Users andException log for glucometer results
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Hi all! I'm new here, and a new POCC. I have a few questions.
Education has expressed frustration with the glucometer operators certifications lapsing and them losing access. Emails are automatically sent 90 days prior to expiration to remind operators to run controls, and the glucometers display a reminder when they log in 30 days before to the day of expiration. For various reasons, several fall through the cracks (don't check email, don't use glucometers very often, etc.) We have 4 campuses and hundreds of users. I offered to send a list of users expiring with a month notice. Just looking to see how other people handle this.
I am currently working my way through the list of results that have been ran as "000000000" or other random numbers.
Education has expressed frustration with the glucometer operators certifications lapsing and them losing access. Emails are automatically sent 90 days prior to expiration to remind operators to run controls, and the glucometers display a reminder when they log in 30 days before to the day of expiration. For various reasons, several fall through the cracks (don't check email, don't use glucometers very often, etc.) We have 4 campuses and hundreds of users. I offered to send a list of users expiring with a month notice. Just looking to see how other people handle this.
I am currently working my way through the list of results that have been ran as "000000000" or other random numbers.
- How far back do you go to try to track down information? For example, there is a couple from January, Feb, March, etc. on this list. Realistically, someone is not going to remember the patient information from that long ago.
- What is your process when you cannot track down patient information, it's self testing, or any reason you are unable to match results with a patient?
- Currently there is a glucometer temporary ID card protocol in place to be used in the ER (they fill out a card with the information on it and then send it to the POCC Office) , though quite a few of them still do not use it.
Thank you in advance!
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For the all zeros, I monitor through Telcor since they are held as exceptions. I reach out to the individual and their leader to get the correct patient identification. We also have an emergency ID log they are supposed to use in lieu of entering all zeros, but it is hit and miss if they use it.
2 issues
Expiring staff members.... NOVA Statstrip & RALS -Currently our institution has approximately 450 operators across hospital and Express Care sites. Each month I send the Clinical leads and or managers a list of staff that have expired or expiring within 30-60days. The meter will prompt staff to run QC and perform exam in RALS 14 days before expiration. RALS time/date stamps staff's acceptance of the message and I have copies of all the emails to the leads/managers. I can sleep well at night :) knowing I've done all I can do to encourage compliance.
Alternate number use on meter... A strong QA/QI policy is a first step in reconciling these results. ( Our staff can only use an alt. number in ER, Nursery, LDR, or with a code on the floor {Staff, vendor, visitor, etc.}). This is also one of the POC CAP Quality Monitors - submit % identified each quarter...this gives reconciling these results some teeth!
Good Luck
We send out a list every month to the nursing manager and the POCT super users for each unit with all the staff that we have for their unit and when they will expire. It's a rolling calendar list so we have sorted it so the ones that have expired are highlighted in red, expiring in the next 3 months are yellow and all others are green. We set it up with a filter so units don't have to go through all the operators but can filter it for their unit. This allows the NM to know why their staff can't get into the instruments.
For the unknown samples, we usually give it 7-10 days before we delete them from our exceptions. We email the operator and NM to see if they can figure it out. They have to scan a non-registered barcode for the sample, complete that and fax or return it to us. Most of the time it works out but not always. The one thing though, they cannot manually enter an ID, they have to scan a barcode so we don't have samples with 0's.
Hope this helps and feel free to reach out if you have any other questions :).