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Roche Accu-Chek ® Inform Glucose Meter - PowerPoint PPT Presentation


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Online In-service Training and Competency. Roche Accu-Chek ® Inform Glucose Meter. Learning Objectives. Accu-Chek ® Inform Blood Glucose Meter Accu-Chek ® Comfort Curve Test Strip Accu-Chek ® Inform Quality Control Hospital Policies & Procedures. Accu-Chek ® Inform Meter.

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Presentation Transcript
learning objectives
Learning Objectives
  • Accu-Chek® Inform Blood Glucose Meter
  • Accu-Chek® Comfort Curve Test Strip
  • Accu-Chek® Inform Quality Control
  • Hospital Policies & Procedures
accu chek inform meter
Accu-Chek® Inform Meter

Components of the system:

  • Accu-Chek® Inform Meter
  • Base unit (dock)
  • Dataport (not shown)
  • Storage Case
overview of front of meter
Overview of Front of Meter
  • Test strip port
  • Alphanumeric touch screen
  • Menu button
  • Forward arrow (serves as an enter key)
  • Power button (purple)
overview of back of meter
Overview of Back of Meter
  • Barcode scanner
  • Code key slot
  • Rechargeable battery
accu chek inform base unit
Accu-Chek® Inform Base Unit
  • 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.
accu chek inform base unit1
Accu-Chek® Inform Base Unit
  • 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.
accessory box
Accessory Box
  • 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.
accu chek comfort curve test strips
Accu-Chek® Comfort Curve Test Strips
  • 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.
accu chek comfort curve test strips1
Accu-Chek® Comfort Curve Test Strips
  • 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.
accu chek comfort curve test strips2
Accu-Chek® Comfort Curve Test Strips
  • 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.
accu chek comfort curve test strips3
Accu-Chek® Comfort Curve Test Strips
  • 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.
accu chek comfort curve test strips4
Accu-Chek® Comfort Curve Test Strips
  • Improperly stored Test Strips will produce inaccurate results and must be discarded!
quality control qc
Quality Control (QC)
  • 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.
quality control qc1
Quality Control (QC)
  • 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.
sample application1
Sample Application
  • 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.
sample application2
Sample Application
  • 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.
inappropriate sample types
Inappropriate Sample Types
  • 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
inappropriate sample types1
Inappropriate Sample Types
  • 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:
    • Octagam® 5%
    • WinRho® SDF liquid
    • Vaccinia immune globulin
    • d-xylose
    • Extraneal® (icodextrin)
operator and patient identification
Operator and PatientIdentification
  • 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.
operator and patient identification1
Operator and PatientIdentification
  • 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.
hospital policies procedures
Hospital Policies & Procedures

Normal and Critical Ranges

  • 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.
hospital policies procedures1
Hospital Policies & Procedures

Normal and Critical Ranges

  • 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.
hospital policies procedures2
Hospital Policies & Procedures

Normal and Critical Ranges

  • 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.
testing personnel
Testing Personnel
  • 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.
accu chek certification
Accu-Chek®Certification
  • 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.
infection control
Infection Control
  • 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.
infection control1
Infection Control
  • 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.
support
Support
  • 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.
next steps
Next Steps
  • 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.
congratulations
Congratulations
  • You have completed the course.