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

Glucose, Whole Blood, Accu-Chek Inform® Objectives: The successful participant will be able to Identify the components of the meter. State the process for performing quality control tests and patient tests. Identify the acceptable specimens and potentially unacceptable patients for fingerstick testing with the meter. State the meter’s lowest and highest reportable value. State what RR HI and CR LO messages mean. State the method for cleaning the meter and the frequency. State appropriate storage of the meter. Glucose, Whole Blood, Accu-Chek Inform®

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 Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform® The Accu-Chek Inform Meter Front of Accu-Chek Inform II Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform® Back of Accu-Chek Inform II Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform® Strips 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 Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform® Reagents 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 Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform® 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 Glucose, Whole Blood, Accu-Chek Inform®

Performing a patient test Explain the procedure to the patient . Wash your hands and don non-sterile gloves (PPE). Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform® Barcode scanner Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform®

Key step – if you do NOT WAIT, you will get an error message! Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform® 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. 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) Glucose, Whole Blood, Accu-Chek Inform®

Glucose, Whole Blood, Accu-Chek Inform® 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. Glucose, Whole Blood, Accu-Chek Inform®

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 Glucose, Whole Blood, Accu-Chek Inform®

How to perform a test (QC): Similar to performing a patient test Turn meter on Press to display the Operator ID screen Scan “Operator ID” Select “CONTROL TEST” from the menu Press “LEVEL 1 (Lo)” to select correct control to analyze Scan the “CONTROL” bottle barcode Scan the test “STRIP” bottle barcode Fully insert strip at the top edge of the meter with ‘Accu-Chek’ lettering facing upward Touch drop of solution to the yellow area on the top of test strip An Hourglass displays during test analysis The test result displays a “PASS” or “FAIL” when completed Press to select a comment if appropriate 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. Glucose, Whole Blood, Accu-Chek Inform®

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. Glucose, Whole Blood, Accu-Chek Inform®

You are now done. We are what we repeatedly do. Complete and turn in the post test Perform a HI and a LO QC Demonstrate proper disinfecting of the meter to the evaluator Aristotle We are what we repeatedly do. Excellence, then, is not an act, but a habit. Glucose, Whole Blood, Accu-Chek Inform®