Transcript Document

Roche Accu-Chek® Inform Glucose Meter
Online In-service
Training and Competency
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Learning Objectives
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Accu-Chek® Inform Blood Glucose Meter
Accu-Chek® Comfort Curve Test Strip
Accu-Chek® Inform Quality Control
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Hospital Policies & Procedures
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Accu-Chek® Inform Meter
Components of the
system:
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Accu-Chek® Inform
Meter
Base unit (dock)
Dataport (not shown)
Storage Case
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Overview of Front of Meter
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Test strip port
Alphanumeric touch
screen
Menu button
Forward arrow (serves as
an enter key)
Power button (purple)
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Overview of Back of Meter
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Barcode scanner
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Code key slot
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Rechargeable battery
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Accu-Chek® Inform Base Unit
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Return the Inform meter
when finished with patient
testing to the base unit. The
battery recharges and patient
results are transmitted to the
LIS.
A drained battery will take 1
hour to reach 90% of its full
charge, but can be used after
15 minutes of charging to
perform a few tests.
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Accu-Chek® Inform Base Unit
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A fully charged battery
provides power for
approximately 30 tests/day for
5 to 7 days before it will need
to be recharged.
The Inform meter does not
have to be docked after each
test.
The Inform meter can be
docked in any base unit.
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Accessory Box
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Conveniently stores meter
and supplies.
Can be stored “on-end” to
save space.
Can be used to transport
the Inform meter along
with testing supplies when
multiple patients must be
tested.
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Accu-Chek® Comfort Curve Test Strips
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Only Accu-Chek® Comfort
Curve Test Strips and
Glucose Control Solutions
can be used with the
hospital Inform glucose
meter.
A code key is packaged
with every box of test
strips. The code key must
match the number printed
on the vial of strips.
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Accu-Chek® Comfort Curve Test Strips
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The code key is inserted
into the code key slot
located on the reverse side
of the Inform.
Test strips and control
solutions are available from
pharmacy.
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Accu-Chek® Comfort Curve Test Strips
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Test strips can be used
until the expiration date
printed on the vial.
Control solutions must be
labeled with the open and
discard dates. Opened
controls expire 3 months
from opening or the “Use
by” date on the bottle,
whichever comes first.
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Accu-Chek® Comfort Curve Test Strips
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The Comfort Curve test strip is
plastic coated to prevent
surface contamination.
Test strips are stored in the
tightly capped original
container.
Test strips not stored properly
will be affected by temperature
and humidity.
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Accu-Chek® Comfort Curve Test Strips
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Improperly stored Test
Strips will produce
inaccurate results and
must be discarded!
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Quality Control (QC)
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Both low and high level control must be tested every
24 hours.
QC can be tested at any time. Each time QC is tested,
the 24-hour clock resets.
IF QC is not tested in 24 hours, the Inform meter
prevents patient testing until both low and high level
QC are tested.
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Quality Control (QC)
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QC should also be tested following these conditions:
 Patient test results are questionable.
 New test strip vial is opened.
 New control solutions are opened.
 The Inform has been dropped or mishandled.
QC results display as “PASS” or “FAIL” only.
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Sample Application
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Sample Application
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Test strip must be placed in the Inform meter with the
yellow test window facing “up” (curved side on the left)
before sample is applied.
Apply 4 microliters of sample (patient blood or control
solution) to the curved area (yellow test window).
Capillary action draws the sample into the yellow test
window.
The yellow test window must be completely filled (no
yellow showing).
Additional sample can be applied within 15 seconds to
complete filling.
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Sample Application
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Arterial, venous, and capillary specimens are
acceptable.
Note: A comment can be attached to the result
identifying the specimen type.
Always wipe away the first drop of blood from a finger
stick before touching the test strip to the finger.
Venous blood samples must be collected below an IV.
When using a syringe, always discard a drop before
applying the sample to the test strip.
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Inappropriate Sample Types
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Finger stick or capillary samples are not appropriate
from patients exhibiting decreased peripheral blood
flow.
