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Accu-Chek Inform II Blood Glucose Monitoring

System.

Nurse Educator: Lois Sandford, RN

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csTraining Objectives

By the end of this session you will be able to:

• Explain why training is required.

• Identify contraindications/test interferences.

• State Why and When you have to quality control your meter.

• Perform a Quality control test as per hospital policy.

• Identify Point of Care contact on site and where you get your meter supplies.

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Why Training?

• “The use of blood glucose meters by untrained staff, without adequate management supervision of the equipment and without the use of quality control procedures, can lead to misleading results, adversely affecting the treatment of patients”

DH

• Medicine and Healthcare Products Regulatory Agency

• Nursing & Midwifery Council

• Local Trust

• RCN

• Department of Health

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Contraindications for use of Blood Glucose System.

Due to the Hazard Notices being issued the MHRA recommend that therapeutic decisions should not be based on a capillary sample in these circumstances:

Venous Sample should Venous Sample should be sent to the Lab for be sent to the Lab for verification of blood verification of blood glucose levelglucose level

• Dehydration

• Hypotension

• Shock

• Peripheral Occulsive Disease

• Hyperosmolar Non-Ketotic Coma

• Diabetic Ketoacidosis

• Unconscious Patients

• Decompensated Heart Failure NYHA Class IV

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LIMITATIONS.

Due to medical conditions:

• Galactose > 1.11 mmol/L (overestimation)

• Lipids > 16.8 mmol/L (overestimation)

• Sodium > 150 mmol/L (underestimation)

(Hypernatremia)

For further information refer to Test Strip Information Leaflet,

Workstation insert or Ward Manual

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csInform II – Front View.

Test Strip Port

Touch screen

On/off button

Base unit

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csInform II – Back View.

Bar code scanner

Battery Pack

Wireless Card Reader

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csAdvanced Performa Test Strip.

0.6μL sample size

Robust End Dosing Strip

Sample volume detection

Fast 5 Second Result

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csAccu-Chek Inform II

Power up screens

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csStart Up – User Identification.

1 Press and release the On/Off button . The system is now on.

2 The Power Up screen appears.

•Bar code scan of operator ID

•User ID unique to user and

compulsory for all activities

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csMain Menu Screen Shot.

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Quality Control Testing

• Why Quality Control?

• How to Quality Control Inform II Meter

• When to Quality Control?

• Quality Control Lockout.

• EQA

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Quality Control Screens:

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csControl and Strip Confirmation

Screens

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csPerforming a Quality Control

Test.

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csResult Screen:

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csQuality Control Test:

• Checks accuracy of test strips and Inform Meter

• Level 1 & 2 controls MUST be analysed every 25 hours – otherwise the user will be locked out of analysing patient samples.

• In an emergency – 1 stat test is allowed.

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csSTAT TEST :

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csFailed Quality Control Test

• Level 1 & 2 solutions must pass QC test.

• If test displays FAIL: Add Comment and repeat test.

• Troubleshoot:

• Check expiry dates, mix/change QC solutions & test strips – repeat test.

• Contact relevant department in hospital report fault and obtain replacement meter

If meter continues to fail DO NOT use it!If meter continues to fail DO NOT use it!

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csPatient Preparation.

•Gain consent

•Infection Control

•Handwashing

•Sites for lancing

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The Case For Using a Finger-Pricking Device!!!

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csPatient Testing.

•Select patient test from menu

•Select Glucose Test

•Scan in Patient hospital number.

•Meter will prompt you to confirm patient details

•Scan in Test strips

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csCheck test strip code and insert

strip.

~ Check Patients details at top of screen

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csApply patient blood when

prompted.

Always perform a visual inspection of the yellow test area.

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Results.

• Normal Range = 3.5 m/mols – 7.0 m/mols.

• Critical Range = < 3.0 m/mols - >20.0 m/mols.

• If Critical Range ……….. prompts….

• If HI………………………prompts…..

• If LO………………………prompts……

• N.B. Comments…………………………

• Hypo Boxes on the ward.

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Review Results.

• From main menu – select review result – Glucose Test

• All results are displayed on screen – Patient & QC.

• Select patient – to view patient results - scan ID

• Select QC – to view QC results.

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Cleaning the Meter.

.

• A lightly damp cloth before and after patient use and mild soapy water may be used.

• Acti-max Clothes – dry off after use.

• Follow hospital policy/local Guidelines for decontamination.

(Sani-Cloth wipes)

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csTraining Objectives

By the end of this session you will be able to:

• Explain why training is required.

• Identify contraindications/test interferences.

• State Why and When you have to quality control your meter.

• Perform a Quality control test as per hospital policy.

• Identify Point of Care contact on site and where you get your meter supplies.

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Thank youfor listening…

Any further questions?