Point of Care Glucometers
5 followers
0 Likes
HI,
My organization currently uses Roche Accu-Chek Inform II glucometers. I am looking at the possibility of changing to a different glucometer once our contract ends. Any recommendations?
Stacie
35 Replies
Displaying items 16-30 of 35 in total
Reply
Subgroup Membership is required to post Replies
Join POCT Listserv now
Suggested Posts
| Topic | Replies | Likes | Views | Participants | Last Reply |
|---|---|---|---|---|---|
| iSTAT in NICU -chem 8, CG4 | 4 | 0 | 125 | ||
| Rotem Sigma Validation Help | 1 | 0 | 85 | ||
| Hemochron Sig Elite use outside of manufacturer temperature range | 1 | 0 | 135 |
I was cited on GEN.43893 for not having a procedure to suspend autoverification for my glucose meter results that flowed from the meter to the EMR.
Lara
IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:
This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for
any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.
We have the ability to easily stop the POC interface entirely with Telcor, it's a one click. We could also suspend by device type, but that is a few more clicks.
Hi Silka,
Does your middleware hold back results that fail delta checks for glucose?
Hi Carol, no we do not have a delta check rule set up. I have a rule where if they run two within 5 minutes on the same patient only the second result will transmit, but for glucometers I have everything else fly through. I have a lot more rules for my iSTATs, such as hold all >9.0 potassium, >180 Sodium, and all *** outside for review.
Sent via Groupsite Mobile.
I agree with Silka on Telcor rules for glucose and iSTAT. For glucoses if they do a repeat on the same patient within 15 minutes they are to enter a comment on the Roche meter to chart first or second result. If they forget to enter a comment the lab will call the user and ask which result to chart. I am trying to figure out a good way to follow up on repeats that do not much within 20% of each other.
to see which one (or both) should be charted.
Cindy Sorensen
From: carol netols via POCT Listserv (Groupsite) [users+1181325@poct.groupsite.com]
Sent: Wednesday, November 07, 2018 11:10 AM
To: Sorensen, Cindy H
Subject: [EXTERNAL] [MARKETING] [POCT Listserv] Re: Point of Care Glucometers
DISCLAIMER: The contents of this e-mail, including any attachments, contain information which may be confidential, legally privileged, proprietary in nature, or otherwise protected by law from disclosure, and is solely for the use of the intended recipient(s). If you are not the intended recipient, any use, disclosure or copying of this e-mail, including any attachments, is unauthorized and strictly prohibited. If you have received this e-mail in error, please notify us via return e-mail and immediately delete all copies of it from your system. Any opinions either expressed or implied in this e-mail and all attachments, are those of its author only, and do not necessarily reflect those of St. Luke's Hospital.
I'm curious to see if anyone else changed from Roche to Nova and what that experience was like. We have had major issues with Roche since February and still no answer to our issues.
What issues are you having with Roche since February? We switched from Roche to Nova 18 months ago, its been great except the batteries for the Nova glucometer have an expiration date, and must be bought and replaced, something that we were not told of when we brought them on.
Anything used in a hospital has to have expiration date.
Glucose meters are considered medical devices so the batteries have expiration date .
The batteries only last 2 years, some may last just a bit longer
but not more than the printed expiration date.
Timers and Thermometers usually have 2 year valid calibration on them.
Something to check out.
Generally speaking, it usually not possible for middleware (like Telcor) to be able to enact a delta failure because, unlike an LIS, there is no patient history based on patient ID held in the database. I have asked Telcor if they would consider pursuing the addition of that functionality but no they have no plans to just yet.
I would caution anyone considering using their middleware to withhold one or more results from what are considered "repeat" scenarios (repeating test within a designated number of minutes). Although you can assume that the second result is likely the one that was performed more carefully and is therefore more accurate, but you really don't know for certain. Ultimately, you are withholding results from the chart that they had access to and may have used to treat. It is one thing for the end user to strike the result at the point of care, but another to do it after the fact. You may want to thoroughly vet the idea with both your medical director and nursing administration. We are a large health system and we considered this option many years ago and decided against it.
Do you have a reference for the batteries to be used within the expiration dates?
Our Biomed department does not believe this applies to the batteries.
We use AccuChek Inform II glucose meters. The rechargable batteries have a date of manufacture, but no expiration date.
Back in November 2013 we received a recall notice from Nova Biomedical regarding the recall of batteries due to the labeling. Prior to August 2012, the batteries did not have an expiration date on the label (we started using these glucometers prior to this date I believe). I went around and discovered that that one battery had no expiration date. I also found that some of the batteries had started to swell-their expiration dates had been exceeded. One battery was actually pushing on the door of the battery compartment. When I did monthly checks, I only thought of the controls and strips. This was on eye opener to say the least.
Nova provided a Brain Shark link providing information on battery safety: http://brainshark.com/novabio/battery1
I think that most inspectors will cite any out of date items-including batteries if they go as far as to open the meter's battery door. Out of date batteries also pose a safety hazard.
Everything must be discarded or replaced if it has an expiration date. I was responding to the November 8th post by Pet Maniquis where she states that: anything used in a hospital has to have an expiration date. Our glucose meter batteries do not have a stated expiration date.
When we first got our NOVA meters in 2009, the batteries did not have expiration date. They also got puffy. They did not explode but they can cause fire ( like a cell phone) since they are lithium batteries. After 2 years, they solved the problem and we do not have the "puffy battery" problem anymore.
I called NOVA today to clarify why they have expiration date on the batteries and did not have them before. I was told that FDA mandated them to have expiration date on their batteries. They did not send out a memo or bulletin about batteries but just like Debra Howard said, I would not use expired batteries because they may pose some safety hazard.
I think it was our Biomed who told me that we cannot use batteries pass their expiration dates because of our Safety policy on medical equipment.
I also do not want the inspector to cite me on using expired batteries.