1. Blood Glucose Measuring Prepared By: Dr. Manal Moussa Ibrahim

2. Equipment: * Blood Glucose meter. * Blood Glucose reagent strip compatible with the meter. * Paper towel. * Warm cloth or other warming device (optional). * Antiseptic swab. * Disposable Gloves. * Sterile lancet or 19- or 21- gauge needle. * Lancet injector (optional). *Cotton ball to wipe the glucose reagent strip (dry wipe method).

3. Glucose Measuring Devices Used to Check Blood Sugar Levels Many different types and models

4. Procedures Careful attention to BSI & safety Select Finger Massage blood into distal end Clean finger with alcohol & allow to dry Use lancet or Auto-lancet device Wipe first drop of blood off Apply drop of blood onto test strip and follow individual glucometer instructions Dispose of sharps and soiled supplies

5. Device & Accessories Glucometer Test Strips Lancet

6. Glucose Measuring Steps Step #1Step #2 Locate Glucometer Open Up Case Step #3 Turn Power On

7. Glucose Measuring Steps, cont. Step #4 Confirm Codes

8. Glucose Measuring Steps, cont. Step #5 Insert Test Strip

9. Glucose Measuring Steps, cont. Step #6 Obtain Blood Sample

10. Apply Drop of Blood If inadequate up to 15 secs., add additional blood Step #7 Glucose Measuring Steps, cont.

11. Step #8 Document Results

12. Some glucometers turn on automatically. Know the features of the glucometer your service uses. Device Variations

13. Results Normal blood glucose range is typically 80-120 (fasting) Treat the patient, not the numbers

14. Maintenance & Calibration Techniques Frequency Batteries Care & Storage –Device –test strips Documentation

15. BSI & Cleansing Issues Dispose of all sharps and blood contaminated materials properly Cleanse only outside of monitor with general disinfectant (manufacturer approved) Do not immerse/ inject/spray any liquid into device

16. Questions? Ask your training officer Consult your service Medical Director Call your Regional office or visit their website http://www.semaems.comhttp://www.semaems.com Contact OEMS at (617)753-7300 or visit http://www.mass.gov/dph/oems/oems. htm http://www.mass.gov/dph/oems/oems. htm