Other Test Entry on glucometers

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Has anyone implemented Other Test Entry on their glucometers to manage manual tests through your DMS?

We are considering it for manual pregnancy, FOB, manual strep, but I'm looking for opinions. Pros? Cons?

Thanks in advance

6 Replies

Karla Clayton

Wed Oct 12, 2022 at 11:51AM

Hello, I just went LIVE this past Monday for urine HCG and urine protein dipsticks using the Nova Statstrip; it's too early to tell as very few people have limited access to this feature right now. I just realized that I don't have a way of having the meter alert the user if they are entering wrong results for the controls (pos vs neg). I will need to follow up with this.

ANGELA MCKAY-JONES

Wed Oct 12, 2022 at 12:06PM

I have done it approximately 4 years now ,it works perfectly, I put it in NOVA-NET manual to have it cross over into the glucometers. Nova-net tech support can help if you need it. IT is good for tracking inventory usage.

Christiane Wright

Wed Oct 12, 2022 at 12:10PM

We have been using manual test entry for about 10 years now for all of our manual testing. It is great if you can get them to actually use it. We used the Roche Accuchek Inform II and now use the Nova StatStrip. Our POCT middleware is RALs and LIS/HMS is EPIC. We also allow manual test entry in RALs for locations without a glucose meter. Some locations are great and have no issues, while others refuse to do it. If your HIS allows staff to enter manual test results, you maybe be doomed, but don't give up! Don't forget Training is the key - you have to make is easy for your end users.

Ken Charpie

Wed Oct 12, 2022 at 12:27PM

With which glucometers? I'm looking to enable some of those on our Accu Chek Inform II through cobasinfinity for our ER users to get rid of paper forms. Would love to glean whatever I can from anyone who has done this succesfully.

Adonica Wilson

Wed Oct 12, 2022 at 2:30PM

Nova MTE was our solution to having expired operators entering manual tests. We put all our manual tests on the glucometers for both inpatient and outpatient sites. It doesn't stop them from performing the tests but it does stop them from entering the results if they don't have their competency up to date. We've been using it about 4-5 years and it works well. I want to put the QC on them also but haven't had the time to roll out that process yet.....maybe post active covid lol. I'd say about 90-95% of our operators use it instead of manually entering the results into EPIC. We get a monthly report of the manual tests entered into EPIC and send the operators and nurse managers reminders when they do not enter them into the Nova. Other glucometers have the capability as well and I think it's a great tool to use.

Jeremy MacDonald

Thu Oct 13, 2022 at 9:49AM

We use Nova StatStrip MTE to exclusively enter in POC Dipstick, HCG and Strep results into the EMR (Electronic Medical Record). Our middleware is Novanet to Telcor QML to Epic (HIS). We also have a interface between the system educational system (CornerStone) and QML.

Pro's:

Allows control of who has the ability to enter results by Dept.... this blocks unauthorized depts from taking POC kits from other depts to perform tests and entering into the EMR. Can customize which tests are active in which depts.
Allows control of individual users access to enter results: Users who have or have not completed the required certification steps to perform the test.
- Once a user is setup in QML, recertification is automatic after the correct steps have been completed.
Captures the LOT/expiration date of test kit used.
Glucometer can be brought to the testing location itself and results documented in the EMR rather than the user having to find the chart or computer to enter the results as a secondary step (frequently skipped and therefore results not documented): improved result documentation rate.

Con's: (for us in some locations)
Details: The Kit Lot/expiration date barcode must be be scanned into glucometer before the patient's wristband. Some locations prefer to perform the test itself in a "soiled room" rather than the bedside. One reason: infection control, not wanting to bring a multi test kit into multiple patient rooms. (We placed the kits in a plastics container that could be wiped down in an attempt to address this). The sequence of entering this information into the glucometer can not be modified.

The above causes a workflow issue where the kit must be scanned in the "soiled room", the user must then go to the patient to scan the wristband to then return to the "soiled room" to perform the test. This is not an issue when the test is performed at bedside.

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Other Test Entry on glucometers