypernatremia)
For further information refer to Test Strip Information Leaflet,
Workstation insert or Ward Manual
Test Strip Port
Touch screen
On/off button
Base unit
Diagnostics
Inform II – Front View.
Bar code scanner
Battery Pack
Wireless Card Reader
Diagnostics
Inform II – Back View.
Diagnostics
Advanced Performa Test Strip.
Sample volume detection
Robust End Dosing Strip
Fast 5 Second Result
0.6μL sample size
Power up screens
Diagnostics
Accu-Chek Inform II
Diagnostics
Start Up – User Identification.
1 Press and release the On/Off
button . The system is now on.
2 The Power Up screen appears.
•Bar code scan of operator ID
•User ID unique to user and
compulsory for all activities
Diagnostics
Main Menu Screen Shot.
• Why Quality Control?
• How to Quality Control
Inform II Meter
• When to Quality Control?
• Quality Control Lockout.
• EQA
Diagnostics
Quality Control Testing
Diagnostics
Quality Control Screens:
Diagnostics
Control and Strip Confirmation Screens
Diagnostics
Performing a Quality Control Test.
Diagnostics
Result Screen:
• Checks accuracy of test strips and Inform Meter
• Level 1 & 2 controls MUST be analysed every 25 hours –
otherwise the user will be locked out of analysing patient
samples.
• In an emergency – 1 stat test is allowed.
Diagnostics
Quality Control Test:
Diagnostics
STAT TEST :
• Level 1 & 2 solutions must pass QC test.
• If test displays FAIL: Add Comment and repeat test.
• Troubleshoot:
• Check expiry dates, mix/change QC solutions & test strips –
repeat test.
• Contact relevant department in hospital report fault and obtain
replacement meter
If meter continues to fail DO NOT use it!
Diagnostics
Failed Quality Control Test
• Gain consent
• Infection Control
• Handwashing
• Sites for lancing
Diagnostics
Patient Preparation.
Diagnostics
The Case For Using a Finger-Pricking Device!!!
•Select patient test from menu
•Select Glucose Test
•Scan in Patient hospital number.
•Meter will prompt you to confirm patient details
•Scan in Test strips
Diagnostics
Patient Testing.
~ Check Patients details at
top of screen
Diagnostics
Check test strip code and insert strip.
Always perform a visual inspection of the yellow
test area.
Diagnostics
Apply patient blood when prompted.
• Normal Range = 3.5 m/mols – 7.0 m/mols.
• Critical Range = < 3.0 m/mols - >20.0 m/mols.
• If Critical Range ……….. prompts….
• If HI………………………prompts…..
• If LO………………………prompts……
• N.B. Comments…………………………
• Hypo Boxes on the ward.
Diagnostics
Results.
• From main menu – select review
result – Glucose Test
• All results are displayed on screen
– Patient & QC.
• Select patient – to view patient
results - scan ID
• Select QC – to view QC results.
Diagnostics
Review Results.
.
• A lightly damp cloth before and
after patient use and mild soapy
water may be used.
• Acti-max Clothes – dry off after
use.
• Follow hospital policy/local
Guidelines for decontamination.
(Sani-Cloth wipes)
Diagnostics
Cleaning the Meter.
By the end of this session you will be able to:
Diagnostics
Training Objectives
• Explain why training is required.
• Identify contraindications/test interferences.
• State Why and When you have to quality control your
meter.
• Perform a Quality control test as per hospital policy.
• Identify Point of Care contact on site and where you get
your meter supplies.
Diagnostics
Thank you
for listening…
Any further questions?