Glucose Testing with the Roche Accu-Chek
Quick Procedure for Daily Reference
and log in with your user ID number.
the patient's CSN number and
verify the test strip code with the code in the Accu-Chek Inform system.
If they are different, see the coding procedure.
the test strip (yellow target area facing up) when the "flashing
strip" appears on the monitor display. photos
the sample by fingerstick as described in the Clinical Nursing Practice
Manual. Cleanse and lance the finger and lightly press the finger using a
rocking motion to stimulate blood flow.
the "flashing drop" icon appears on the monitor, touch the
finger to the indented side of the strip photos. This is called the
"comfort curve". The blood must completely fill the test window.
If you see any yellow color after you have applied the first drop of blood
you may apply a second drop within 15 seconds. If more than 15 seconds
elapses, you must discard the strip and start over.
and properly record the result when displayed. Write your name, the date
and time and value on the chart.
any comment codes as necessary and press the arrow to record the test and
return to the Main Menu. Discard the lancet in the sharps
container. Remove the strip and discard then turn off both the meter
cradle and the meter or continue to test other patients.
Values—Testing limits and actions:
days): less than or equal to 30 mg/dl or above 300 mg/dl
than 15 days): less than or equal to 40 mg/dl or above 500 mg/dl
- If critical range, repeat the
- If the repeat result is the
same, perform QC for validation
QC results are within range, take appropriate clinical action notify M.D and
draw stat blood for lab confirmation
QC results are out of range, refer to QC section in procedure manual
- If the repeat result is not
within the critical range, repeat patient and perform QC for validation
run high and low level of external quality control materials. Both levels
must pass the acceptance criteria before any patient testing is performed.
The instrument will lock out patient testing if the quality control check
do not meet all criteria. All discrepancies in quality control must be
documented with a comment code failure in the data manager. QC mode will
not give you a numerical answer-- only pass or fail.
Accu-Chek with alcohol prep after each patient test.
TO RUN QC
Every 24 hrs. at QC Lockout as
determined by your unit.
.If any system component has been
Each time a new vial of test
strips is opened.
When test results contradict
When a vial of strips has been
When any QC result falls outside
the acceptable control range
When the test strips have been
exposed to extreme heat, humidity or cold