NORTHERN ARIZONA HEALTHCARE ACCU-CHEK Inform II Competency 2013 Sponsored by the Education Department
DIRECTIONS FOR COMPLETING THE 2013 ACCU-CHEK INFORM II COMPETENCY There is one module for all sites. This module contains the ACCU-CHEK INFORM II policy for VVMC and FMC. Please be sure to read the policy for the facility where you will be completing your clinicals. You are responsible for understanding the information for your site. 1. Review the information presented in the policy for the facility where you will be completing your clinicals. 2.
Number: 200.02 NURSING Page 1 of 7 GUIDELINES OF PRACTICE POINT OF CARE ACCU-CHEK INFORM ll BLOOD GLUCOSE MONITORING SYSTEM POLICY The ACCU-CHEK Inform II system quantitatively measures glucose in whole blood. It is used to monitor and treat abnormal glucose levels. This test is definitive for glucose levels but requires laboratory verification of any result outside of the meter’s reportable range as outlined in the procedure below.
Page 2 of 7 200.02 Point of Care ACCU-CHEK Inform ll Blood Glucose Monitoring System m. Do not get liquid into the strip port! If liquid does get into the test strip port, immediately dry the components with a dry cloth or gauze pad. If solution is allowed to collect in any meter opening, severe damage to the system can occur. If you suspect that moisture may have entered the strip, perform glucose control testing. n. Do not wipe the electrical connectors on the back of the base unit. o.
Page 3 of 7 200.02 Point of Care ACCU-CHEK Inform ll Blood Glucose Monitoring System h. Interpretation of Quality Control Results a. Results are displayed on the screen as a number. Any result that shows an “out of range” message or “Fail” is an indication that the system may not be performing correctly for patient testing. b.
Page 4 of 7 200.02 Point of Care ACCU-CHEK Inform ll Blood Glucose Monitoring System l. m. n. o. p. meter will display a flashing drop above the test strip icon when the test strip is properly inserted indicating that you are ready to apply a blood sample. Perform the finger stick with the Safe-T-Pro Plus lancet. i. Twist off the purple sterility cap. ii. Set lancet depth at 1.3, 1.8 or 2.3 by turning depth adjuster. iii.
Page 5 of 7 200.02 Point of Care ACCU-CHEK Inform ll Blood Glucose Monitoring System ii. iii. a. The date, time, name of person contacted must be documented in the computer in the significant events form including documentation that read back verify (RBV) was done. In addition, the operator should send a specimen to the laboratory for further quantification. The operator should always follow the protocol for hypoglycemia or hyperglycemia that is in place for the patient type.
Page 6 of 7 200.02 Point of Care ACCU-CHEK Inform ll Blood Glucose Monitoring System D. The use of another person’s ID in the ACCU-CHEK Inform ll meter is considered falsification of a document and may be subject to disciplinary action. 16. Notes a. In any situation where a patient has not been registered, the number 0911911 should be used as the patient identification number. A custom comment should be entered in the ACCU-Check with the patient’s name at the time of testing.
Page 7 of 7 200.02 Point of Care ACCU-CHEK Inform ll Blood Glucose Monitoring System Prepared by/Title/Date: D.
NUMBER: HP 300-121 Page 1 of 5 HOSPITAL GUIDELINES OF PRACTICE EFFECTIVE DATE: June 12, 1991 TITLE: ACCU-CHECK INFORM II BLOOD GLUCOSE MONITORING SYSTEM PRINCIPLE The ACCU-CHEK Inform II system quantitatively measures glucose in whole blood. The enzyme on the test strip, mutant variant of quinoprotein glucose dehydrogenase from Acinetobacter calcoaceticus, recombinant in E. coli, converts the glucose in the blood sample to gluconolactone.
HP 300-121 Page 2 of 5 Cleaning and Disinfecting the ACCU-CHEK Inform II System Components Meter and Base Unit Cleaning and Disinfecting: Cleaning and disinfecting the exterior surface of the meter with either Clorox Bleach Wipes is, at minimum, recommended daily for dedicated patient devices. Meters used with multiple patients may require more frequent cleaning and disinfecting.
HP 300-121 Page 3 of 5 1. Results are displayed on the screen as a number. Any result that shows an “out of range” message or “Fail” is an indication that the system may not be performing correctly for patient testing. PROCEDURE Patient Testing Procedure 1. Carefully assess the patient for any indication that bedside glucose testing may not be appropriate. Consider the following potential interferences and compromising conditions: Hematocrit should be between 10-65%.
HP 300-121 Page 4 of 5 15. After the sample has been obtained, apply gentle pressure to the puncture with a clean gauze square or cotton ball site for several minutes. 16. The measurement is complete when the result is displayed on the screen. Depending upon how high or low the result is, it may appear in a numeric or non-numeric format. See Reporting Results section below for interpretation of each result format. 17. Remove the test strip and dispose of it in plain trash. 18.
HP 300-121 Page 5 of 5 the Laboratory Director/Medical Director or Designee Appropriate corrective action is taken in the event of survey failures. REPORTING RESULTS Data is transferred from the meter into Cerner as follows: 1. Wireless Data Transfer: Results will automatically transfer wirelessly into Cerner if a wireless connection is currently available upon completion of a test. A wireless connection is activated when the testing operator touches upon completing a test.
Name:_______________________________ Lawson #:_____________ Date:________ ACCU-CHEK INFORM II TEST COMPETENCY Please read the Guidelines of Practice for Point-of-Care ACCU-CHEK Inform II Blood Glucose Monitoring System and answer the following questions: Questions: 1. When does a specimen need to be sent to the lab for verification? a. When the meter reads RR HI b. When the meter reads RR LO c. When results are questionable d. All of the above e. None of the above 2.
6. How long are quality control solutions good after opening? a. 15 days b. 30 days c. 45 days d. 90 days 7. If the meter is not working properly you should a. Try to reset the meter by unplugging the dock system b. Place a red “out of service” tag on the meter and take the meter to the lab. c. Borrow a meter from another unit d. Submit a “work order” to BIOMED 8. If the meter reads patient results outside the Critical or reportable ranges a. Notify patient care provider and then document in Cerner. b.
13. You should touch and hold the drop of blood to the front edge of the Accu-chek Inform ll test strip. a. True b. False 14. Only capillary whole blood samples should be used when testing the Accu-chek Inform ll meter and the Accu-chek Inform ll test strips. a. True b.
ANSWER SHEET FOR 2013 ACCU-CHEK INFORM II TEST COMPETENCY Name________________________________ Lawson ID #________________ Date_________________________________ School/Facility Name_______________________Score___________________ Directions: Circle the best answer. 1. a b c d e 2. a b 3. a b c d e 4. a b c d 5. a b c d 6. a b c d 7. a b c d 8. a b c d 9. a b c d The undersigned certifies as follows: 10. a b 11. a b c d e 12. a b c d e 13.
VVMC ACCU-CHEK Inform II Skills Checklist Critical Elements 1. Demonstrates knowledge of Accu-chek Inform II meter and the dock station Demonstrates knowledge of proper equipment used (soap, water, gauze pads) Demonstrates knowledge and importance of proper lot number verification) Demonstrates knowledge of proper test strip application Properly doses the test strip Enters Operator ID and Patient ID according to policy (Scan own badge, and wristband) 2.
FMC ACCU-CHEK Inform II Skills Checklist Critical Elements 1.
