Nova StatStrip Glucometer Before Super User hands-on ...sdnsec.org/KaiserPermanente/forms/GlucoseInformation.pdf · Nova StatStrip Glucometer Before Super User hands-on training please

Nova StatStrip Glucometer Before Super User hands-on training please do tutorial on KP Learn so your training session will be more meaningful.

1. Access the KP Learn website at http://kplearn.kp.org 2. Enter StatStrip Training into Learning Catalog Search window 3. Click Launch, located on the right side. 4. Start the tutorial. It will take approximately 25 minutes to complete the entire presentation. 5. Once completed, access the “Transcript” tab click on the “Print Certificate of Completion” 6. Submit to the Educator/ADA/Clinical Supervisor

http://kplearn.kp.org/

NOVA STAT STRIP GLUCOSE METER

• Results are automatically transmitted when the meter is placed in the docking station. • The middle green light will flash when data is transmitting. • An error screen will be displayed if the meter is removed before data transfer is complete.


_________________________________________________________

QC must be done every 24 hrs or as needed (i.e. pt symptoms do not match results, drop meter, etc.)


Press QC button on meter

Operator ID – NUID# • For INPATIENT areas, enter

operator ID by SCANNING your barcode

• For AMBULATORY areas, MANUALLY enter your operator ID

• Touch screen or press OK to “wake up” meter • Push Login or OK soft key


Scan barcode on Strip vial and press Accept




To accept a result, press the ACCEPT button

For REJECTED results (i.e. pt symptoms do not match results) and CRITICAL VALUES, you MUST enter a COMMENT

Comments (choose up to three): • Repeated Test • Procedure Error • Treat Patient • Lab Draw • Notify MD • Do not accept this • Do not accept prior • Accept this

HIGH value indicated by a single arrow up

LOW value indicated by a single arrow down

CRITICAL VALUES:

>400 HIGH <40 LOW


Meter saves up to 1000 results in its memory



Clean meter after EACH patient use following locally approved infection control policies. Thoroughly wipes the surface of the meter (top, bottom, left, and right sides) with locally approved germicidal wipe (i.e. PDI Sani-Cloth PLUS, Clorox wipe) a minimum of 3 times horizontally and 3 times vertically, avoiding the meter’s bar code scanner, electrical connector, and making sure that no fluid enters the test strip port. Allow to air dry. Never reuse a previously soiled wipe. (Clorox wipes used only for disinfecting the meters used on C. difficile isolation patients).

San Diego Service Area

Nova Glucose Meters: Initial Training

Updated: 11/22/2016 Page 1 of 2

Operator Print Last Name: ____________________ First Name: ________________ NUID# __________ EMP#__________ Location: ______________________ Bldg: ______________ Unit/Dept: _______________________ Date: _______________ Training Meter# _______________ Training Patient MRN# ______________________ Training NUID# ________________ Operator Initial each line Describe Nova Meters

a. ____ Meter stays on the docking station or locks out after 4hours. b. ___ Carry the meter with carrying case. Leave the case outside the room. c. ____ Color touch screen d. ____ 6-sec analysis time e. ____ 1.2 μL sample volume f. ____ Rechargeable batteries g. ____ Position of strip port

1. Describe touch-screen and buttons

a. ____ On/off/ sleep b. ____ Sleep mode after 90 seconds c. ____ Show when buttons/touch screen are interchangeable

2. Describe Docking Station

a. ____ 3 functions: upload, download, and charge battery b. ____ Describe amber and green lights (RT: battery charge, Ctr: communication, Lt: connected)* c. ____ Show spare battery placement

3. Describe strips

a. ____ Gold layer b. ____ Front fill with one continuous process c. ____ Do NOT under-dose or re-dose; overdosing is not possible. One continuous process d. ____ Date vials with180-day (6Months) expiration which must be before Manufacturer expiration. e. ____ Keep vial closed; affected by heat, humidity.

4. Demonstrate how to manipulate the meter a. ____ Keep horizontal / keep strip well dry/ Make sure patient is not dripping b. ____ Scanner; press and release (don’t hold down) c. ____ Hold meter 4-6” away from barcode d. ____ Apply sample or QC until countdown starts

Using the Meter

5. Direct Observation/Log on/Getting Started/

a. ____ Speaker icon b. ____ Scanning methods; hard key, soft key c. ____ Barcode scan required for Operator NUID# or manual entry for 12 digit patient MRN# allowed d. ____ always check blue dialogue bar to see what meter is doing


Nova Glucose Meters: Initial Training

Updated: 11/22/2016 Page 2 of 2

6. Direct Observation/Quality Control

a. ____ True QC Lockout every 24 hrs/ require once per day of use & New strip lot number b. ____ Date QC vials for 90-day expiration or Manufacturer Expiration date, whichever comes first. c. ____ Scan QC Bottle d. ____ Mix vial technique e. ____ pass/fail result f. ____ Keep meter on counter g. ____ Pass QC (Use Comment: Clean Meter) h. ____ How to follow-up on failed QC (use comments; Mix & Repeat, procedure error & repeat test)

7. Run a sample

a. ____ Scan strip lot b. ____ Scan patient barcode or enter 12 digits Medical Number c. ____ Importance of clean and dry patient finger d. ____ Importance of wiping the first drop of blood with dry Gauze e. ____ Enter comments (must be done before accepting results) f. ____ Explain REJECT comment for error or repeated results (Reject, Accept, Reject Previous) g. ____ How to run an unregistered patient/Fill out a form using the number on the Form h. ____ How to test an isolation patient/Nova bag or bio-Hazard Bag*

8. Interpretation of Results / Comment use

a. ____ Linearity range 10-600 mg/dL {Less then 10(<10) Lo and Greater then (>600) Hi} b. ____ Normal Range Adult 70 mg/dL to 140 mg/dL and Neonate 55 mg/dL to 115 mg/dL c. ____ Critical Range Adult <55 mg/dL and >400 mg/dL and Neonate <45mg/dL and >200mg/dL d. ____ Comment Use (Accept, Reject, Reject Previous, Repeat etc.)

