1. Freestyle Precision Pro
Point of care glucose testing meter

2. Abbott Point of Care Glucose Meters
New
FreeStyle Precision Pro
Old
Precision Xceed Pro

3. Operating Guidelines
Use only FreeStyle Precision Pro Glucose Test Strips
Do not use test strips beyond expiration date printed on the barcode label and outer box
Test strips can be obtained from HRMC Main Lab
Do not use wet, bent, scratched or damaged strips
Use the test strip immediately after opening
Do not use test strips if the foil packet has a puncture or tear
Use the test strip only once and then discard
Use only control solutions provided by the laboratory
Do not scan a packet’s barcode and use a test strip from another packet
Make sure that the meter and test strips are at room temperature. If the meter is moved to an area that is a different temperature, allow meter to reach new room temperature before testing
Always wear gloves and follow hospital policy for PPE
If glucose meter is not working properly please contact the laboratory for troubleshooting assistance

4. Control Solution Testing
Controls must be run every 24 hours to verify the performance of the glucose monitoring system
Use only Medisense Glucose and Ketone Control Solutions
When opening a new bottle, write the discard date on the bottle label
Each bottle of control solution is stable for 90 days after opening or until the expiration date printed on the label, whichever comes first
Do not use the control solutions after the expiration date
Invert the control solution bottle several times to ensure thorough mixing before use.
Invert and tap the capped control solution bottle to remove air bubbles from the tip of the bottle
Wipe the control solution nozzle with a clean gauze or tissue before and after each test
Do not scan one test strip foil packet’s barcode and use a test strip from another foil packet
This may cause incorrect results to be generated
Replace the correct cap on the bottle and tighten the cap immediately after each use

5. Perform a Control Test 1. Turn on Meter
7. Gently invert control 3-4 times. Apply small drop to test strip.
2. Select 2 – Control Test
8. Wait for meter to analyze result
3. Enter Operator ID
4. Scan solution lot number
9. Test result will appear as PASS or FAIL
5. Scan strip lot number
10. Repeat for High Level control solution
6. Insert test strip

6. Troubleshooting Control Failure
Eliminate any air bubbles in the control bottle’s tip
Wipe away excess solution from the bottle tip prior to testing
Scan or enter the barcode from the packet of the test strip used
Confirm that control solutions and test strips have been stored at correct temperature
Check that the bottles of control solutions have not been opened for more than 90 days and are within manufacturer’s expiration date.
Use a new test strip for each test
Use only FreeStyle Precision Pro Blood Glucose test strip is used
Use only MediSense Glucose and Ketone Control Solutions.
If quality control testing fails twice contact lab for further troubleshooting

7. Perform Patient Test 1. Turn on Meter
5. Confirm the Patient ID (if prompted) You may see one of the following four Screens
2. Select 1-Patient Test
Re-enter the ID using the keypad
3. Enter Operator ID
Press 2 to confirm the Patient ID or 1 to ReEnter the ID
4. Scan or enter Patient ID
Enter the year of birth (eg. Enter “63” for 1963; then press the Enter button. Press Clear to re-enter the ID
Press 2 to confirm the Patient ID or 1 to ReEnter the ID

8. Perform Patient Test Cont.
10. Wait for meter to analyze result
6. Scan strip lot number
7. The Sample Type screen may appear.
Press 1-Arterial/Capillary
Press 2-Venous
11. Results are displayed
8. Insert test strip
Important: If the blood glucose result appears to be inconsistent, there may be a problem with the test strip. Repeat the test with a new strip.
9. Apply blood sample
Sample accepted will appear and automatically start testing
Important: If patient’s blood sugar is <50 or >400; repeat immediately at bedside, If blood sugar is still <50 or >400 verify blood sugar with STAT Venous Glucose

9. Sample Collection Neonatal Capillary Blood Heel Stick Sample
Capillary Blood Sample
Neonatal Capillary Blood Heel Stick Sample
Use only fresh whole blood samples
Make sure the sampling site is clean and dry before lancing
Collect the capillary blood using an auto- disabling, single use lancing device
Apply a drop of blood to the target area at the end of the test strip
Use only fresh whole blood samples
Make sure the site is clean and dry before lancing
Collect the capillary blood using an auto-disabling, single use lancing device
Apply a drop of blood to the target area at the end of the test strip
Alternately, the heel-to-strip method can be used: Allow a hanging drop of blood to form from the heel and apply to the target area of the test strip. Results will not be impacted by gently touching the heel to the test strip.

10. Patient Testing Troubleshooting
Reasons Glucose Result may be Higher than Expected:
Reasons Glucose may be Lower than Expected:
Hematocrit is lower than the acceptable limit for the test strips, as indicated on the test strip instructions for use
15-65%
Serum or plasma samples were used instead of whole blood
Hematocrit is higher than the acceptable limit for the test strips, as indicated on the test strip instructions for use
15-65%
Hyperglycemic-hypotension or shock (with or without ketosis)
Severe dehydration, hypotension or shock
Water or alcohol remaining on the puncture site
Venous or arterial whole blood sample not tested within 30 minutes of collection

11. Patient Reporting
Patient results will show on screen when testing is complete
Results will automatically interface into Meditech Wirelessly
Glucose meters can be docked for interface if wireless is down
The following screen comes up when the meter is turned on. The icon on the bottom left indicates the wireless is enabled. The arrows to the right demonstrate data will be crossing. The boxes to the right of that demonstrate there is data to be transferred.
The menu below will come up once the meter is turned off. The meter will attempt to send any unsent data prior to turning off. Options: Let meter send & then it will turn OFF. Or select #1 and the meter will go OFF. Without sending data. Unless there is a “hard dock” the meter will not send until the meter is turned back on.

12. Review How long is quality control good for after opened?
What should be done if quality control testing fails?
What should be done if the patient results is <50 or >400?
What should be done if the strip lot number is expired?
What should be done if the QC bottles are expired?
What should be done if the glucometer is not working properly?