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POCT Competency |
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Score: 0 % Date: 6/18/2013 |
| To POCT Online Tests | |
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1. Review Meter Parts: q Buttons q Alphanumeric touch screen q Bar code scanner - Review warning q Rechargeable battery
2. Review Base Unit: q Charges battery q Downloads glucose results…to EPIC! J q Uploads data q Components: q Two Cords attached ~to it (power cable and “network” cable) q Black connector inside base- avoid spilling of liquids q Green indicator light- indicates meter is charging. Light should come on upon placing meter in base. If it does not, check power cords are plugged in or try re-docking meter.
3. Review Accessory Box & Reagents q Test strip vials must be capped at all times and stored at room temperature to protect from humidity q Good until manufacturer expiration date q Controls expiration date after opening is 3 months or manuf exp date whichever comes first. q The new discard date must be written on each control vial.
4. Review Code Key: q Change with each vial of strips q Code number on key must match the code on test strip vial.
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5. Demonstrate Running Controls: q Turn meter on q Enter Operator ID - Required q Select "Control Test" q Select "Level 1" or “required” level q Verify control lot (Yes/No) q Verify strip lot (Yes/No) q Insert strip q Apply solution to edge – look to see that yellow window is completely filled - 15 seconds to dose again q Result appears as PASS/FAIL in 26 seconds q 2 Levels must be run every 24 HR or when incorrect results are suspected q Enter required comment code –Repeated Test for “out of range” results
6. Demonstrate Patient Test: q Turn meter on & enter Operator ID – q Select "Patient Test" q Scan Patient ID on armband or invision label (must use the 11 digits financial number) q Hold meter still and at least 3 in away from barcode. Wait for meter response. q Verify strip lot/ code (Yes / No) and Insert strip as indicated. q Apply blood to edge of strip–yellow window must be completely filled - 15 seconds to re-dose.
7. Critical and Out of range results: q For result flagged as critical ("comments" box blinks): q Enter the required Comment code “Notified Provider” q For result flagged as “Out of Range” (out of “normal” range): q No comment is required
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Trainer (Preceptor): |
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| Accuchek Inform Checklist | |
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8. Docking meter in its base: q Meter must be turned OFF prior to placing it in its base. q The base serves at least 2 functions: q Ensures transmission of results to medical record. q Ensures meter is charging properly q Failure to turn meter OFF may cause meter to malfunction or reset on its own. q When meter is placed in base, it will go into TRANSMITTING mode—DO NOT remove meter from base until meter goes into IDLE.
9. Storage and proper care of the meter: q Avoid getting liquid (i.e. cleaning agent or control solution) into the Accu-chek Inform meter test strip insertion slot, the base unit’s meter insertion point, and power button q Meter must not be subjected to sources of heat (UV Bili lights, isolettes, bed warmers) for more than 10 seconds. q Wipe meter surfaces using either 10% bleach or isopropyl alcohol pads. Cavicide is not an approved disinfecting agent.
10. Review General Information: q Battery charge lasts 5-7 days @ 30 tests/day q Full charge - dock 3 hours; 90% charge - dock 1 hour; 10 tests – dock 15 minutes q Low Battery message - 10 more tests q Critical Battery message - no more tests
11. Review Results: q All - Default view q Patient - enter ID to view specific patient results q Entering strip lots q QC Policy q QC q Tap individual result for more detail
12. Certification and Re-certification q Yearly q Done @ the test site q The Test Site Manager serves as the preceptor who observes employee do the following: q 2 Liquid QC levels & appropriate Comment Code q Online Test
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13. Error Messages & More: q If the screen “freezes” q Press & quickly release the reset button q Button is on back of meter, lower right
corner. Button is inside groove; must use a
q “Download Warning” message q Meter needs to be downloaded soon or lock out will occur q “Download Time exceeded” message q Meter locked; no testing allowed until meter is downloaded or placed in base q Operator ID is invalid. q ID not found in the list of valid operators q Operator information not in database or incorrect q Contact POCT staff q “Control Lot Not Found or Strip Lot Not Found” message q New control lot number info needs to be entered in database. q Contact POCT staff
14. FDA Health Device alert Action Items: q The following have a positive bias when blood is tested using the Accuchek Inform meter: xylose, maltose, galactose (remember MXG), bilirubin (unconjugated) levels exceeding 20 mg/dl. q Patients receiving products containing these substances may present falsely elevated blood glucose when tested with the Accuchek Inform. q Alternative methods unaffected by these substances include Vitros (central laboratory) q For full text, review FDA Alert No. A6770, published 12/9/05
15. Comment Code List q 01- Notified Provider q 02- Repeat Test q 03- Cleaned Meter q 04- New Control Lot q 05- Wrong Control Solution q 06- New Strip Lot q 07- Lab Study q 08- Observed by Preceptor q 09- Operator Error q 10- Completed Comp req
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