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Nova Stat Strip Update

Nova Stat Strip Update. Welcome to your Statstrip update. Point of Care Testing (POCT) is the analysis of patient specimens outside of the laboratory by non-laboratory staff. The success of POCT depends crucially on the effectiveness of the training of non-laboratory staff.

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Nova Stat Strip Update

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  1. Nova Stat Strip Update

  2. Welcome to your Statstrip update • Point of Care Testing (POCT) is the analysis of patient specimens outside of the laboratory by non-laboratory staff. • The success of POCT depends crucially on the effectiveness of the training of non-laboratory staff. • Training is required for Care Quality Commission: Outcome11 Safe Use of Medical Devices

  3. Contact Information • For any technical or training issues with the meters please contact Helen Hobba or Kate Tregunna in Clinical Chemistry via ext 2556 / 2837, or poct.poct@rcht.cornwall.nhs.uk • For any Clinical advice please contact the Diabetic Inpatient Specialist Team on 3104 (RCHT) or 4151 (WCH / SMH)

  4. Equipment Required on the wards • Stat Strip Connectivity Meter and Docking Station • Plus Work Station containing: • Owen Mumford Unistix lancets • Gauze for wiping finger after obtaining sample. • Stat Strip Glucose Test Strips, 50 strips per vial – stable for 6 months after opening, please date the vial. • Stat Strip Glucose Control Solution, Level 1(low) and Level 3 (high) - stable for 3 months, please date the bottle.

  5. Contraindications to use of the Statstrip Meter • When patient has peripheral vascular disease or a condition that impairs circulation to the periphery • Patient is dehydrated • Patient is in shock • Patient has severe odema • Patient is hypotensive • Send a venous sample to the lab to check the result

  6. Sample Collection • Children < 1 year • Collect from the lateral areas of the sole. • During blood collection, the child must held with foot facing towards the floor. • A site which has all ready been punctured must not be punctured a second time. • To improve blood flow you can warm heel prior to sample collection by wrapping in a warm, moist cloth. • The heel must be disinfected and then dried completely.

  7. Collect capillary blood from the side of the fingertips. Thumb and index finger should be avoided for the puncture. • Children >1yr and Adults Wash patient’s hands with warm soapy water or water and a damp gauze. Alcohol wipes / gel should not be used. Massage finger to stimulate blood flow. 1. Twist the sterility cap, remove and dispose. 2. Hold the device between index finger, middle finger and thumb. 3. Press device firmly against chosen puncture site 4. Using your thumb, press down trigger completely. 5. Remove device from puncture site and dispose in sharps bin as per Trust sharps policy Please note: the lancets are single-use, disposable devices

  8. Spare battery at rear of docking station. Charging Light: Amber = Charging Green = Charged Green light on when connected to the network Charging Light: Amber = Charging Green = Charged Green light on when data is flowing

  9. 1) 3) 2) 4) 6) Running Quality Control 5)

  10. 3) 2) 1) 8636 4) 5) Running a Patient Sample 6)

  11. Screen Comments StatStrip glucose meter reads between 0.6 - 33.3 mmol/L Glucose: < 4mmol/l - Diabetic - HYPO – Treat Glucose: <4 mmol/l - Not Diabetic – Review Glucose: 4 - 9 mmol/l -"Normal - No Action" Glucose: > 9 mmol/l - "Review needed" Glucose: > 15mmol/l " Review Ketone Test If result is greater than 33.3mmol/L, meter displays HI If result is less than 0.6 mmol/L, meter displays LO The result must be entered in the patient’s notes, along with any appropriate action taken.

  12. Any sample giving a meter result below 2.8 mmol / L or above 25 mmol / L and any unexpected result not in keeping with the clinical picture or a sample which gives more than one error message MUST be confirmed by sending an urgent venous blood sample to Clinical Chemistry. Any result less than 4 mmol /l or greater than 9mmol/l consistently or 15mmol/l at any one time should be reported to a trained member of the nursing or medical staff. Report abnormal or unexpected results to nurse in charge or doctor

  13. Cleaning the Meter • Clean and disinfect the meter after each use using a sani-cloth disinfectant wipe (yellow top), blot with a dry paper towel and then follow with a water dampened cloth to remove any residue of cleaning solution • Please take care to keep moisture out of the test strip area.

  14. Troubleshooing

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