ACCU-CHEK Inform IIOperator Training

ACCU-CHEK, ACCU-CHEK INFORM, ACCU-CHEK PERFORMA and COBAS are trademarks of Roche. All other trademarks are the property of their respective owners.

Accu-Chek Inform II Operator Training2

Accu-Chek Inform II Training Outline

1. Introduction – System Components3. Cleaning the meter 4. Perform a quality control test (QC) – Hands On5. Perform a patient test – Hands On6. Ranges7. View results in memory – Hands On 8. Inform II Quiz

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Accu-Chek Inform II Introduction

Tote Box

Meter, strips, alcohol swabs controls, lancets, ref guide

Accu-Chek Inform II

(wireless available - Blue light in Base unit)

Base Unit for automatic data transfer AND charging battery

Green light when charging and sitting properly in Base unit.

Red is when you first plug in Base Unit to power outlet until meter gets put in it

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Accu-Chek Inform II Introduction

Barcode Scanner (Laser)

Test Strip Port

Touchscreen-Main menu with 3 options (finger touch only)

On/Off Button

Accu-Chek Inform II Operator Training

Back of Meter

• Meter re-set button (for meter freeze situation, press gently with paper clip a few seconds to re-boot)

•Re-Chargeable Battery Pack

•Charging Contacts (To Base Unit)

•Infra-red contact to upload lot information

5

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Accu-Chek Inform II Test Strips – 50/vial (replace cap immediately!) leave at Room Temp

Expiry date on vial is valid, opened or un-opened!

Up to 10 mins to apply sample

Insert strip face up with arrows pointing in to meter!

Accu-Chek Performa Control Solutions

Control 1 (lo) and Control 2 (hi)

Good for 3 months at Room Temp after opening (or to expiry date on vial) - write open date on vial.

Blue dye- will stain clothing/fingers

Accu-Chek Inform II Introduction

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Step Detail

1. Perform hand hygiene and don gloves.

2. Remove meter from the base unit and unplug base unit from electrical outlet.

3. Remove gross soil (if visibly soiled) Use a pre-moistened cleaning wipe (ensure it is not dripping wet) to carefully scrub the surfaces

of the meter, base unit, and tote to remove visible soil. Discard wipe and remove gloves. Perform hand hygiene and don new gloves. Continue with cleaning and disinfection. Clean and Disinfect (if not visibly soiled or after visible soil is removed) Using a pre-moistened cleaning wipe (ensure it is not dripping wet) to carefully wipe the surfaces

of the meter, base unit and tote. Ensure meter is on a level surface to prevent excess liquid form entering the test strip port area. Avoid wiping over the metal electrical connectors on the back of the base unit or the cable

connector areas located on the bottom of the base unit. If liquid does contact theses areas, immediately dry the components with a dry cloth or gauze.

Discard wipes and remove gloves. Perform hand hygiene.

4. Allow meter and base unit to thoroughly air dry. Do not place the meter in the base unit or plug the base unit into an electrical outlet until all components are completely dry.

5. Plug base unit into electrical outlet and resume normal use of the meter

Frequency Meters must be cleaned and disinfected: Between each patient When visibly soiled At least daily when in use and prior to use

Base Unit and tote when in use must be cleaned weekly and/ or when visibly soiled

Accu-Chek Inform II Cleaning the Meter and Accessories with Site Approved Cleaner!

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Hands On with meter!

Remove meter from base unit.

1. Press and release the On/Off button

2. ‘Power Up’ screen appears after meter performs self-checks – date and time

3. Note battery life symbol in bottom right corner

4. Manually proceed to the next screen by touching

symbol (happens automatically after 5

seconds)

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Entering an Operator ID - Manual Entry – Hands On

• Touch the symbol to backspace and delete a character entered incorrectly

• Touch symbol to confirm

Once entry is complete, the main menu appears

Picture with operator ID screen-not QC

Operator ID’s are not to be shared with other staff –accountable for your own ID! Turn meter off after using to prompt next user ID.

(Barcode Scan if available – press icon upper right corner of screen to scan – approx 8 inches from barcode)

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Accu-Chek Inform II Perform Quality Control (QC)Hands On – Run 1 level QC

1. Touch ‘Control Test’

2. Touch Level 1 (Lo) or Level 2 (Hi) to select the level for the test desired.

QC testing is required every 24 hours and if not done, meter will be locked out until QC testing is completed.

Screen will display the level of control required

Both level 1 and 2 must be run

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Accu-Chek Inform II Perform a Quality Control (QC)- Hands On3. To select lot number:

• Touch the barcode symbol at top right corner of screen.

• Scan the barcode on the control solution vial - hold meter so scanner is 4-8 inches in front of vial barcode

• Scan test strip vial.

• NOTE: lot numbers cannot be manually entered

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PASS/FAIL will appear within 5 seconds – Mandatory comment may be required for Failed QC (site dependent) Press “Cloud” icon lower left of result screen to select comment, then press “Check Mark”Take Care in positioning meter – straight up position may allow liquid in to port.

4. When “Flashing Arrow” symbol appears, insert test strip into test strip port at top of meter. “Flashing Drop” symbol appears when meter is ready for QC sample.

Accu-Chek Inform II Perform a QC – Hands On

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Accu-Chek Inform II Perform a Patient Test – Hands On

1. Touch ‘Patient Test

2. Touch ‘Check Mark’ to bypass entry.

(no patient ID entry currently)

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Accu-Chek Inform II Perform a Patient Test- Hands On

Confirm the test strip lot:

3. Touch barcode symbol top right corner of screen

4. Scan barcode on strip vial holding scanner 4-8 inches in front of

vial barcode

5. When “Flashing Arrow” symbol appears, insert test strip (close cap asap)

Note: Test strip must ALWAYS be in meter BEFORE application of patient blood sample!!

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Accu-Chek Inform II Perform a Patient Test – Hands On – Simulate with Level 1, 4, 5 or 6 Comfort Curve Linearity solutions6. For actual patient testing - make sure site is cleaned with antiseptic or soap and water, and thoroughly air dry.

7. When “Flashing Drop” symbol appears, pierce site – simulate with level 1, 4, 5 or 6 Comfort Curve solution – Big vial (up to 10 minutes to apply sample)

8. Wipe away first drop and apply second drop to front edge of

test strip (not top)

Result appears after 5 seconds! comments may be added – (site specific) press “Cloud” icon and select comments. Press “Check Mark”

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Accu-Chek Inform II Ranges Critical values:

“CR LO” < 2.0 mmol/L

“CR HI” Adult Critical Range > 30.0 mmol/L (site dependent)

Pediatric:

< 17 years old results > 11.0 mmol/L

Linearity Range of Meter 0.6 – 33.3 mmol/L

Hematocrit operating range: 10%-65% (extremes in hct will effect test result)

Sample Types VenousArterialCapillaryNeonate

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Accu-Chek Inform II Results ReviewQuality Control – Hands OnFrom main menu screen touch ‘Review Results’. Stored test results are displayed in a sequential list.

Touch or to scroll up or down in the list. Results are grouped by date.

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Interference of Galactose with Inform II Glucose System