NURSING
GUIDELINES OF PRACTICE
Number: 200.02
Page 1 of 7
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. Only certified or
licensed personnel that have successfully completed training on the meter at VVMC can perform this test.
Point of care glucose monitoring must be done on Verde Valley Medical Center
’s ACCU-CHEK Inform ll
meters.
PROCEDURE
a. Normal Ranges
a. 12 years and up: 70- 110 mg/dL
b. 6 months to 12 years pediatric range: 60-115 mg/dL
c. 0 to 6 months: 40-125 mg/dL
d. Pregnancy: 60-110 mg/dL
b. Critical Ranges
a. 6 months to adults: <60 mg/dL and >450 mg/dL
b. 0-6 months: <40 mg/dL and >200 mg/dL
c. Reportable Ranges
a. 30-500 mg/dL.
b. Outside this range needs a laboratory verification sample.
d. Specimen Collection and Handling
a. The following fresh whole blood sample types may be used:
i. Venous whole blood
ii. Arterial whole blood
iii. Capillary (non-neonate fingerstick and neonate heelstick) whole blood
b. The following anticoagulants are acceptable (do not use any other anticoagulants for
meter testing):
i. Lithium or Sodium Heparin; EDTA
c. Sufficient sample size is required for accurate results.
e. Safety and Maintenance
a. It is important to keep the meters clean and disinfected with an approved germicidal wipe.
b. The ACCU-CHEK Inform ll meter should be cleaned after each patient test and every
twenty four hours if/when the quality control is done.
c. Care should be taken not to get any liquid into the ports at the bottom and top of the
meter as this can damage the meter
d. The cleaning will be documented electronically in the meter.
e. Gloves should always be worn during testing events, hand hygiene performed and
gloves
changed between patients, according to Standard Precautions.
f.
Only auto-disabling single-use fingerstick devices are used for assisting monitoring of
blood glucose.
g. Base Unit and Accessory box cleaning and disinfecting - Base units are cleaned and
disinfected with an approved germicidal wipe.
h. Cleaning and disinfecting are companion procedures that are generally performed
together at the same time.
i.
Do not clean or disinfect the meter while performing any type of test.
j.
Do not allow pooling of liquid on the touchscreen.
k. Do not spray anything onto the meter or base unit.
l.
Do not immerse the meter or base unit in liquid.
