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D. Do not allow excess moisture to seep into the meter by squeezing off excess
cleaning solution from the pre-moistened cleaning cloth before cleaning the
surface of the meter and the base unit.
E. If you suspect that moisture may have entered the strip port, perform glucose
testing. (If solution is allowed to collect in any meter opening including test strip
port, severe damage to the system can occur).
F. The accessory box, docking station and base unit hub can also be cleaned with a
Sani-Cloth Plus Germicidal Disposable Cloth.
1. Place the base unit and/or hub on a level surface and unplug prior to
cleaning.
2. Do not pour or spray solutions directly on the meter, docking station and
hub since this could cause the solution to enter the case and damage the
electronic components.
3. Do not immerse the meter or base unit in liquid.
4. Do not wipe the electrical connectors on the back of the base unit.
G. After cleaning, dry the Meter, Base Unit, and Hub (including connectors)
thoroughly with a dry, soft cloth or gauze before docking the meter to the base
XIV. LIMITATIONS
A. The Accu-Chek Inform II test strips are for testing fresh capillary, venous, arterial,
or neonatal whole blood. Cord blood samples cannot be used.
B. Hematocrit should be between 10–65 %.
C. Lipemic samples (triglycerides) in excess of 1800 mg/dL may produce elevated
results.
D. Blood concentrations of galactose >15 mg/dL will cause overestimation of blood
glucose results.
E. Intravenous administration of ascorbic acid which results in blood concentrations
of ascorbic acid >3 mg/dL will cause overestimation of blood glucose results.
F. If peripheral circulation is impaired, collection of capillary blood from the
approved sample sites is not advised as the results might not be a true reflection
of the physiological blood glucose level. This may apply in the following
circumstances: severe dehydration as a result of diabetic ketoacidosis or due to
hyperglycemic hyperosmolar non-ketotic syndrome, hypotension, shock,
decompensated heart failure NYHA Class IV, or peripheral arterial occlusive
disease.
G. This system has been tested at altitudes up to 10,000 feet.
XV. ALTERNATIVE TEST METHODS
A. Blood Plasma Glucose testing is performed in the Clinical Laboratories.
B. Point of care glucose testing may not be performed by the patient or by using
patient’s own glucose monitoring device.
C. Alternate site capillary testing is unacceptable in a hospital setting. Due to the
potential for less vascular circulation in alternate sites, a 30 minute lag time may
occur in detecting hypoglycemia from alternate site capillary samples.
XVI. STAFF EDUCATION AND COMPETENCY
A. Each operator, using the Accu-Chek Inform II wireless glucose meter, becomes
competent through training provided by the Nurse Educators or Unit managers in
either the Department of Nursing or Ambulatory Services.
B. Super users and O.R. Anesthesia staff are trained by POCT CLS staff.
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