Glucometer Scan Order
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We use the Accucheck Inform II and have approximately 2,500 users. Currently, to run a glucose, the user scans their badge, scans the patient armband, and then scans the strip vial. Our rep told us that we could switch the scan order and we are considering having the user scan their badge, then the strip vial and then the patient. We believe this may cut down on strip waste for isolation patients.
Has anyone had experience with switching the order? How did it work? Did it cause significant problems? Did you do it system-wide or only on isolation floors? Did you track waste?
Thank you.
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We recently switched the order of strip vial scan for all patients (not just those on contact precautions), though you can do partial. You must upgrade your software to 04.03.00 if you haven't already. The switch was pretty easy for us since we use RALS, though some of the meters did not pick up the update and we had to go to the floor for about 40 of our 120 meters to update them one-by-one.
We changed the order on our isolation units only. I was pleasantly surprised that we did not get any calls or complaints. The manager told me one employee didn’t
like it at first because the meter timed out before she got in the room and was ready to perform the test. But that was resolved with work flow changes and the manager said this particular employee always complains about change. The only drawback I am afraid
of is if they grab a replacement meter in the lab when we are not available, the replacement will not have the same location and it will not work the same. The staff understood that though and said they would email or jabber us if that occurred and we would
fix it in the morning.
We also made the switch across all sites because we thought it would be easier for nurses who float to just remember one scan order. >5000 operators, 300 devices, no issues. We set Patient ID Barcode masking under device configuration so operators would not be able to scan strip lot in place of patient ID, informed all our nurse champions before the next competency cycle, and made the change. Barcode masking prevents operators from scanning strip lots when they are supposed to scan pt ID, Test Material lockout prevents nurses from scanning pt ID when they are supposed to be scanning strip lot. Easy peasy. Thank goodness we did this given the current situation.
We made this change almost two years ago, for all meters. Definitely worth doing, no notable 'problems'.