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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.  

Содержание Inform II Competency

Страница 1: ...NORTHERN ARIZONA HEALTHCARE ACCU CHEK Inform II Competency 2013 Sponsored by the Education Department...

Страница 2: ...your clinicals 2 Complete the Post Test and use the Answer Sheet provided to record your responses to the Post Test Print out the answer sheet and sign the statement showing that you have read the Gui...

Страница 3: ...erstick 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...

Страница 4: ...oratory DO NOT attempt to perform tests under another operator s ID c From the Main Menu touch Control Test d Select the level of control that you wish to test e Confirm that the meter is coded calibr...

Страница 5: ...Patient Testing a Wash hands and don personal protective equipment gloves gowns etc as required by infection control and isolation policies and procedures b Assemble the finger stick equipment the me...

Страница 6: ...ent 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...

Страница 7: ...ent 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 pat...

Страница 8: ...nd results as soon as a wireless connection is established The meter will connect to Cerner every 10 minutes and transfer new data when a wireless connection is available even if the meter is powered...

Страница 9: ...elson MT ASCP 7 12 Karen McMullin Director 7 12 4 13 Approved by Title Date Susanne Maiden CNO VP 6 13 Committee Approval Date Policy Procedure 10 06 5 18 07 Nursing Practice 8 25 10 GOP 9 21 10 7 17...

Страница 10: ...anticoagulants for meter testing a Lithium or Sodium Heparin EDTA 3 Refer to Mosby s Nursing Skills for detailed instructions on how to perform a finger or heel stick MATERIALS Accu Chek Inform II met...

Страница 11: ...ated to the same test strip code that is printed on the test strip vial by scanning the test strip vial s barcode Contact the laboratory if unable to confirm the correct test strip code 6 The meter wi...

Страница 12: ...ID by means of scanning the barcode on your identification badge NOTE If the operator ID you enter is not accepted attempt to re enter it If it is still rejected contact your supervisor or Point of Ca...

Страница 13: ...ensuring proper sample application or refer to the test strip package insert Guidance for Interpreting On Screen Message and Error Codes All error messages displayed by the system have a letter ident...

Страница 14: ...0 mg dL and for newborns 30 mg dL and 300 mg dL Patient test results that exceed critical limits must be called to the patient s provider and then documented in the patient electronic medical records...

Страница 15: ...If it is not the correct amount it will give an error code a True b False 3 After applying the sample to the test strip and the measurement begins an error message occur this means a The sample is in...

Страница 16: ...e more times to be sure d None of the above 9 What is true of test strip handling a Test strips do not have an expiration date b Remove the test strip from the vial and immediately recap the vial c Un...

Страница 17: ...rop 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 In...

Страница 18: ...d 7 a b c d 8 a b c d 9 a b c d 10 a b 11 a b c d e 12 a b c d e 13 a b 14 a b Instructor s Name ___________________________________________________ The undersigned certifies as follows I have read t...

Страница 19: ...onfirmation 30 or 500 mg dL 6 months to Adult 30 or 500mg dL 0 6months States emergency ID when patient is unidentified 0911911 Verbalizes how to enter a custom comment patient s name 5 Cleaning State...

Страница 20: ...ral laboratory for confirmation 30 or 500 mg States emergency ID when patient is unidentified 0911911 Verbalizes how to enter a custom comment patient s name 5 Cleaning States proper infection control...

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