In these cases, venous or arterial blood samples should
be used. Examples:
 Severe dehydration caused by diabetic ketoacidosis
 Hyperglycemic hyperosmolar nonketotic state
 Hypertension
 Shock
 Peripheral vascular disease
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Inappropriate Sample Types
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Certain substances contain Maltose which, when
present, cause false elevated glucose results obtained
by the Inform.
Patients receiving these products cannot be tested
using the Inform. Send all glucose specimens to the
laboratory for testing.
Maltose-containing products:
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Octagam® 5%
WinRho® SDF liquid
Vaccinia immune globulin
d-xylose
Extraneal® (icodextrin)
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Operator and Patient Identification
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Federal, State, and other regulatory entities require
positive patient identification and positive test operator
identification.
All users must be previously defined using the bar code
information located on the reverse of your hospital ID
badge.
You can use the Inform bar code scanner to scan the
bar code located on your hospital ID badge, OR
Enter your hospital ID using the Inform touch pad.
Non-defined users cannot access any Inform functions.
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Operator and Patient Identification
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A patient is identified using their Medical Record
Number.
You can use the Inform bar code scanner to scan the
patient’s bar coded wristband, OR
Enter the 8 digit MRN using the Inform touch pad.
Patient testing cannot be initiated without entry of an
MRN.
Patient test results cannot be posted to the LIS without
a valid MRN.
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Hospital Policies & Procedures
Normal and Critical Ranges
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Normal range for a glucose test result obtained by the
Inform is: 60 – 100 mg/dL.
Critical glucose test results obtained by the Inform are:
 Results <40 mg/dL (adult)
 Results <50 mg/dL (neonate)
 Results >500 mg/dL (all)
LO test results (<10 mg/dL) and HI test results (>600
mg/dL) are critical results.
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Hospital Policies & Procedures
Normal and Critical Ranges
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The Inform requires entry of a comment to a critical
test result.
 Multiple pre-defined comments are available.
 User can also enter a free text comment.
 Up to three comments can be appended to a test
result.
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Hospital Policies & Procedures
Normal and Critical Ranges
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Repeat all critical test results obtained by the Inform.
Verify critical test results by sending a specimen to the
laboratory.
Glucose test results obtained by the Inform not
corresponding to the patient’s medical condition should
be confirmed by submitting another blood sample for
laboratory testing.
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Testing Personnel
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Only trained personnel are permitted to perform point
of care glucose testing.
Operators will be permitted access to the Inform meter
only after successful completion of an approved initial
training program.
Each user’s competency using the Inform must be
assessed annually.
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Accu-Chek® Certification
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You must also maintain your Accu-Chek® certification
(access) to continue using the Inform.
A new user receives certification upon completion of
their initial training. The POC Coordinator is
responsible to “certify” the user. The initial certification
period is 6 months.
Existing users recertify by testing both Hi and Lo QC on
a single Inform within 30 days of their certification
expiration.
Recertification allows access for the next 12 months.
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Infection Control
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The Inform is routinely decontaminated (every 24
hours) using:
 70% isopropyl alcohol pads, OR
 pads moistened with 10% bleach solution.
Decontaminate when visibly soiled with blood or after
exposure to patients in isolation conditions.
Do not allow excess amounts of cleaning solution to
pool in the meter connectors or base unit.
Do not use “Sani-Cloths” to decontaminate the Inform.
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Infection Control
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Testing personnel must follow hospital infection control
guidelines at all times.
Users must wear gloves during sample collection and
testing.
Sharps must be discarded in puncture proof containers.
All other biohazardous waste must be discarded in
designated biohazard containers.
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Support
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The POC Coordinator is responsible for maintaining the
Inform system.
Please contact the POC Coordinator (215-955-1664) for
assistance with device, user access, or other issues.
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Next Steps
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Upon completion of the course and passing the quiz,
please notify your instructor, supervisor, or section
head.
The POC Coordinator must be notified so you can be
“certified” providing access to the Inform.
You will be instructed to test both Hi and Lo controls on
a device before a specific date.
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Congratulations
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You have completed the course.
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