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cobas Accu-Chek Inform II Manual

Made by: cobas
Type: Manual
Category: Blood Glucose Meter
Pages: 15
Size: 3.77 MB

 

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Guide for Trainers

                       Inform II

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How to use

Thank you for being a Link Trainer for Point of Care Testing (Blood Glucose).

This document is to be used as a guide to enable a progressive learning experience during blood glucose training 

sessions that you deliver. 

The information and instructions contained in this document are for guidance only and do not supersede the 

information and instructions contained in the Operator Manual, Package Inserts, Hospital Standard Operating 

Procedures (SOP) or Product Bulletins.

Please make any changes to the guide that are appropriate based upon your hospital/department SOP’s. Roche has 

made all reasonable efforts to ensure that the information contained in this guide is correct at the time of printing. 

However, Roche reserves the right to make any changes necessary without notice as part of ongoing product 

development.  

Any updates will be sent to the nominated Point of Care Testing Training Co-ordinator in your hospital/department.

Explanation of the document layout

Reference

The location of additional information or further reading material

Show

Recommendation to show or demonstrate an aspect of the current topic 

Explain

Important/Key points that you should mention

Q&A

Suggested questions to trigger discussion during your training session

Notes

This area is for you to add any key learning points, relevant information or additional questions specific to your ward 

or department 

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Link Trainer for                         

Inform II

The Roles And Responsibilities 

To casacade training and updates to all staff that perform 

Point of Care Testing on the Ward/Department at agreed 

intervals. The training must include reference to Hospital 

Policies, Contra-Indications and Test Interferences.

To maintain a record of all staff trained or updated and to give 

a copy of this record to the relevant person/authority within 

the Trust.

To inform the relevant training co-ordinator of any people that 

decline mandatory update training.

To ensure that the Point of Care equipment is maintained in 

accordance with departmental or hospital policies.

To attend regular Link Trainer sessions provided by the 

department or hospital.

To feedback any queries that arise from the sessions you run 

to the relevant training co-ordinator. 

Notes

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Tools needed for the training session

Meter
Strips
QC solutions
Lancing device
Local Blood Glucose testing policy
Attendance sheet

Notes

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Training Guide Sections

1.   Why Training? 
2.   Meter and Strips
3.   Quality Control 
4.   Patient Preparation 
5.   Laboratory Involvement 
6.   Further Reading and References

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1. Why Training?

All nursing staff are responsible and accountable for 
ensuring that they keep up to date with their personal 
training needs.

Reference: Section 6 of this document

Q:  Who says it is important? 
A:  Department of Health
      MHRA
      NMC
      ABA
      RCN
      Local Policy

Notes

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Base Unit

Touch
Screen

On/Off 
Button

Test Strip
Port

2. The Meter

Explain

Connected meter

Automatic data transfer

Operator ID: unique and never shared

Patient ID: audit trail and clear 

identification of results

Barcode scanning of both 

Show

 

On/Off button

Touchscreen 

 

Press with fingertips only

 

What to do if damaged 

Scanner 

 

Dangers of laser in eyes

Strip port
Base Unit

Reference: Chapter 1 of Operator Manual

Notes

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2. The Strips

Show pot of strips

Clean dry hands
Importance of closed lid 
Information on the label

Explain

Calibration done centrally

Show single strip

 

Gold end in meter
Where and when to dose
Measurement range of meter 

   (0.6 – 33.3 mmol/L)

Explain

Use of arterial/venous blood

Reference: page 35 – 37 of Operator Manual

Q:  Why must the lid be kept 
closed?
A:  Accurate results; patient 
safety

Notes

Golden End
(Electrodes)

Yellow Window

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3. Quality Control 

QC is run to test the accuracy of
   Meter
   Strips
   QC Solution
   Operator

Show

 

Running a QC

Explain

 

Getting rid of the first drop
Expiry dates (3 months from opening)
Content of solutions (Sugar water & dye)
What to do if the QC fails

Reference: Chapter 4 of Operator Manual

Q:  When do you run a QC Test?
A:  Hospital policy/pot change/
unexpected patient result/ 
dropped meter

Notes

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3. Quality Control: Maintenance

