GLUCOSE TESTING USING THE TRUEtrack GLUCOMETER WellOne For Medical Clinical Staff Click here to move on

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. Click here to go back Click here to move on

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. $ $$$$ $$$$$ Click here to move on

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. Click here to go back Click here to move on

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. Click here to go back Click here to move on

Glucometer control solution must be discarded and replaced: n Once a month Yearly By the expiration date or 3 months after opening (whichever comes first) Click here to select this answer Click here to select this answer Click here to select this answer Click here to go back

The correct answer is…… By the expiration date Or 3 months after opening (whichever comes first) Click here to go back Click here to move on

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 Click here to go back Click here to move on

Glucometer controls must be checked and documented: Weekly Daily before patient use and whenever a new vial of test strips is opened Before each use Click here to select this answer Click here to select this answer Click here to select this answer Click here to go back

The correct answer is…………………………………………… 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. Click here to go back Click here to move on

When a glucometer control is not within range: 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 Click here to select this answer Click here to select this answer Click here to go back

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 Click here to go back Click here to move on

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. Click here to go back Click here to move on

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 with the numbers facing up. Click here to go back Click here to move on

The glucometer must be coded: Each time a new vial of test strips is opened and anytime the meter is dropped Prior to performing each test with the glucometer Click here to select this answer Click here to select this answer Click here to go back

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 Click here to go back Click here to move on

Glucose Testing: Standing Orders for MA staff Collect and test finger stick glucose on all known diabetic patients as indicated by provider, as well as patients in need of screening for diabetes and patients with symptoms including, but not limited to: dizziness, fatigue, fainting, increased urination, etc. Click here to go back Click here to move on

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. Click here to go back Click here to move on

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. Click here to go back Click here to move on

The meter must be turned on prior to inserting a test strip. True False Click here to select this answer Click here to select this answer Click here to go back Click here to move on

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. Click here to go back Click here to move on

Record results…………….. Critical Values: <69, >300, Hi, or Lo: Immediately report test results that are Lo, Hi, <69 or >300 to the health care provider verbally Click here to go back Click here to move on

A glucose reading of 60 must be immediately verbally reported to the health care provider True False Click here to select this answer Click here to select this answer Click here to go back Click here to move on

The correct answer is……… TRUE, TRUE, TRUE Click here to go back Click here to move on

Can the TRUEtrack® System be used for alternative site testing? Yes. TRUEtrack® is suitable for fingertip and forearm testing. Click here to go back Click here to move on

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/ Start Over Click here to go back and review previous slide Exit