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Glucose, Whole Blood Accu-Chek Inform II® Point of Care Testing Education 1 Glucose, Whole Blood, Accu-Chek Inform®

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Page 1: Glucose, Whole Blood Accu-Chek Inform II® Point of Care Testing Education 1 Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood Accu-Chek Inform II®

Point of Care Testing Education

1Glucose, Whole Blood, Accu-Chek Inform®

Page 2: Glucose, Whole Blood Accu-Chek Inform II® Point of Care Testing Education 1 Glucose, Whole Blood, Accu-Chek Inform®

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

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Front of Accu-Chek Inform II

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Back of Accu-Chek Inform II

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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

Strips

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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

Reagents

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Specimens• Acceptable specimens

– 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– 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 testExplain 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.

Page 15: Glucose, Whole Blood Accu-Chek Inform II® Point of Care Testing Education 1 Glucose, Whole Blood, Accu-Chek Inform®

Non numerical codes that may appear

• 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

1. Turn meter on2. Press to display the Operator ID screen3. Scan “Operator ID”4. Select “CONTROL TEST” from the menu5. Press “LEVEL 1 (Lo)” to select correct control to analyze6. Scan the “CONTROL” bottle barcode7. Scan the test “STRIP” bottle barcode8. Fully insert strip at the top edge of the meter with ‘Accu-Chek’ lettering facing upward9. Touch drop of solution to the yellow area on the top of test strip10. An Hourglass displays during test analysis11. The test result displays a “PASS” or “FAIL” when completed12. Press to select a comment if appropriate13. 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:

– 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 testPerform a HI and a LO QCDemonstrate proper disinfecting of the meter to the

evaluator

Aristotle

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