Glucometer Disinfection
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Good Morning,
I was hoping that you might be willing to share some information on how your glucometers are disinfected between patients. We are currently using a product that requires a 3 minute wet time. I am noticing an increase in instrument issues, as well as difficultly with adherence to the required wet time. I was hoping to get some ideas of what better options might be out there.
What is your policy? What products are you using? What is the required wet time of the product? Are you able to monitor compliance? Is staff adhering to policy?
Any information you are willing to share would be greatly appreciated.
Thank You,
Kelly
Kelly VanWagner MLS(ASCP)CM SHCM
Point of Care Administrator
Covenant HealthCare Laboratory
Saginaw, MI
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Hi Kelly,
we use the Sani cloth the purple top . We dont monitor the compliane; nursing QA does that but you could monitor it by asking staff to use the comment “meter cleaned “ if you use Biomed Nova Strip after each test.
hope this helps
Ellie
Kelly,
In our policy, we state that the meter is disinfected between patient use. We use microkill which has a kill time of 2 minutes. Even though we don't monitor the cleaning of the meters, our hospital infection dept. monitors this occasionally. When we do reagent monitoring, we also look at the meters to make sure that the meters look o.k. If we notice blood on the meters, we look to see who the last user was and then send them a friendly reminder to clean the meters between patient use.
As far as instrument issues are concerned, we have issues when the staff uses an overly "wet wipe" and the cleaning solution goes into the strip port module. We also have issues when they use Clorox wipes because the wipes are more potent and it seems to break down the casing of the meter quicker. In this case, we tell them after the kill time, to wipe the meter with a damp cloth to remove the residue.
Hi Kelly,
Our hospital switched from the grey top AF3 Sani wipe to the Oxivir 1 wipe. The Oxivir 1 wipe has a 1 minute contact time as opposed to the previous 3 minute. We switched about a year ago and have not had a problem so far.
We use the Nova StatStrip for glucose testing and have canned comments loaded in the device so the staff members need to comment when the the device is cleaned before they accept the result. I run reports monthly on the cleaning documentation.
Thank You
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WE used to use Purple Sani Cloth. But it does not kills spores of C difficil.
NOVA require bleach for disinfecting their meters. We use Micro Kill Bleach wipes that kills most organisms in 30 seconds but 3 minutes to kill C difficil .
Check the label on your disinfecting wipes to be sure it kills all organisms including spore producing organisms.
I leave it to the Infection Control nurse to monitor the disinfection. She has disinfection police up in each unit. We emphasize this at every Skills Fair, training and recertification.
NOVA Statstrip has a bulletin – CIB-11SS Meter Cleaning and Disinfection
It states “Nova selected Clorox Germicidal wipes because they have the fastest kill time of any antimicrobial product listed on the Environmental Protection Agency’s
List D: EPA’s Registered Antimicrobial Products Effective Against …..”
“Hospital’s that utilize an alternate germicidal product for cleaning and disinfection should select a product on the EPA’s List D”
So Nova only validated one exact brand of clorox wipe but we are allowed to use others on the EPA list D.
I discussed this with NOVA tech and our infection control and we do adhere to List D – but the wipe we use for Nova glucose meters is the one that is used for
that patient’s scenario. So if the patient is a C. diff – the room is staged for disinfection to meet that need (I think the sani-cloths for that are orange topped). Whereas in our hypobaric wound world they use a non O2 type sani-cloth. Most patient rooms
are the purple sani-cloths.
In addition, our infection control team sent us a document from PDI that came out in 2017. It stated that the surface is wiped and remains undisturbed for the
contact time – 2 min for purple top wipes. We used to think they had to remain “wet” for the 2 minutes. This document also discusses the EPA testing for the contact time of PDI wipes.
So no we do not typically use Clorox wipes.
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Thank You Patsy.
Do you happen to have a copy of the communication from PDI that you would be willing to share?
The video and instructions we were provided from PDI, specifically state that the surface must remain wet for the entire contact time and that they must use additional wipes if the surfaces begins to dry. This wet time is what we are really
struggling with.
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The information contained in this communication from the sender is confidential. It is intended solely for use by the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any disclosure, copying, distribution or taking action in relation of the contents of this information is strictly prohibited and may be unlawful.
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See attached.
Wording from the document:
This change was implemented as a result of customer feedback regarding the previous term “wet” causing confusion amongst users. When disinfecting using any Sani-Cloth product, users should take a wipe and treat or wet the surface and then leave that surface undisturbed for the full contact time.
-Patsy Gunn
(785) 295-8562
From: Kelly VanWagner via POCT Listserv (Groupsite) [mailto:users+1176677@poct.groupsite.com]
Sent: Saturday, November 09, 2019 6:12 AM
To: Patsy P Gunn
Subject: [MARKETING] [POCT Listserv] Re: Glucometer Disinfection
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We also use the Super Sani wipes with the purple lids. Attached are the two documents that I had received from the manufacturer