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Roche Accu-Chek ® Inform Glucose Meter

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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Roche Accu-Chek ® Inform Glucose Meter

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  1. Online In-service Training and Competency Roche Accu-Chek® Inform Glucose Meter

  2. Learning Objectives • Accu-Chek® Inform Blood Glucose Meter • Accu-Chek® Comfort Curve Test Strip • Accu-Chek® Inform Quality Control • Hospital Policies & Procedures

  3. Accu-Chek® Inform Meter Components of the system: • Accu-Chek® Inform Meter • Base unit (dock) • Dataport (not shown) • Storage Case

  4. Overview of Front of Meter • Test strip port • Alphanumeric touch screen • Menu button • Forward arrow (serves as an enter key) • Power button (purple)

  5. Overview of Back of Meter • Barcode scanner • Code key slot • Rechargeable battery

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. Accu-Chek® Comfort Curve Test Strips • Improperly stored Test Strips will produce inaccurate results and must be discarded!

  14. 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.

  15. 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.

  16. Sample Application

  17. 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.

  18. 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.

  19. 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

  20. 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)

  21. 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.

  22. 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.

  23. 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.

  24. 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.

  25. 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.

  26. 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.

  27. 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.

  28. 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.

  29. 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.

  30. 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.

  31. 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.

  32. Congratulations • You have completed the course.

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