Page 4 of 7 200.02 Point of Care ACCU-CHEK Inform ll Blood Glucose Monitoring System
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.
l.
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. Hold lancet against the side of fingertip or heel and activate by pressing the
purple trigger button on the lancet.
1. A venous or arterial sample may also be used for testing.
a. Use fresh sample from the end of the syringe.
b. If the blood is collected in a heparinized or EDTA tube,
testing must be completed within 30 minutes of being drawn.
2. Fingerstick or neonate heelstick samples.
a. Test immediately as the sample is collected.
3. Venous, arterial or line draw samples.
a. Test as soon as possible and no later than 30 minutes
following collection. Be sure they are well mixed and that line
draw samples have been thoroughly cleared of line fluids.
Do not allow bubbles to enter the test strip-sampling
chamber.
m. Apply blood to the front edge of the test strip. The sample will fill the yellow sample chamber
by capillary action. Do not apply sample to the top of the test strip. Do not apply blood or
control solution to the test strip before
inserting it into the meter. If a result appears before
applying
blood or control solution, do not act on that result. Once sufficient sample has been
detected, the measurement begins. An hourglass icon indicates that the measurement is in
progress.
n. After the sample has been obtained, apply gentle pressure to the puncture with a clean
gauze square on the site for several minutes. If the patient is conscious and capable, enlist
the patient’s assistance with applying pressure.
o. 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
Interpretation of Results
section below for interpretation of each result format.
p. Remove the test strip and dispose of it in plain trash.
q. Touch
to enter up to three appropriate comment(s) as required in the “General
Policies” section of this manual.
r. Touch the
button to confirm the result and send the result from the meter wirelessly or
place the meter in the base unit to send the result and record the result into the electronic
data management system. The base unit also charges the meter.
s.
Documentation of the result in the patient’s electronic medical record occurs automatically, as
long as the patient’s FIN number is entered correctly.
t.
Follow up on any results that exceed critical or reportable limits according to policy.
u.
Clean and disinfect as necessary following your hospital’s policy.
v. Document cleaning electronically in the meter.
w. Discard the strip in the normal waste and discard the lancet in a sharps container.
x. The meter should always be placed in the docking station when not in use. This will serve to
charge the battery.
11. Interpretation of Results:
a. If the glucose value is out of the normal low range <70 mg/dL (adult) or <40 mg/dl (0-6
months) treat per the hypoglycemia guideline of care.
b. If the glucose value is >180 mg/dL treat per licensed medical provider orders.
c. If the value falls outside of critical range (<60 or >450) or (<40 or >200 in the NICU) the meter
will prompt an action comment requiring the operator to contact the patient care provider.
i. 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.
d. If the glucose is outside of the ACCU-CHEK Inform ll reportable range (<30 or >500), the
result is flagged with
RR LO or RR HI.
i.
The meter will prompt for an action comment requiring the operator to contact
the patient care provider.
