Nova Glucose Testing Comment Requirements
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We will be switching to the Nova StatStrip glucose meters by the end of the year. I am working on writing the procedure for testing.
We currently require operators to send confirmation sample to main lab if glucose result is above range of meter unless they are on DKA or Hyperglycemic protocol. And then they would need to put a comment in meter indicating patient is on these protocols. We also require a comment when repeating patient testing. We pull reports daily to look for compliance.
I am curious what other facilities require and monitor.
- Do you require any comments for patient testing? Do you monitor comments for compliance? What do you do if operators aren't compliant?
- Do you require operators to send confirmation samples to main lab if above or below range of meter? And do you monitor this?
- Do you require under any circumstances for operators to repeat patient tests?
- What comments do you have available in the meter?
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- We require confirmation of any result below 50, it's an automatic reflex built in Epic. I was getting a weekly hypoglycemia report and sending loads of emails, but now everyone is very compliant and I pull the report monthly for the few outliers. We recommend confirmation of anything above 450 and any result that does not correlate with patient condition.
- We recommend selecting 'reject' on the meter and repeating the test with a new sample if the result is questionable.
- Comments available are: Meter Disinfected, Repeat Test, Procedure Error, Notify Provider (our surgery areas prefer to use that instead of documenting in flowsheet), and FreeText
We are currently using RALS middleware and the associated software is where I configure the comment codes. Don't have very many...I want them to use the comments without searching through a long list.
If you would like you can contact me via email
Amanda Casavant MT(ASCP) POCC
The glucose meter comments do not cross into our medical record, but I could retrieve them from Telcor if anyone ever needed them. The majority of operators document provider notification in EPIC, our surgery nurses like to use the "Notify Provider" comment even though they don't technically need to document anything because the meter user is the person who treats the patient.