BM machine: cascade trainer guide

CONTRA-INDICATIONS/INTERFERENCES– SITUATIONS WHERE ROCHE INFORM TEST NOT MOST APPROPRIATE TEST - BLOOD SAMPLE SHOULD BE SENT TO LABORATORY INSTEAD

• Galactosaemia – Galactose >0.83 mmol/L
• Lipaemic samples – Triglycerides >20.3 mmol/L
• IV ascorbic acid – Ascorbic acid >0.17 mmol/L
• Haematocrit<10% or > 65%
• IV N-Acetylcysteine

Impaired Peripheral Circulation – severe dehydration due to

• DKA – Diabetic Ketoacidosis
• HHS – Hyperglycaemic Hyperosmolar Non-Ketotic Syndrome
• Hypotension
• Shock
• Decompensated heart failure NYHA Class IV
• Peripheral arterial occlusive disease

Unwashed hands – unwashed hands, food residue, hand creams etc can interfere

Touch screen – Use finger only

Scanner window – Hold meter 10-15 cm away from barcode

Strip Port – only approved test strips to be inserted, make sure no fluid enters device directly.

Reading range

• Measurement range – 0.6 - 33.3 mmol/L
• Critical range – Low - 3.9 mmol/L High - 15.0 mmol/L
• Normal range – Low - 4.0 mmo/L High  - 10.1 mmol/L

Operator ID – DO NOT SHARE BARCODES

Patient ID – MUST enter correct patient CHI Number

Access of stored data – Review Results option, can filter by date performed or CHI number

Code chip – performed by Point of Care Testing Team to add new strip lot data to all devices

Calibration – calibration information downloaded from code chip

Expiry Date

• Do not use past expiry date
• Can be used up to expiry date if stored correctly

Storage

• 2-30⁰C
• 10-90% humidity
• Keep test strip container lid tightly closed
• Close test strip container lid immediately after removal of test strip
• Use test strip immediately

Handling and insertion of test strip

• Wash and dry hands
• Wear gloves
• Do not touch either end of test strip
• Insert into test strip port with lettering facing upward

Sample application – apply to front edge of yellow window of test strip keeping meter level

Must QC every 24 hours – QC lockout if not done, will not be able to perform patient testing.

Other times to QC

• Start of new test strip container
• Start of a new lot of test strips
• If questionable results are repeatedly displayed
• To check performance of the meter

If QC fails

• repeat QC ensuring correct level of QC used
• repeated failures contact Point of Care Testing Team

QC Expiry

• Unopened bottles stored at 2-32⁰C until expiry date
• Opened bottles – 3 month expiry from date opened (write date on bottles)

EQA

• Pink solutions sent monthly, to be performed as Patient Test

Scan barcode provided as patient ID and return results to POCT Team by date stated

Informed Consent

Hand washing

• Wash and dry operator hands before wearing gloves
• Wash and dry patient hands

Sites, Method, Sample

• Single use lancing device
• Side of finger – not forefinger or thumb
• Touch front edge of test strip to blood drop
• Insufficient sample application will lead to erroneous results
• Can enter up to 3 comments – only one custom
• Dispose of consumables in sharps bin and clinical waste as appropriate

Dock meter on base unit to transmit results to SCI-DB

Cleaning of meter

• Switch off meter
• Clean after each use using Clinitex wipes ensuring no liquid enters test strip port

Decontamination - Decontaminate using <1% hypochlorite solution

Meter Storage

• Store on base unit
• Purple box – if stored in purple box ensure meter docked after patient testing and at least once every 24 hours to transmit results and download updates.
• Do not drop
• Do not immerse in liquid

Do not expose to excessive heat eg phototherapy light, bed warmer, direct sunlight

Test strips - ordered from Stores

QC - distributed by Point of Care Testing Team every 3 months

Contact Point of Care Testing Team – contact details in purple box