performa meter

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Performa Meter

Blood Glucose Meter Training Presentation

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csTraining Objectives

• The main agency recommending blood glucose training and explain the importance of training

• Identify contraindications, know where to find this information and explain their importance

• State when you have to quality control your meter and explain why you have to do this

• Identify the correct procedure for doing a test and demonstrate your knowledge by performing a QC/Self Test

• Identify your point of contact within the hospital and explain some basic troubleshooting steps

• Where you get your meter supplies?

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csWhy Training?

• Medicine and Healthcare Products Regulation Agency (MHRA)

• Nursing and Midwifery Council.

• Royal College of Nursing

• Department of Health

• Local Trust

“The use of blood glucose meters by untrained staff without adequate management supervision of the equipment and without the use of quality control procedures, can lead to misleading results, adversely affecting the treatment of patients.”

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csContraindications for use of Blood

Glucose MeterDue to the Hazard Notice the MHRA recommend that therapeutic decisions should not be based on a capillary sample in these circumstances:

Venous Sample should Venous Sample should be sent to the Lab for be sent to the Lab for verification of blood verification of blood glucose levelglucose level

• Dehydration

• Hypotension

• Shock

• Peripheral Occlusive Disease

• Hyperosmolar Non-Ketotic Coma (HONK)

• Decompensated Heart Failure NYHA Class IV

• Diabetic Keto-Acidosis

• Unconscious Patients

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LIMITATIONS.

Due to medical conditions:

• Galactose > 1.11 mmol/L (overestimation)

• Lipids > 16.8 mmol/L (overestimation)

• Sodium > 150 mmol/L (underestimation)

(Hypernatremia)

For further information refer to Test Strip Information Leaflet,

Workstation insert or Ward Manual

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csPerforma Meter

QC Buttons

Display Screen

Test Strip Slot

On/Off Button

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Insertion of Battery

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How to Calibrate the Performa Meter

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Calibration of Meter

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csAdvanced PerformaTest Strip

0.6μL sample size

Robust End Dosing Strip

Sample volume detection

Fast 5 Second Result

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csQuality Control Testing

• Internal Qc testing –

• Refer to ~Hospital/Community Protocol –

• Qc Daily before Patient Use / Qc weekly & on day of use for patients.

AND

~ New Test Strips, New battery,

~ If meter replaced

~ Patient picture not reflective of result.

• Documentation of Results & Accountability

• EQA – Monthly Sample sent out from Laboratory

WHY? WHEN? HOW?

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csFailed Quality Control Test

• Check expiry dates, mix QC solutions and repeat test

• Change quality control solutions (write new 3 month expiry date)

• Change test strips (remembering to change code chip)

• Document all findings in QC log book

• Contact relevant department in hospital report fault and obtain replacement meter

If meter continues to fail DO NOT use it!If meter continues to fail DO NOT use it!

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csPatient Preparation.

•Gain consent

•Infection Control

•Handwashing

•Sites for lancing

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The Case For Using a Finger-Pricking Device!!!

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Application of Blood to Strip

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Verification of Blood Sample

• Always perform a visual inspection of test area.

• If yellow area is visible – Perform a repeat test ensuring yellow area fully covered.

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Important Error CodesMeter Reading Range 0.6mmol/l – 33.3mmol/l

Send a venous sample for verification if reading < 3mmol/l or > 20mmol/l or according to your Trust Policy/Guidelines for Blood Glucose Monitoring.

Please refer to Ward Manual/Logbook for all display/error codes. Error codes which must be acted upon immediately are shown below, these codes indicate the result is potentially outside the meter

reading range:

Potentially very low glucose

Potentially very high glucose

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ERROR CODES: (see back of log book)

• The temperature is above or below the proper range - i.e 6 – 44oC. Meter requires to be warmed & takes 10mins before usable.

• The code chip is from expired lot of test strips. Insert new in date code chip.

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Cleaning Meter

• Damp cloth & detergent

• Alcohol wipes 70% or less may be used.

• Follow hospital policy for decontamination

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csTraining Objectives

• Name the main agency recommending blood glucose training and explain the importance of training

• Identify contraindications / limitations know where to find this information and explain their importance

• State when you have to quality control your meter and explain why you have to do this

• Identify the correct procedure for doing a test and demonstrate your knowledge by performing a QC/Self Test

• Identify your point of contact within the hospital and explain some basic troubleshooting steps

• State where you get your meter supplies

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Thank youfor listening….

Any further questions???