Explain

 

Cleaning meter
   What to use daily
   What to use for blood contamination

Where to obtain
   New strips
   New solution
   New meter
   New workstation

Troubleshooting

Reference: Chapter 10 and 11 of Operator manual

Notes

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4. Patient Preparation

Explain

 

Gain consent

Handwashing
   Water and non-lint gauze
   Dry thoroughly

Infection Control

Suitable sites for lancing
   Importance of finger choice
   Where to avoid 
   Neonatal choices
   What lancing device

Obtaining a blood sample

Health and safety
   Disposing of strip and lancing device

Reference: Chapter 3 of Operator Manual

Notes

Q: What are the risks of 
improper handwashing?
A: Erroneous results; 
Inappropriate treatment; 
Patient infection (show photo 
if appropriate)

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5. Laboratory Involvement

Explain

When to take a venous sample
Why a venous sample should be used
Where the venous sample should be sent

Show strip pack insert

Explain

Why pack insert must be read

Contra-indications and test limitations

Most up to date reference

Q:  When should you not use a 
capillary sample?

A:  Dehydration; Diabetic Keto-
Acidosis (DKA); Shock; 
Hyperosmolar non-ketotic coma 
(HONK); Peripheral occlusive 
disease; hypotension;  
decompensated heart failure 
NYHA Class IV ; impaired 
peripheral circulation

Reference: MDA Safety Notice 9616 (June 1996)

Notes

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Training Key Points

• Always check for contra-indications & test interferences, details of which are found in the  

  strip pack insert and the Operator Manual.

• The code chip in each pot of test strips is for calibrating unconnected meters.

• Ensure the yellow test pad is completely filled with blood/QC solution.

• Never touch the LCD screen with sharp/pointed objects.

• Never share your Operator ID with anyone else.

• The quality control solutions only last 3 months from the date of opening. Remember to  

   write this date onto the quality control solution bottles.

• Other times to perform quality control:

 

Every new pot of test strips

 

If the meter is dropped

 

If you get an unexpected result

 

New meter

• If the quality control test fails, remember to add a comment, then exclude user error,  

  solutions & test strips before contacting the laboratory.

• Maintain good hand washing techniques, yours and the patient.

• Remember to always wear gloves.

• Maintain good finger lancing technique & use the correct procedure for obtaining a  

  capillary blood sample.

• Ensure all blood glucose results are recorded according to local policy.

6. Further reading and references

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References:

Blood Glucose Measurements: Reliability of Results Produced in Extra-Laboratory Areas.
DoH(HN(Hazard) (87) 13)
Extra Laboratory use of Blood Glucose Meters & Test Strips: Contra-Indications, Training & 

Advice to the Users. MDA Safety Notice. MDA SN 9616 (June 1996)
NMC: Code of Professional Conduct (2008)
NMC: Records & Record Keeping (2007)
NMC: Accountability (2008)
An Bord Altranais: The Code of Professional Conduct for each Nurse and Midwife (2000)
DoH: NHS Knowledge & Skills Framework (2008)
Atkin, S. H et al. Fingerstick Glucose Determination in Shock. Annals of Internal Medicine, 114: 

1020-1024 (1991)
Sandler, M. et al. Misleading Capillary Glucose Measurements. Practical Diabetes, 7: 210 (1990)
Wickham, N.W.R et al. Unreliability of Capillary Blood Glucose in Peripheral Vascular Disease
Practical Diabetes, 3: 100 (1986)

Further Reading:

www.roche-diagnostics.co.uk
www.cobas-roche.co.uk
www.mhra.gov.uk
www.imb.ie
www.diabetes.org.uk

6. Further reading and references

www.diabetes.ie
www.nmc-uk.org.uk
www.rcn.org.uk
www.nursingboard.ie
www.who.int/diabetes/fact

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COBAS, ACCU-CHEK and LIFE NEEDS ANSWERS are trademarks of Roche © 2010 Roche
Information correct at time of going to print, 2010
Roche Diagnostic Limited, Charles Avenue, Burgess Hill, RH15 9RY
Head office 01444 256000
www.roche-diagnostics.co.uk

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