Arkray Assure 530001, Справочное руководство

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17
SECTION
B
CLEANING AND DISINFECTING FAQ
If a blood glucose meter is assigned to an individual resident and not shared, does it still
need to be cleaned and disinfected?
To ensure compliance ARKRAY recommends that blood glucose meters be cleaned and
disinfected after each use. Each meter in use is subject to QC testing per the facility’s policy.
Can cleaning and disinfecting be accomplished with one wipe?
No, each time the cleaning and disinfecting procedure is performed two wipes are needed. One
wipe to clean the meter and a second wipe to disinfect the meter.
What will happen if a blood glucose meter is not cleaned and disinfected after use?
Per the CMS F-Tag 880 guideline, surveyors may issue a citation if they observe no cleaning
and disinfecting of meters after a blood glucose test as they would not be in compliance with
CMS F-Tag 880.
LTC facilities are required to establish a program for infection control and identify a key
individual responsible for the overall program oversight. The program should include addressing
the cleaning and disinfecting of blood glucose meters along with other equipment and
environmental surfaces. The program should involve establishing goals and priorities, planning,
strategy implementation, post-surveillance and more. Additionally, staff roles and responsibilities
should be identified and training should be documented. It is also important to provide education
on infection control and the proper use of products. More information on establishing a
comprehensive infection prevention and control program can be found in the CMS Infection
Control Guidance Document.
F-TAG 880
The CMS has implemented phase 2 of cleaning and disinfecting standards in the
facility assessment code 483.70
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INFECTION CONTROL REQUIREMENTS FOR BLOOD GLUCOSE
MONITORING
What is the Centers for Medicare and Medicaid Services (CMS) F-Tag 880?
F-Tag 880 is an interpretive guideline for infection control programs in Long Term Care
facilities. It is put in place to prevent, recognize and control the onset and spread of
infection. F-Tag 880 is used for guidance by CMS Regional Offices and State Survey
Agencies for [re-]certification and complaint investigations.
Does F-Tag 880 only apply to blood glucose meters?
No, F-Tag 880 applies to all resident care equipment and environmental surfaces, including
blood glucose meters.
Why is Cleaning and Disinfecting of blood glucose meters such a high priority?
Blood glucose meters are at high risk of becoming contaminated with bloodborne
pathogens such as Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human
Immunodeficiency Virus (HIV). Transmission of these viruses from resident to resident has
been documented due to contaminated blood glucose devices. According to the Centers for
Disease Control and Prevention, cleaning and disinfecting of meters between resident use
can prevent the transmission of these viruses through indirect contact.
More information is available at:
• www.cdc.gov/injectionsafety/blood-glucose-monitoring.html