GLUCOSE TESTING USING THE
TRUEtrack
GLUCOMETER
WellOne
For Medical Clinical Staff
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WARNING
Conducting this test exposes the operator to
potentially infectious material. Standard
precautions, including glove use, are required for
this procedure. and should be handled in the same
manner as a patient specimen, using all
appropriate precautions.
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Why we use and prescribe TRUEtrack:
Reliable . Accurate. Easy operation. Cost effective for office and home use.
The TRUE family of blood glucose monitoring products is covered by most
Medicaid and Medicare plans, and has a lower-than-average co-pay with
many private insurances. Product users save an average of $400 per year
on diabetic supplies.
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Glucose Testing: Limitations
• Hematocrit levels above 55% will cause lowered
results.
• If comparing results between TRUEtrack and a
lab system, perform a TRUEtrack blood test
within 15 minutes of lab test. Results from
TRUEtrack are considered accurate if within +/20% of lab results. If patient has recently eaten,
fingerstick results from TRUEtrack can be up to
70 mg/dL (3.9 mmol/L) higher than venous lab
results.
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Glucometer supplies: Storage and
Stability
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Test strips:
Store unopened test strips at room temperature (15-30ºC),
away from direct sunlight
Unopened test strips are stable until expiration date
Opened test strips must be discarded after 120 days.
Store Test Strips in original vial only. Do not transfer old Test
Strips to new vial.
Control solution:
Store solution at room temperature (15-30ºC)
Unopened bottles are stable until expiration date
Opened bottles are stable at room temperature 3 months after
first opening.
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Glucometer control solution must be
discarded and replaced:
•
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n this Once a month
answer
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Yearly
By the expiration date or 3
months after opening
(whichever comes first)
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The correct answer is……
By the expiration date
Or
3 months after opening
(whichever comes first)
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Glucometer Control Testing
• MAs are issued a glucometer for use and two levels
of control must be tested and documented on the
control testing log each day before the glucometer is
used for patient results. Two levels of control
solution must be tested on each glucometer in use
daily.
• Two levels of control must also be run upon
opening a new vials of test strips.
• If either of the controls when tested does not
register on the glucometer as within range, the
glucometer MUST NOT BE USED for patient testing
until the problem is identified and corrected
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Glucometer controls must be checked
and documented:
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Weekly
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Daily before patient use and whenever
a new vial of test strips is opened
•
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Before each use
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The correct answer is……………………………………………..
Daily before patient use and whenever a new vial of test
strips is opened
• Two levels of control solution must be tested on
each glucometer in use daily. This is based on the
rationale that the glucometer unit may be exposed to
adverse conditions that may impair function,
necessitating daily verification of function and
calibration.
• Two levels of control must also be run upon
opening a new vials of test strips. The purpose of
this is to check the integrity of the test strips before
using.
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When a glucometer control is not
within range:
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the glucometer must not be used until the problem has been
discovered and corrected
the glucometer may still be used as long as the
patient is not diabetic
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The correct answer is…………
the glucometer must not be used until the problem has been
discovered and corrected
the glucometer may still be used as long as the
patient is not diabetic
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Glucose Testing: Coding the Meter
Calibration must be conducted when a new box of test
strips is opened, or, if the meter is dropped . Coding of
the meter will match the meter with the reactivity of the
test strip. Each lot of test strips is assigned a function
number identified on the code strip. Reset the code
for each new vial of test strips used or if the
meter is dropped. The function number appearing on
the display must match the number appearing on the
code strip, on the front of the code strip package, and on
the back of the test strip.
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Glucose Testing: Coding the Meter
Remove Code Chip from Test Strip Box. Match
the number printed
on the Code Chip
to the number on
the Test Strip Vial.
The insert the Code Chip
into Meter
with the numbers facing up.
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The glucometer must be coded:
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Each time a new vial of test strips is
opened and anytime the meter is
dropped
Prior to performing each test with the
glucometer
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The correct answer is:
Each time a new vial of test strips is
opened and anytime the meter is
dropped
Prior to performing each test with the
glucometer
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Glucose Testing: Standing Orders for
MA staff
Collect and test finger stick glucose on all known
diabetic patients at each visit.
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Glucose testing: General Steps
▫ Identify patient using two patient identifiers
(name and DOB)
▫ Explain procedure to patient in culturally
appropriate, age appropriate terms.
▫ Gather all necessary equipment and supplies prior
to start of the procedure.
▫ Inspect all equipment and supplies for damage,
general integrity and expiration date- do not use
any damaged or expired materials
▫ Perform hand hygiene before and after patient
contact; before and after donning gloves.
▫ Don gloves.
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Glucose Testing: Procedural Steps
• Perform finger stick according to procedure.
• Remove a test strip from vial. Always check expiration date. Be sure the code number
(function number) on the display window matches the function number on the code strip
and vial.
• Insert the strip fully into the Meter. The meter will turn on when the strip is inserted.
• A "beep" will sound, and the Function Number and previous test result will begin flashing
in the display window.
• Touch and hold the Test Strip in the Meter to the drop of blood until the meter beeps
(within 5 seconds).
• The blood glucose result will appear in the display window.
• Use a 2 X 2 gauze to apply pressure to stop bleeding of the finger, if necessary. Apply
Band-Aid if necessary.
• Remove the used Test Strip from the Meter. The Meter will turn off automatically.
• Dispose of gauze, cotton balls, test strip etc. in regular trash; unless materials are saturated
with blood then dispose of in medical waste regulated trash.
• Remove gloves and dispose.
• Perform hand hygiene.
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The meter must be turned on prior to
inserting a test strip.
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True
False
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The correct answer is false….
The meter should not be turned on before
inserting the test strip.The meter will turn on
automatically when the test strip is inserted.
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Record results……………..
Immediately and quickly repeat test results
that are Lo, Hi, less than 60 or greater
than 400; If still at this range, immediately
verbally report to health care provider with call
for stat care.
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A glucose reading of less than 60 must
be immediately verbally reported to
the health care provider
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True
False
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The correct answer is………
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Can the TRUEtrack® System be used
for alternative site testing?
Yes. TRUEtrack®
is suitable for
fingertip and
forearm testing.
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You have reached the end of this
program…..
For more information on the TRUEtrack glucometer
system, visit: www.thesmartchoice.com
Once you are confident that you are comfortable with all
the materials presented, proceed to the Glucose testing
with the TRUEtrack Glucometer post-test at
http://www.classmarker.com/professional/
Your username is the first initial of your first name
followed by your full last name. Your password is=
nwhealth
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