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C. In case of a malfunction of the wireless transmission, there is a base unit wired to
the network to download the meters on each nursing unit and clinic. When the
meter is docked in its downloader, it will get charged at the same time.
D. Record blood glucose results in the patient’s medical record chart, per protocol in
your department.
E. Sites utilizing the patient identification function will download patient results to
Electronic Medical Record (EMR) after patient testing.
F. Note: Whenever a user identifies that an incorrect result has been reported, they
are responsible for correcting/commenting the incorrect result in APEX/the
electronic medical record-EMR (if possible), contacting the ordering provider,
notifying them of the error, and documenting this notification, including the time
and date, in the patient record. Also notify POCT to append comments on the
results in Sunquest and Cobas IT 1000 and Telcor QML data management
system.
G. The POCT Clinical Laboratory will be responsible for monitoring and follow-up on
QC reporting based on COBAS IT 1000 and Telcor QC Reports, Guidelines, and
Standards.
XII. NORMAL VALUES, PANIC VALUES, REPORTING POLICY
A. REFERENCE RANGE:
1. Normal Adult/Pediatric: 70 - 199 mg/dL
2. Normal Neonate: 55 - 115 mg/dL
B. CRITICAL RANGE:
1. Critical Adult/Pediatric: <60 or >400 mg/dL
2. Critical Neonate: <40 or >150 mg/dL
3. Test results outside the meter’s established reference range will be
displayed in numeric result, an Alert Prompt will be Displayed on meter
screen and the Comments
C. REPORTABLE RANGE
1. System Measurement Range (Reportable range): 10-600 mg/dL
2. Results outside this range must be followed-up immediately with Lab Draw
and send sample to the Clinical Lab for STAT glucose testing for
confirmation.
3. Test results outside the meter’s measurement range will be displayed as:
a. “RR LO / LO” if <10 mg/dL or
b. “RR HI / HI” if >600 mg/dL.
c. LO or HI are critical results, follow Critical Results Reporting
Policy. Refer to Patient Testing on page 7 steps 19 – 20..
XIII. MAINTENANCE POLICY AND PROCEDURE
A. For efficiency, daily cleaning and disinfecting are companion procedures and
should be done and recorded when QC is performed by selecting “Cleaned
Meter” from the pre-program comments.
1. Cleaning removes visible soil and organic material prior to disinfecting.
2. Disinfecting destroys most pathogenic organisms.
B. Do not clean or disinfect meter while performing any type of test.
C. Remove the meter from the base unit and turn it off prior to cleaning and
disinfection. At minimum, clean and disinfect the meter between each new
patient use and when soiled with Sani-Cloth Plus Germicidal Disposable Cloth.
The towelette should be slightly damp, NOT wet.
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