Accu-Chek Inform II Blood Glucose Link Training

Accu-Chek Inform II Blood Glucose Link Training

Accu-Chek Performa and Accu-Chek Inform II Blood Glucose Meter Training February 6, 2020 page 1 2009 Roche Why Training? Medicines & Healthcare products Regulatory Agency Nursing & Midwifery Council Hospital Trust RCN Department of Health: 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

MHRA 1996 February 6, 2020 page 2 2009 Roche Contra-indications For Use Of Blood Glucose Meters As indicated by the M.H.R.A If peripheral circulation is impaired collection of capillary blood is not

advised as there is a risk that the result obtained may be unreliable. Preferably a venous sample should be sent to the lab, however it is also possible to measure glucose POCT on a venous sample. Examples of condition where peripheral circulation may be impaired include; Severe Dehydration due to Diabetic Ketoacidosis Hypotension Shock Hyperosmolar, Hyper glycaemic State (known previously as H.O.N.K ) Decompensated heart failure NHYA Class IV Refer to strip pack insert for limitations for use We acknowledge that staff are required to perform POCT capillary blood glucose determination as part of national protocol in some of the conditions listed above. In these circumstances we recommend caution in the interpretation of results obtained from capillary blood glucose instruments. Result should be reviewed in the knowledge that capillary results have the potential to be misleading in the conditions listed above. February 6, 2020

page 3 2009 Roche Accu-Chek Performa Meter On/Off button Display Screen QC Buttons Test Strip Slot February 6, 2020 page 4

2009 Roche Insertion of Battery CR2032 battery Only order from Lab! February 6, 2020 page 5 2009 Roche How to Calibrate the Performa Meter February 6, 2020 page 6

2009 Roche Accu-Chek Inform II Test Strip Golden End (electrodes) Yellow Window February 6, 2020 page 7 2009 Roche Patient Testing Consent

Infection Control Patient preparation Obtaining a sample February 6, 2020 page 8 2009 Roche Patient test - Application of Blood to Strip February 6, 2020 page 9 2009 Roche

Quality Control Testing Why Quality Control? When are extra Quality Controls required ? 20/6/16 How often is Quality Control performed? 3 month shelf life once opened February 6, 2020 page 10

2009 Roche Quality Control Testing February 6, 2020 page 11 2009 Roche Good Data Recoding - N.M.C Good record keeping is an integral part of nursing and midwifery practice, and is essential to the provision of safe and effective care. It is not an optional extra to be fitted in if circumstances allow.

February 6, 2020 page 12 2009 Roche Failed Quality Control Test What should you do? Check Change Solutions & Test Strips Expiry dates, mix solutions & repeat the test.

Contact POC team, Biochemistry Laboratory Remember If the meter continues to fail cannot use it! February 6, 2020 page 13 2009 Roche Accu-Chek Inform II Inform II Blood Glucose Meter is

connected to your hospital laboratory system when in the docking station. Central database within the laboratory Enables complete audit trail for each test Protects Patient Protects Hospital Protects You Patient ID Mandatory Scan or manually enter patient HC number for each test Accu-Chek Inform II Strip Port Touch Screen

On / Off Button Barcode Scanner Base Unit Charging Points Data Transfer LED Status Display Know your base unit. Green Light Ready Flashing Red Light Communication Error Red Light Power connected & starting up

Accu-Chek Inform II (reverse side) Battery Pack: (powers the meter) Reset Button: Use this button to reset the device (reset will not alter configuration Charging Contacts: (These are used to charge the meter when its in the base unit February 6, 2020 page 17 2009 Roche

Accu-Chek Inform II Blood Glucose Meter OLD VERSION NEW VERSION Old version reset button RF Slot No Reset button on reverse. Hold on/off button down for 15 seconds to reset General Meter Operation (Scan a barcode) February 6, 2020

page 19 2009 Roche Calibration of the Accu-Chek Inform II Meter Coding is done Centrally Throw away the code chip that comes in every box of test strips The code chip information is loaded by the Point of Care Co-ordinator (POCC) Automatically downloaded into every Accu-Chek Inform II. This calibrates the meter to the strips. Accu-Chek Inform II Test Strip Container Hinged lid

Expiry Date Strip Code Number February 6, 2020 page 21 2009 Roche Accu-Chek Inform II Test Strip Golden End (electrodes) Yellow Window February 6, 2020

page 22 2009 Roche Patient Testing Consent Infection Control Patient preparation Obtaining a sample February 6, 2020 page 23 2009 Roche

How To Perform A Patient Test Switch on Inform & enter your operator ID. Main Menu appears. Scan your unique Operator barcode. Touch Patient Test Type the patient ID or scan patient barcode. Confirm the current strip lot is being

used by scanning in the test strip barcode. Insert a strip when prompted Apply patient blood only when prompted Test Processing Result displayed

Document as per trust policy. Results Normal Range = 4.1 mmol/L 6.5 mmol/L Critical Range = < 2.8 mmol/L - >20.0 mmol/L Laboratory sample MUST be sent If outside Normal/Critical Range - meter prompts Out of Range What does this mean? Blood Glucose lower than

0.6mmol. Potentially very high glucose above 33.3 mmol. February 6, 2020 page 25 2009 Roche Cleaning the Meter 70% Alcohol may be used Follow hospital policy for decontamination

Quality Control Testing Why Quality Control? When are extra Quality Controls required ? 20/6/16 How often is Quality Control performed? 3 month shelf life once opened February 6, 2020 page 27

2009 Roche How To Perform A Quality Control Test Switch on Inform & enter your operator ID. Main Menu appears. Touch Control Test Insert a strip when prompted Select Glucose Control test Select your level and scan the QC

barcode on the side of the bottle Confirm the current strip lot is being used, by scanning the test strip barcode Apply correct Control Solution only when prompted The Inform automatically downloads

the QC result into the database Remember to add a comment if the QC fails. Failed Quality Control Test What should you do? Check Change Solutions & Test Strips Expiry dates, mix solutions & repeat the test. Contact POC team,

Biochemistry Laboratory Remember If the meter continues to fail cannot use it! February 6, 2020 page 29 2009 Roche Review Results Press the Review Results button

in the Main Menu. Scroll the list using the arrow buttons on the right side of the screen. View all results for a specific patient by pressing Patient in the main list, Only

Selected Patients results displayed. Select specific results to view details (e.g. comments, flags, date & time) SHSCT - Point Of Care Team Derek McKillop, Dorinda ONeill or Garerth Prideaux, Biochemistry Laboratory, Craigavon Area Hospital. Contact via email: [email protected]

Or Tel: 02838360651 All Performa stock (Log books, batteries, replacement meters) and replacement Inform II bar codes are requested via above POC team. dock the meter Remember!afterAlways use and/or on return to your base station. Always enter the correct Patient HC number Never share your barcode

Never leave the lid of the strip container open Thank you for your attention. Roche Diagnostics Ltd. Charles Avenue Burgess Hill RH15 9RY COBAS and LIFE NEEDS ANSWERS are trademarks of Roche This presentation is our intellectual property. Without our written consent, it shall neither be copied in any manner, nor used for manufacturing, nor communicated to third parties.

February 6, 2020 page 33 2009 Roche

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