Department of Pharmacy, University of Malta
Name:
Group:
Date:
PHR 1303
POINT-OF-CARE TESTING PRACTICALS
HANDBOOK
A. Blood Pressure Measurement
B. Blood Glucose Testing
Compiled by: Francesca Wirth, Lilian M Azzopardi
February 2012
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Read the following SOPs and sign the relevant ‘Read and Understood Forms’:
SOP/PD/101_02: Master
SOP/PD/102_02: Good Laboratory Practice
SOP/PD/103_02: Health and Safety in the Laboratory
SOP/PD/104_02: Training
SOP/PD/105_02: Laboratory Logbooks
SOP/PD/201_01: Health and Safety Point-Of-Care Testing
Important precautions:
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Clean the stethoscope ear pieces with an alcohol wipe before and between use
Wear gloves
Disinfect puncture site with an alcohol wipe before taking a capillary blood
sample and leave to dry thoroughly
Puncture the skin and obtain sample of capillary blood using the lancing device
Discard the first drop of blood
Perform the test by touching the tip of the test strip with the drop of blood
Discard the lancing device and test strip in sharps container
Discard gloves, wipes and tissues as biohazardous waste
Bibliography
Azzopardi LM. Lecture notes in pharmacy practice. UK: Pharmaceutical Press; 2010.
Jacobsen B, Murray A. Medical devices: Use and safety. UK: Churchill Livingstone;
2007.
Mancia G, Laurent S, Agabiti-Rosei E, Ambrosioni E, Burnier M, Caulfield MJ et al.
Reappraisal of European guidelines on hypertension management: A European
society of hypertension task force document. Journal of Hypertension 2009; 21:
2121-2158.
National Institute of Health and Clinical Excellence (NICE). NICE clinical guideline
87: The management of type II diabetes. UK (London): NICE; 2009.
Price CP, St. John A, Kricka LJ. Point of care testing: Needs, opportunity and
innovation, 3rd ed. USA: AACC Press; 2010.
Randall MD, Neil KE. Disease management. UK: Pharmaceutical Press; 2004.
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A. Blood Pressure Monitoring
AIM
Familiarisation with and acquiring skills in blood pressure (BP) measurement using
different types of BP-measuring devices
DEVICES & CONSUMABLES
Alcohol wipes
Stethoscope
Mercury sphygmomanometers
Aneroid sphygmomanometers
Electronic blood pressure monitors
METHOD
BP measurement with mercury sphygmomanometer
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Read the following SOPs before the practical session:
SOP/PD/203_01: Littmann Classic II SE
SOP/PD/216_01: Artsana Mercury Sphygmomanometer
SOP/PD/217_01: Riester Mercury Sphygmomanometer
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Sign the relevant ‘Read and Understood Forms’
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Indicate device used: _______________________________________________
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Record measurements:
Reading 1
Reading 2
Reading 3
Systolic BP (mm Hg)
Diastolic BP (mm Hg)
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Add an entry in the relevant ‘Equipment Logbook’
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BP measurement with aneroid sphygmomanometer
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Read the following SOPs before the practical session:
SOP/PD/209_01: Riester Big Ben Aneroid Sphygmomanometer
SOP/PD/210_01: PiC Aneroid Sphygmomanometer
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Sign the relevant ‘Read and Understood Forms’
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Indicate device used: _______________________________________________
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Record measurements:
Reading 1
Reading 2
Reading 3
Systolic BP (mm Hg)
Diastolic BP (mm Hg)
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Add an entry in the relevant ‘Equipment Logbook’
BP measurement with electronic blood pressure monitor
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Read the following SOP before the practical session:
SOP/PD/218_01: Tensoval Comfort
SOP in development: Medisana Upper Arm BP Measuring Device
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Sign the relevant ‘Read and Understood Forms’
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Indicate device used: _______________________________________________
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Record measurements:
Reading 1
Reading 2
Reading 3
Systolic BP (mmHg)
Diastolic BP (mmHg)
Pulse Rate (bpm)
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Add an entry in the relevant ‘Equipment Logbook’
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Rate the BP-measuring devices used from 1-5 (1- Very Poor, 2- Poor, 3- Fair,
4- Good, 5- Very Good):
Mercury
sphygmomanometer
Aneroid
sphygmomanometer
Electronic
device
User-friendliness
Time taken for
measurement
Discussion Points
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Accuracy
Cost
Use
Calibration
Capacity to keep measurements in memory
Ambulatory Blood Pressure Monitor
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B. Blood Glucose Testing
AIM
Familiarisation with and acquiring skills in blood glucose testing using different blood
glucose testing devices
DEVICES & CONSUMABLES
Alcohol wipes
Latex gloves
Lancing devices
Blood glucose meters
Test strips
Sharps container
METHOD
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Read the following SOPs before the practical session:
SOP/PD/207_01: Accu-Chek Safe-T-Pro Plus
SOP/PD/219_01: Bionime GM550
SOP in development: MediTouch Blood Glucose Monitor
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Sign the relevant ‘Read and Understood Forms’
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Indicate device used: _______________________________________________
Record random blood glucose reading: _________ mmol/L
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Add an entry in the relevant ‘Equipment Logbook’
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Compare the following characteristics of the devices:
Bionime GM550
MediTouch
Testing time
Volume of blood
sample used
Capacity to keep
readings in memory
Auto-code or
no-code
Discussion Points
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Use
Calibration
Glycated (HbA1c) testing
Continuous blood glucose monitoring
Demonstrator Name
Signature
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