![]() The performance of this system has not been evaluated in the critically ill.Blood concentrations of galactose >15 mg/dL will cause overestimation of blood glucose results.Lipemic samples (triglycerides) in excess of 1800 mg/dL may produce elevated results.Arterial, venous, capillary, or neonatal whole blood specimens are acceptable.Once both levels of QC have passed, the meter will be unlocked for patient testing.Both levels of QC must pass to unlock the meter for patient testing.If QC fails again, try another vial of strips or another bottle of liquid QC. Touch the comment bubble ( ) to select the appropriate comment(s).If QC should fail, an “Out of Range” message will display onscreen and the comment bubble icon will flash.Both High and Low QC levels must pass to unlock the meter for patient testing.If that level of QC has Passed, repeat the QC process with the other level.Press the checkmark (√) to accept the result and return to the menu.After 5 seconds, the Pass/Fail QC results will be displayed.The glucose meter should remain horizontal during testing.If the hourglass does not appear and the blood drop icon is still flashing, you can add more sample within five seconds.An hourglass will be displayed briefly.Hold the meter horizontally when performing QC and dispense a small drop into the sample window at the end of the strip.The meter is now ready for you to apply the control solution to the strip.The gold end of the strip goes into the meter with the writing side up.The meter is now ready for you to insert a strip.Aim the scanner at the vial of strips and press the barcode icon to scan.At the top of the screen, you will see that the meter is requesting the lot number of the strips you are using.Scanning the barcode will automatically identify the correct level you are testing - no need to select the specific level on screen.Choose one vial of liquid control, and press the barcode icon to scan.At the top of the screen, you will see that you are on the Control Test screen.Manually enter your ID using the keypad if you encounter scanning problems.All employees must scan their ID using the scan button.Aim the meter at the barcode on the back of your TJUH badge.The meter will automatically perform several system checks.Turn the meter on by pressing the power button on the front.Perform hand hygiene and don gloves before performing glucose testing. ![]() The Inform II has been dropped or mishandled.Patient test results are questionable.QC should also be tested following these conditions:.The Inform II meter is locked for patient testing until both low and high level QC PASS.Each time QC is tested, the 24-hour clock resets.Both low and high level control must be tested every 24 hours.Control solutions must be dated with both the open and discard dates.Opened control solutions expire 3 months from opening or the “Use by” date on the bottle, whichever comes first.You may discard the code key that comes with every vial of strips.Test strips can be used until the expiration date printed on the vial.Improperly stored Test Strips will produce inaccurate results and must be discarded. There is a dessicant in the cap that keeps the strips from being exposed to humidity. ![]() Test strips are stored in the tightly capped original container.Only Accu-Chek Inform II Test Strips and Glucose Control Solutions can be used with the hospital Inform II glucose meter.Docking the meter also synchronizes the information in the meter with the system (patient lists, operator lists, strips and controls).A drained battery will take 1 hour to reach full charge.Return the Inform II meter to any base unit when finished with patient testing to charge the battery.Overview of Front of Glucose Meter Test strip port Alphanumeric touch screen Power button Quality Control – 2 vials of liquid quality control (“hi/lo”).Storage Case – conveniently stores and transports meter and supplies.Base unit–charges battery, receives patient & reagent info from system.Accu-Chek Inform II meter w/ rechargeable battery.Discuss cleaning and troubleshooting of the meters.Recall how to properly handle glucose reagents.Discuss how to perform Quality Control testing on the Accu-chek Inform II glucose meter.Demonstrate how to perform a patient test on the Accu-chek Inform II glucose meter.Learning Objectives At the conclusion, participants should be able to: ![]() Jefferson Blood Glucose Monitoring -Accu-Chek Inform II Content Experts: Lilah Evans MT (ASCP), Sue Gallo MT (ASCP), Terri Schwartz MSN, RN ![]()
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