Patient Testing Procedure - Accu-Chek Inform II Competency Manual

1. Results are displayed on the screen as a number. Any result that shows an "out of range" message or
"Fail" is an indication that the system may not be performing correctly for patient testing.
PROCEDURE

Patient Testing Procedure

1. Carefully assess the patient for any indication that bedside glucose testing may not be appropriate.
Consider the following potential interferences and compromising conditions:
Hematocrit should be between 10-65%.
Lipemic samples (triglycerides) in excess of 1800 mg/dL may produce elevated results.
Blood concentrations of galactose >15 mg/dL will cause overestimation of blood glucose results.
Intravenous administration of ascorbic acid which results in blood concentrations of ascorbic
acid >3 mg/dL will cause overestimation of blood glucose results.
If peripheral circulation is impaired, collection of capillary blood from the approved sample sites
is not advised as the results might not be a true reflection of the physiological blood glucose
level. This may apply in the following circumstances: severe dehydration as a result of diabetic
ketoacidosis or due to hyperglycemic hyperosmolar non-ketotic syndrome, hypotension, shock,
decompensated heart failure NYHA Class IV, or peripheral arterial occlusive disease.
NOTE: The performance of this system has not been evaluated in the critically ill.
2. Take the meter and testing supplies to the patient location.
3. Wash hands and don personal protective equipment (gloves, gowns, etc.) as required by infection
control and isolation policies and procedures.
4. Greet and identify the patient.
5. Explain the procedure to the patient.
6. Turn on the ACCU-CHEK Inform II meter and enter your operator ID by means of scanning the
barcode on your identification badge. NOTE: If the operator ID you enter is not accepted, attempt to
re-enter it. If it is still rejected, contact your supervisor or Point of Care Coordinator. DO NOT attempt
to perform tests under another operator's ID.
7. From the Main Menu, touch Patient Test.
8. Enter the patient's FIN number or scan patient's hospital ID band as the identification in the ACCU-
CHEK Inform II system. In the event the patient is a trauma and is not registered at the time glucose
testing is needed, 0911911 may be used as an alternate patient ID number.
9. Confirm that the meter is coded (calibrated) to the same test strip code that is printed on the test strip
vial by scanning the test strip vial. Contact the laboratory if you are unable to confirm the correct test
strip code.
10. A picture of a test strip with a downward flashing arrow on the screen indicates a test strip may be
inserted into the meter.
11. Remove a test strip from the vial and immediately recap the vial. Insert the test strip into the meter in
the direction of the arrows and with the "ACCU-CHEK" lettering facing upward. The meter will display
a flashing drop above the test strip icon when the test strip is properly inserted indicating that you are
ready to apply a blood sample.
12. Collect an acceptable blood sample according to your facility's established procedures.
a. If using a capillary sample, wipe the first drop away when testing capillary samples, this is
advantageous because it ensures that the cleansing agent is dry, it stimulates blood flow and
clears interstitial fluid from the sample.
13. Apply blood to the front edge of the test strip. The sample will fill the yellow sample chamber by
capillary action. Do not apply sample to the top of the test strip.
14. Once sufficient sample has been detected, the measurement begins. An hourglass icon indicates that
the measurement is in progress.
HP 300-121
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Reviewed/Revised 06/26/13