Glucose Testing with the Roche Accu-Chek Inform system
MCL Quick Procedure for Daily Reference
Power-up and log in with your user ID number.
Enter the patient's medical record number and
verify the test strip code with the code in the Accu-Chek HQ system. If they are different, see the coding procedure.
Insert the test strip (yellow target area
facing up) when the "flashing strip" appears on the monitor display. photos
Obtain 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.
When 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.
Read and properly record the result when displayed. Write your
name, the date and time and value on the chart.
Add 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.
Critical Values—Testing limits and actions:
- Neonates(0-15 days): less than or equal to 30 mg/dl or above
300 mg/dl
- Adults(older than 15 days): less than or equal to 40 mg/dl or
above 500 mg/dl
- If critical range, repeat the patient test
- If the repeat result is the same, perform QC for validation
If QC results are within range, take appropriate
clinical action notify M.D and draw stat blood for lab confirmation
If 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
Quality control:
- Daily, 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.
WHEN TO RUN QC
| Every 24 hrs. at QC
Lockout as determined by your unit. |
.If any system component
has been dropped |
| Each time a new vial of
test strips is opened. |
When test results
contradict clinical symptoms |
| When a vial of strips has
been left opened. |
When any QC result falls
outside the acceptable control range |
| When the test strips have
been exposed to extreme heat, humidity or cold |
|