9. Review Results / Log Out

a. ____ Sort by date, time / ID / sample type b. ____ Highlight patient to view c. ____ Use of NEXT / PREV. keys d. ____ Manual logout (2-steps) e. ____ Automatic logout when docking / timed logout after 5 min*

10. Change Battery

a. ____ Rechargeable

11. Cleaning a. ____ Cleaning (after each Use) & Disinfecting (Example: C.Diff patient) b. ____ “Clean Meter” Comment use after each level of QC c. ____ After each patient use

12. Competency

a. ____ Initial for New Operator and Annual there after b. ____ Check off list, Direct Observation and Quiz c. ____ Must be done using training barcodes & on training meter

13. General a. _____ Provided with verbal & written instructions on how to locate POCT Policy & Procedure and Clerical

Error forms

Validator Print Last Name_____________________ First Name: _________________ NUID# _________


REV: 11/21/2016

NOVA GLUCOMETER COMPETENCY Assessment & Test Circle One: Initial____ or Annual_____

Operator Print Last Name: ____________________, First Name: _________________ NUID# __________ EMP#_________ Location: _________________ Unit/Dept.: _________________ Date: _____________ Training Meter# _____ Validator Print Last Name_____________________, First Name: ________________ NUID# ____________ All testing personnel using the meter will successfully complete the following tasks:

Tasks (For Initial Use Training NUID# & Patient MR#) Operator initial

1. Turn Glucose meter on/ Wake meter up. 2. Enter or scan your own NUID# on meter 3. QC Competency for Initial & Annual: Must Perform High and Low QC tests. 4. Select “QC” mode on the meter.

5. Scan test strip lot and Control lot numbers • Keep Stat Strip Glucose Test Strip vial tightly closed when not in use. • Test strips should only be stored in original vial at room temp.

6. Dose strip with QC solution. Warning: The test strip must be completely filled by touching QC solution droplet to strip. If test strip does not fill completely, do not touch test strip to QC droplet a second time. Discard test strip and repeat test with a new test strip.

7. Remove and dispose of test strip. Enter “Cleaned meter” under “Comments”. 8. Patient Competency for initial must be performed (Annual may verbalize): 9. Select “Accept” for Patient mode. Enter or Scan provided patient MRN. 10. Obtain Patient blood sample. (capillary, arterial or venous) and perform Glucose test

• May use QC solution for patient blood sample competency.

11. View test data on screen. Accept or reject the result. 12. When applicable, enter a ‘Comment’ (e.g. MD Notified) 13. Recall and review on-board test data. 14. Dock meter in Docking Station to automatically upload stored meter data and download updated

setup information.

15. Provided with verbal & written instructions on how to locate POCT Policy & Procedure All testing personnel will answer the following 5 questions. Circle Correct Answer (Passing score ≥ 80%)

Score: /5 ______% Validator Initials: _____Pass/Fail:______ Remediation Score: /5 _____% Remediation Validator Initials: ____

1. Once opened, test strips are good for 180 days and control solutions are good for 90 days or until manufacturer’s printed expiration date whichever comes first.

True False 2. Comments are mandatory when documenting:

a) Action taken when QC results are out of range. b) Action taken when critical patient results are obtained. c) All of the above

a b c

3. Once opened, control solutions and test strips must be dated with open and expiration date.

True False 4. Fill in Blanks for about cleaning the meter?

a) Clean/disinfect the meter surface with locally approved _________________disinfectant wipes between every patient.

b) Clean/disinfect Glucose meter surface with _____________________________ for isolation and C. diff. patients.

5. The test strip must fill completely upon touching the blood droplet. If the test strip does not fill completely, do not touch the test strip to the blood droplet a second time. Discard the test strip and repeat the test with a new strip.

True False


Updated: 12/27/2016

Nova Glucose Meter Training Sign-In Log

Circle one: Initial _______ or Annual ___________ Date: _______________

Validator Print: Last name: _________________________ First Name: __________________ NUID# ___________ Tie line number: _______________Training Location: ______________ Bldg/Unit /Module/Dept: _______________

*OPERATORS PLEASE PRINT CLEARLY, ANSWER LAST QUESTION, and Write in Meter #

No. Operator NUID#

Operator Print LAST Name

Operator Print FIRST Name

HOSPITAL Location: a) Zion____ b) SDMC_____ Unit: ______ Floor: _____ AMBULATORY Location: MOB Name: _____________ Dept: _______ Mod: _______

OPERATOR MUST COMPLETE

Direct observation 1. Did you perform QC? WRITE: YES / NO

2. Write Meter #

1 1.

2. # 2 1.

2. # 3 1.

2. # 4 1.

2. # 5 1.

2. # 6 1.

2. # 7 1.

2. # 8 1.

2. # 9 1.

2. # 10 1.

2. # 2. #

• Validator, please email this completed form to (not scan or fax) POCT Manager: [email protected] and [email protected]

• Do NOT Fax or Copy Competency Assessment (CA) check off list or CA Written Test. • For completed original Competency Assessment (CA) forms, follow your department procedure or send

forms to the KP Education Department for filing

mailto:[email protected]

Documents

Nova StatStrip Glucometer Before Super User hands-on ...sdnsec.org/KaiserPermanente/forms/GlucoseInformation.pdf · Nova StatStrip Glucometer Before Super User hands-on training please