Nova StatStrip Glucose meter Accept/Reject

I see this issue, but it is not very frequently. I have it set so that if a person rejects a result, it requires them to add a comment. If I do not see the "Questionable Result" comment added to the result, I reach out to the individual and ask if they truly meant to reject the result. I think adding the comment gives them an extra step, so they will usually catch the accidental reject before hitting the "Reject" button for a second time.

I have at least 15 a day. It is a huge issue. 

Cindy what system do you set the comment to require this?

Jillian, we do a similar thing with our rejections and we set up our Nova meter comments in Novanet.

Jillian, we use Novanet as well. Our middleware is Telcor.

Yes, we have explored the comments, BUT, the users MUST do each step correctly or it fails.  
We have a button set up "Confirm reject".  If they push this button, they MUST hit accept.  If they don't (which a lot of users don't to begin with) their comment does not stick and the result is sent through to the EMR.  This is not good.
The other scenario is one of our 5,000 users may get confused as to why they are being asked to select a comment.  Did they know that they hit the reject or did they accidentally hit the comment button.  What do they do now?  Hopefully they will press the back button but maybe they just go put it down until the next user picks it up and wonders why it is asking for comments.  Hmm.  Id rather have Nova move their buttons apart with some dead space around the sides and middle.

Karla, I'm not sure what you use as a middleware, but we have any result that is rejected held as an exception in Telcor, so it doesn't cross to the chart until someone reviews it.

We do too in RALS.   Maybe Telcor is different or RALS is not working.  The problem comes if they do not hit accept after they select the comment that confirms their rejection.  After 5 minutes the meter sends the result to RALS anyway without any comment or operator reject notice for RALS to hold anything up.  The POCC would never know it was ever rejected or that a comment was attempted to be placed on it.

If the user does the steps correctly, it works great.  If they don't, the system fails.  

The exception in Telcor is based on the fact that the staff member hit reject, so the comment is not a factor. When it crosses to Telcor, it is sent as an "X". I would reach out to RALS and see if they can help you with configuring it. I would think it would be similar.

Cindy, it would be interesting if you went through the steps, reject the sample, select "questionable result", do NOT hit accept, then set your meter down and wait for the result in Telcor and see what happens.

We have not had much Reject selected  on our meters. We have Telcor, so it does not go across. I usually see if  there was  a repeat  I can see if the first test was similar to the second test. So I would say that we do not have many using the Reject button by mistake. 
The operators are mindful of what they were doing.  I am known to send email if there are obvious mistakes.  The managers get involved so the operators let me know right away.  if there was discrepancy.