Page 5 of 7 200.02 Point of Care ACCU-CHEK Inform ll Blood Glucose Monitoring System
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.
ii.
In addition, the operator should send a specimen to the laboratory for further
quantification.
iii.
The operator should always follow the protocol for hypoglycemia or
hyperglycemia that is in place for the patient type. The operator should not wait
for the lab confirmation before starting treatment.
12. Documentation
a. A licensed medical provider must order all patient testing.
b. Glucose results are documented in Powerchart
i. Labor and postpartum patients: ACCU-CHEK INFORM LL Inform II results must be
charted under "Maternal Vital Signs” in QS.
ii. Well newborns in QS: ACCU-CHEK INFORM LL Inform II results must be charted on
the newborn flow sheet under “glucose.”
c. If patients choose to recheck results with their own glucose meter, these results cannot be
used for diagnostic purposes or be documented in the patient’s medical record.
d. If a patient is on an insulin pump, it may be used by the patient if the licensed medical
provider writes an order for the pump to be used. In this in
stance the patient’s own glucose
meter may be used for glucose testing and insulin bol
using via the patient’s insulin pump.
e. Once results are verified the test will automatically charge in computer.
f.
If the value is outside for the reportable range (<30 or >500), the value entered in computer
will be <30 or >500 with a comment added to indicate the actions taken.
g. The glucose value of the patient will be stored in the meter and may be retrieved at a later
date.
h. Whenever the patient result obtained by the ACCU-CHEK Inform ll does not appear to fit the
clinical picture repeat the QC and patient specimen.
A.
You must use the comment “Repeat will not post” on the repeat test. The patient will
not be charged for two tests. Only the repeat test will chart.
13. Troubleshooting
a. Troubleshooting and technical assistance with the ACCU-CHEK Inform ll is handled by the
Point of Care Coordinator (POCC), the Education office, the CRC, superuser, or the
superuser on the unit that is responsible for point-of-care glucose testing.
c.
Document the problem with the red “out of service” tags attached to the meter and bring the
meter to the Laboratory.
d. Loaner meters are available.
E. Help with corrective action is available from the laboratory, in the ACCU-Check Inform ll
manual, and within
the meter using the “Comment Codes”.
13. Storage of Testing Materials
a. Test strips should be stored at room temperature from 36-86°F.
b. Unopened test strips are good until the expiration date printed on the label.
c. When you take a test strip out of the container, put the cap back on tightly immediately.
D. Control material is good 90 days after opened if kept at 39-86°F (4-30°C).
14. Supplies
a. Strips and auto-disabling single use fingerstick lancets are stocked in Supply Chain
Management and stored in the PYXIS..
b. Do not use the test strips if there is loose desiccant in the test strip vial.
c. Controls will be kept in the Laboratory and replaced every three months by the POCC.
15. Training and Proficiency
a. New operators need to show proficiency initially, at six months and yearly thereafter. This will
be incorporated initially at orientation, at six months with the assistance of superusers and at
the annual nursing competency review.
b. Glucose proficiency testing, a CAP requirement, will be performed according to the
scheduled distribution.
c. The testing material, directions and data sheets will be provided by the laboratory.
