Roche ACCU-CHEK Inform II Manuel d'utilisateur

5 April 2012 page 1 © 2009 Roche5 April 2012 page 1 © 2009 RocheAccu-Chek Inform II TrainingKeryn Smith, Roche April 2012Bernice Smith and Anne-Marie

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemQuality Control• Control 1 and 2 solutions run daily • For

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemCalibration • The process of testing and adjusting values o

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemCalibration VerificationKeep strips in the original vial Al

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemTraining and certification• Operator ID information is stor

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemTraining and certification• Only trained operators will hav

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemTraining and certificationInformation is imported into coba

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemDuring this period we are using a test environment. Please

Blood Glucose Monitoring using Point of Care testing at HVDHB

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemTraining and certification • Training period is for 3 week

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemTraining Period till 30thApril• Trainer (you) trains staff

Bernice Smith, POCC, HVDHB HVDHBJennie Johnson, HVDHB Programme Manager, Information ServicesHVDHBStewart Clark, Lab Manager, HVDHB HVDHBWillie Andrew

Your role asAccu-Chek Inform II trainer • Train staff in the use of the Accu-Chek Inform II in accordance to the policyAccu-Chek Inform II operator •

HELPThe Laboratory keeps back-up meters 24/7. The same swap out procedure will be in place.• Bernice Smith• POCT Co-Ordinator• Ext 8660 Wed and Fri o

5 April 2012 page 24 © 2009 RocheThe Accu-Chek Inform II SystemOverview• First wireless hospital glucose meter• Robust design, seamless casing able to

5 April 2012 page 25 © 2009 RocheThe Accu-Chek Inform II SystemOverview1. Test strip port Insert the t

5 April 2012 page 26 © 2009 RocheThe Accu-Chek Inform II SystemOverview4. Barcode scanner (laser) The integrat

5 April 2012 page 27 © 2009 RocheThe Accu-Chek Inform II Base Unit/Base Unit LightOverviewBoth versions of the base unit have the following elements:1

5 April 2012 page 28 © 2009 RocheThe Accu-Chek Inform II SystemData Transfer - Wireless• Results transferred as soon as a measurement has been complet

5 April 2012 page 29 © 2009 RocheThe Accu-Chek Inform II SystemData Transfer - Wired• Data communicated as soon as the meter is docked• Every 10 minut

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II System

5 April 2012 page 30 © 2009 RocheThe Accu-Chek Inform II Test StripOverview• Same test strip used by 80% of people with Diabetes in the community (Per

5 April 2012 page 31 © 2009 RocheThe Accu-Chek Inform II Test Strip Limitations• If Peripheral circulation is impaired, collection of capillary blood

5 April 2012 page 32 © 2009 RocheThe Accu-Chek Inform II SystemPowering Up• BloodIn the Power Up screen you change the Contrast, activate/deactivate R

Quality Control Testing with the Accu-Chek Inform IIWhy test the Performa Quality Control Solution?To be confident that I know my Accu-Chek Inform II

Quality Control Testing with the Accu-Chek Inform IIPerforma Quality Control Solution• Has defined (known) values Level 1 (L1): Lo (low values in tes

Quality Control Testing with the Accu-Chek Inform IIQC Lockout• QC Lockout is activated after 24 hours• A QC result must be performed successfully be

Testing with the Accu-Chek Inform IIPerforming a Quality Control Test1. Power up the meter by pressing the power button2. Touch the or wait 5 s

Testing with the Accu-Chek Inform IIPerforming a Quality Control Test5. Scan in the barcode on the Control vial for desired level 6. Scan the strip lo

Testing with the Accu-Chek Inform IIPerforming a Quality Control Test10. Control solution is pulled into the test strip by capillary action. The mete

Testing with the Accu-Chek Inform IIQuality Control TestingShould the result be outside the specified target range, proceed as follows: • Suspend all

Cobas IT 1000 SoftwarePatient Details for positive patient IDBi directional transferQC results(control 1 and 2)Patient ID and results, time, date of t

5 April 2012 page 40 © 2009 RocheTesting with the Accu-Chek Inform IIPreparing to Test1. Operator to wash hands.2. Identify patient.3. Select, prepare

5 April 2012 page 41 © 2009 RocheTesting with the Accu-Chek Inform IIPreparing to Test7. Hold finger firmly 8. Position the lancet on the site and d

Testing with the Accu-Chek Inform IIPerforming a Blood Glucose Test1. Power up the meter by pressing the power button2. Touch the or wait 5 sec

Testing with the Accu-Chek Inform IIPerforming a Blood Glucose Test5. Enter the patients NHI Number using the keypad and touch the key. Verif

Testing with the Accu-Chek Inform IIPerforming a Blood Glucose Test10. Blood is pulled into the test strip by capillary action. The meter beeps and a

The Accu-Chek Inform II SystemMemoryMeter stores 2000 patient, test results and maintenance logs results alongside:• Patient ID, glucose control, or s

The Accu-Chek Inform II SystemAccessing the Memory1. Touch Review Results2. Results are in sequential order and grouped by day. Touch or

The Accu-Chek Inform II SystemMaintenance and CareStorage and Handling• Handle the meter and its system components carefully. Avoid dropping it or ban

The Accu-Chek Inform II SystemMaintenance and CareCleaning and Disinfection• Use only HVDHB approved cleaning product only to clean and disinfect the

Infection prevention and control • 10.4 Procedure for use and cleaning of equipment used on patients in Transmission-Based Precaution isolation rooms•

Blood Glucose Monitoring using Point of Care testing at HVDHBPatient results

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemDamaged meters Under warranty unless Abused; where the war

Key points to remember with patterns of monitoring• A recent HBA1c is useful• Blood glucose testing frequency should be charted• Appropriate monitorin

Recommended NICE guidelines for self –monitoring• Type 1 diabetes The majority of people with Type 1 diabetes in hospital need to monitor their blood

intensive monitoring and maintenance monitoringpatterns•The usual aim is to obtain a profile of glucose levels across the day. The number of tests wil

Factors altering target range for individual patients• Child under 6 years• Elderly • Illness• Infection• Stress• Psychological problems• Occupationa

Critical Action Points• The ‘critical’ action points that will be displayed on the Accu-Chek Inform II meter are set for below 4.0mmol/L and above 20m

Key points to remember with patterns of monitoring• A recent HBA1c is useful• Blood glucose testing frequency should be charted• Appropriate monitorin

Patients who manage their own blood glucose monitoringEg Patient attending Outpatient’s clinic, physiotherapy ectIs the exclusion – to this Policy

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II System• Trainer (you) trains staff in ward. • Operators then use

5 April 2012 page 59 © 2009 RocheThank you for your attention.Roche Diagnostics Ltd.6343 RotkreuzSwitzerlandCOBAS and LIFE NEEDS ANSWERS are trademark

Blood Glucose Monitoring using Point of Care testing at HVDHBConnectivity

Quality Assurancea) POCT has the same level of quality assurance as is provided for all testing performed within theHVDHB Laboratory.b) All POCT compl

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II System• To ensure quality and reliability of glucose results meas

Blood Glucose Monitoring using Point of Care testing at HVDHBThe Accu-Chek Inform II SystemPoint of Care TestingManagement of High Blood Glucose for p