Doctor of Nursing Practice portfolio of Christy Locke

Christy Locke
2009
A. General Policies 1. This document is the official policy and procedure for the use of the Accu-Chek Inform™ System glucose point of care testing throughout the Medical Center. 2. The policies and procedures pertaining to blood glucose monitoring, quality control, and record keeping with the Accu-Chek Inform™ System are reviewed annually by the Ancillary Testing Coordinator and the Glucose Testing (Nursing) Site Coordinator and will be signed by the Laboratory Director. 3. The Accu-Chek
more » ... The Accu-Chek Inform™ System is currently the standard of care for point-of-care glucose testing in all areas where nursing staff are assigned, with the exception of the following areas where Accu-Chek Inform™ System is not used: Operating Room, Anesthesia, Home-Based Primary Care, and the Substance Abuse Treatment Program (SATP). 4. For a current list of glucose testing locations, contact the Glucose Testing Nursing Site Coordinator. 5. If the Accu-Chek Inform™ System should fail during any of its tasks, the Troubleshooting section (pg 6) in this procedure or in the User's Manual should be referenced for problem-solving information and patient management. 1. Standard precautions are required during patient testing, for handling blood-contaminated lancets and/or tests strips, and for cleaning the meter. Disposable gloves must be used. 2. The Accu-Chek Inform™ meter must be disinfected if contaminated with blood. 3. Lancet devices will be utilized with disposable tips. Used lancet tips will be discarded in sharps containers. Tips will be changed between patients. 4. The lancet device will be disinfected if it is contaminated with blood. 5. To guard against accidental needlesticks, tips are removed from the lancet device after each use and are not replaced until the next fingerstick is to be performed. This allows anyone, anytime to determine whether the device is loaded with a lancet. 6. Used test strips and gloves used for glucose testing may be discarded in regular trash containers. 7. For patients in Contact isolation, place meter in a sealed biohazard bag or clear plastic bag . Pierce a small hole in the bag for the strip guide area of the meter. After performing testing, remove and dispose of test strip and bag in the room. Outside the room, wipe down the meter (See Cleaning Procedure for the Meter on pg 11) and wash hands. K. Documentation of Blood Glucose Result The test results are electronically uploaded to CPRS/VISTA to the Lab results. This is the official documentation of the result. Frequent data uploads are required to maintain current results in the official electronic record. Use comment codes (scan or enter code numbers as needed to document problems, maintenance, clinical status such as fasting state, or other pertinent information to interpret results. Improving 40 L. Downtime Process for Glucose Testing In the event of downtime related to network failure or inability to upload data to CPRS/VISTA, glucose testing information may be recalled from each meter for up to 10 days or 4000 tests, whichever occurs first. The procedures to recall tests from meter memory for a group of patients or a single patient are described below: M. Meter Repair/Troubleshooting 1. Prior to exchanging any meter, the following steps must be taken. Call Roche Tech Support line at 1-800-440-3638 for 24 hour troubleshooting assistance. If the meter will not work at all, or will display a blank screen. In this case, the user should reset the meter as described on page 9 (Error Codes.) 2. If staff are unable to correct a problem with the Accu-Chek Inform™ System, it is removed from service and sent to the Lab for repair/replacement. The Accu-Chek Inform™ System must be cleaned and disinfected before it is sent out for repair or replacement. 3. Meters will lock-out if the battery has not been recharged in the cradle within 48 hours.
doi:10.6083/m4319tmh fatcat:o644ckhlrncv7jfxtqeftsvji4