Nova StatStrip Blood Glucose Meter Re-Cerficaon 2017

1 nova StatStrip Blood Glucose Meter Re-Cer7fica7on 2017 SUNY Downstate Medical Center University Hospital of Brooklyn Point of Care Laboratory & Department of Nursing Services Ins7tute of Con7nuous Learning 1 Recer'fica'on Instruc'ons All Operators must follow the recer'fica'on schedule and recer'fica'on test performance requirements. Step1 - Review the Re-cer'fica'on presenta'on. Step 2 - Complete the Post Test. Step 3 - Upon successful comple'on of the Post Test, print your Cer'ficate of Comple'on for your records. Step 4 Complete two levels of controls and one pa'ent test on your unit immediately aCer comple'ng the exam. Ques7ons or concerns please contact the Point of Care (POC) Coordinator at 718-270-1679, or the Ins'tute of Con'nuous Learning (ICL) at, 718-270-2983.

2 2 PURPOSE: nova StatStrip Blood Glucose Recer7fica7on Process This educa'onal ac'vity is an essen'al component of the nova StatStrip Blood Glucose recer'fica'on process. The purpose is to ensure that all full-'me, part-'me, and per diem nursing personnel, including agency nursing staff, & other cer'fied operators, meet all mandatory and regulatory agency point of care ( Glucose ) competency requirements. 3 Objec7ves: Re-Cer7fica7on nova StatStrip Glucose Tes7ng At the comple7on of the program the par7cipant will be able to: 1. Iden'fy indica'ons for nova StatStrip Glucose tes'ng. 2. Describe procedure for appropriate Pa'ent Iden'fica'on. 3. Demonstrate the procedure for performing Glucose tes'ng. 4. Iden'fy procedure for performing Glucose tes'ng in cri'cally ill pa'ents.

3 5. Describe the process for maintaining Glucose Meter in proper working order. 4 Objec7ves con7nued: Re-Cer7fica7on nova StatStrip Glucose Tes7ng 6. Iden'fy Meter maintenance & infec'on control preven'on. 7. States how to recall POC Glucose results from the nova StatStrip Meter memory. 8. Iden'fy correct 'mes, intervals and frequency to perform Glucose tes'ng using the StatStrip Meter . 9. Iden'fy unit specific ac'on ranges and protocols in use at UHB. 10. Iden'fy the required procedures and documenta'on of responses for unit specific out of ac'on range results. 11. Iden'fy the procedure for Non-Registered Pa'ents. 12. Iden'fy troubleshoo'ng techniques for common problems. 5 nova StatStrip Monitor Features Glucose Monitor for Capillary tes'ng and Venous and Arterial Blood tes'ng for cri'cally ill pa'ents Features 6 seconds, uL Touch whole Blood on 'p, tes'ng ranges 10-600 mg/dL Interac've touch screen follow direc'ons on screen Strip port on bodom of Meter Each screen has a 'tle on top of the screen Forward budon, Backward budon, Accept budon Laser barcode scan located on top of Meter Strip release budon and badery compartment on back 6 Docking Sta'on Meter must be placed in Docking Sta'on when not in use.

4 Docking allows the Meter to: Recharge Upload pa'ent registra'on informa'on from Hospital Informa'on System Downloads data from monitor into pa'ent s Medical Record Log off operator 7 When To Perform Quality Control Tes7ng? Q 24 hours for each Meter (2 levels of Control). When a new vial of test strips is opened. ACer major maintenance or repair of the system, badery change. When the Meter is dropped. When a new Meter is used. When results are ques'onable based on clinical signs & symptoms. Whenever problems (storage, operator, instrument) are iden'fied or any'me there is a concern. 8 Control Solu7on When opening a new Control Solu'on Vial, write on vial: Date opened and Date Expired (90 days from opening vial, or expira'on date listed - whichever is first) NEW: Ini7als no longer need to be wri^en on vial Control solu'on is stored at room temperature, 15 to 30 degrees Cen'grade (59-86 degree Fahrenheit).

5 9 Control Tes7ng & Cleaning/Disinfec7ng the Meter 2 Step Process: Running controls and Cleaning/Disinfec7ng the Meter Step 1. Level 1 and Level 3 controls are to be run each 24 hour period per Meter : Gently mix control solu'on vial Discard 1st drop of Control Solu'on Use 2nd drop of solu'on for control tes'ng If Pass is displayed, enter Comment, Meter Cleaned and press Accept If Fail is displayed, perform correc7ve ac7on and repeat test un7l Pass is displayed. Step 2. Clean/Disinfect Meter with hospital approved disinfectant 10 Troubleshoo7ng If any control level tests are out of range: Repeat test If results are s'll out of range: Open a new control vial and run test If results con'nue to be out of range: open a new strip vial and run test And finally, if control test results are s'll out of range: Call Point of Care at ext.

6 1679 or the Bay Ridge Laboratory at 718 567-1158 for assistance during the day. Off hours: Go to Lab (2nd floor) and obtain a new Meter . 11 nova Stat Test strips Strip vial contains a desiccant to protect against humidity. Store covered at room temperature between 15 to 40 degrees Cen'grade (59 to 104 degrees Fahrenheit). Strip vials (& Control vials) must be covered with their respec've lids when not in use. strips remain in vial un'l needed for pa'ent or control tes'ng. When opening a new vial of strips , write on vial: Date opened and Date expired 180 days from opening or expira'on date, whichever is first NEW: Ini7als no longer need to be wri^en on vial 12 Pa7ent Tes7ng -1- Scan operator ID, or input numbers on keypad, press Accept. Scan Strip Vial container bar code, Iden'fy pa'ent using two pa7ent iden7fiers.

7 Scan barcode on pa'ent ID band, verify & press Accept. Or If necessary, enter Pa'ent Financial Account Number (7 digits) into the Meter . 13 Pa7ent Tes7ng Troubleshoo7ng When the StatStrip Meter displays a message that a pa'ent s financial number is Invalid, New or Not In the System, you must: Stop Inves'gate Correct the entry or registra'on issue. You may not override the Meter . You must input the correct pa'ent financial numbers into the Meter prior to tes'ng. 14 Non-Registered Pa7ents ED, NICU, L&D, & Cath Lab areas are the ONLY areas that MAY USE Non-Registered Pa7ent procedure. All other areas must use the pa'ent s Financial Number. Procedure for Non-Registered Pa7ent: Operator must manually input the appropriate pa'ent informa'on into the Meter (Last Name).

8 Operator must enter the appropriate informa'on in the Non-Registered Pa7ent Log. Submit completed Non-Registered Pa7ent Log to POC Lab within 48 hours of the test. 15 Invalid, New or Not In System Patient Message STOP, INVESTIGATE and CORRECT BEFORE TESTING 16 Invalid, New or Not In System Pa7ent Message STOP, INVESTIGATE and CORRECT BEFORE TESTING 17 Pa7ent Tes7ng -2- Obtaining Blood Specimen from Finger Allow pa'ent s hand to hang lower than heart for a few minutes. Gently, squeeze the finger 1 or 2 'mes- do not milk the finger. Clean pa'ent s finger with alcohol wipe. Dry finger with gauze. Lance side of pa'ent s finger (outside edge of finger, not on the center pads which is more painful and has less Blood ). Wipe off first drop of Blood ; use second 2nd drop of Blood to place on strip.

9 Dispose lancet in sharps container. 18 Pa7ent Tes7ng -3- Applying Blood Sample to Strip Maintain Meter in a horizontal posi'on to keep Blood out of the Meter . Allow drop of Blood to touch the 'p of the strip; the strip must fill completely. No re-applica'on of Blood will be accepted once the tes'ng has started. Do not remove finger from strip un'l Meter countdown begins. Enter Comments: When the results appear, select & enter appropriate Comment indica7ng the Blood specimen type: If capillary Blood was used, choose capillary If using arterial or venous Blood , choose arterial/venous Arterial or venous Blood must be obtained with a lithium heparin syringe ( Blood gas syringe) If Results are Outside Unit Specific Ac7on Range: Enter Comment Repeat test & repeat test to confirm result.

10 ACer confirmed repeat, follow appropriate protocol & enter appropriate comment(s), Caregiver no'fied, Hypoglycemia Protocol, etc. Can enter up to 3 comments. Then press Accept in order for results to be saved. 19 Clean & Disinfect Meter With Hospital Approved Disinfectant- A&er Each Pa/ent Test Clean AND Wear protec've gloves. Make sure test strip is removed from Meter . Lay Meter on flat surface. Obtain a fresh germicidal wipe (hospital approved) from container. Wipe external surface of Meter thoroughly with the fresh wipe. Discard used wipe & gloves into appropriate container. Disinfect Use a new, fresh germicidal wipe, & thoroughly wipe the surface of the Meter (top, bodom, leC & right sides) for a minimum of 3 'mes horizontally followed by 3 'mes ver'cally.