ACCU-CHEK Inform II Operator Training ACCU-CHEK, ACCU-CHEK INFORM, ACCU-CHEK PERFORMA and COBAS are trademarks of Roche. All other trademarks are the property of their respective owners.

Accu-Chek Inform II Training Outline 1. Introduction – System Components 3. Cleaning the meter 4. Perform a quality control test (QC) – Hands On 5. Perform a patient test – Hands On 6. Ranges 7. View results in memory – Hands On 8. Inform II Quiz

Accu-Chek Inform II Introduction Base Unit for automatic data transfer AND charging battery Green light when charging and sitting properly in Base unit. Red is when you first plug in Base Unit to power outlet until meter gets put in it Explain the 3 components of the system emphasizing the charging function of the base unit. Docking the ACI II on the base unit when not in use will ensure that the meter is operational when required. 6 hours to fully charge meter– Ideally, meters should always stay in base units. From a fully dead battery, if placed back in the base unit, it takes about 20 minutes to charge it enough to run a test. But the meter can be used at any level of battery life, as it is charging. 60-80 tests per full charge. Code Key is not mentioned here as the training is geared to nursing end users and they will never see it, only POCCs use the code key reader to input the lot numbers of reagents. No data is lost if meter taken from docking station during download phase to patient test. Tote Box Meter, strips, alcohol swabs controls, lancets, ref guide Accu-Chek Inform II (wireless available - Blue light in Base unit)

Accu-Chek Inform II Introduction Test Strip Port Barcode Scanner (Laser) Touchscreen-Main menu with 3 options (finger touch only) Test Strip Port: Insert the test strip here – it is the ONLY opening on meter The integrated barcode scanner can be used to read operator and patient IDs, and reagent lot numbers (test strips and controls).-Ensure that you don’t flash bar code scanner at eyes-yours or others. Touchscreen (touch-sensitive display): This screen allows you to perform patient and controls tests, review results. To select any of these functions, simply touch the button on the screen On/Off Button: Press this button to turn the meter on or off. On/Off Button

Back of Meter Meter re-set button (for meter freeze situation, press gently with paper clip a few seconds to re-boot) Re-Chargeable Battery Pack Charging Contacts (To Base Unit) Infra-red contact to upload lot information The reset button should be used to correct unspecified errors when the meter is not responding for any reason, examples include when the screen freezes, or when an error code is encountered. The reset button is a REBOOT only, with no loss of patient data or meter configuration settings. However, if this is a reoccurring issue-meter should be sent to lab for investigation

Accu-Chek Inform II Introduction Accu-Chek Inform II Test Strips – 50/vial (replace cap immediately!) leave at Room Temp Expiry date on vial is valid, opened or un-opened! Up to 10 mins to apply sample Insert strip face up with arrows pointing in to meter! Accu-Chek Performa Control Solutions Control 1 (lo) and Control 2 (hi) Good for 3 months at Room Temp after opening (or to expiry date on vial) - write open date on vial. Blue dye- will stain clothing/fingers Strips can be handled without any issue. make sure cap is replaced as soon as possible after opening between each use. Strips sensitive to temp and humidity. 2 levels of controls - Level 1 (lo) and Level 2 (hi)

Accu-Chek Inform II Cleaning the Meter and Accessories with Site Approved Cleaner!

Hands On with meter! Remove meter from base unit. Press and release the On/Off button ‘Power Up’ screen appears after meter performs self-checks – date and time Note battery life symbol in bottom right corner 4. Manually proceed to the next screen by touching symbol (happens automatically after 5 seconds) The battery icon shows the current battery level. A completely filled icon indicates a fully charged battery, and a partial charge is displayed as a partially filled battery icon . If during meter self-check an error is detected, the appropriate error message appears on-screen.

Entering an Operator ID - Manual Entry – Hands On Picture with operator ID screen-not QC Touch the symbol to backspace and delete a character entered incorrectly Touch symbol to confirm Once entry is complete, the main menu appears Operator ID’s are not to be shared with other staff –accountable for your own ID! Turn meter off after using to prompt next user ID. (Barcode Scan if available – press icon upper right corner of screen to scan – approx 8 inches from barcode)

Accu-Chek Inform II Perform Quality Control (QC) Hands On – Run 1 level QC 1. Touch ‘Control Test’ 2. Touch Level 1 (Lo) or Level 2 (Hi) to select the level for the test desired. QC testing is required every 24 hours and if not done, meter will be locked out until QC testing is completed. Screen will display the level of control required Both level 1 and 2 must be run

Accu-Chek Inform II Perform a Quality Control (QC)- Hands On 3. To select lot number: Touch the barcode symbol at top right corner of screen. Scan the barcode on the control solution vial - hold meter so scanner is 4-8 inches in front of vial barcode Scan test strip vial. NOTE: lot numbers cannot be manually entered Reserve strip lots will be in effect. POCCs will program lots (both QC and Strip lots) to be used thru code key reader and Cobas IT 1000. System will not allow outside lots not programmed in system to be used. Error message will appear.

Accu-Chek Inform II Perform a QC – Hands On 4. When “Flashing Arrow” symbol appears, insert test strip into test strip port at top of meter. “Flashing Drop” symbol appears when meter is ready for QC sample. PASS/FAIL will appear within 5 seconds – Mandatory comment may be required for Failed QC (site dependent) Press “Cloud” icon lower left of result screen to select comment, then press “Check Mark” Take Care in positioning meter – straight up position may allow liquid in to port.

Accu-Chek Inform II Perform a Patient Test – Hands On Touch ‘Patient Test Touch ‘Check Mark’ to bypass entry. (no patient ID entry currently)

Accu-Chek Inform II Perform a Patient Test- Hands On Confirm the test strip lot: 3. Touch barcode symbol top right corner of screen 4. Scan barcode on strip vial holding scanner 4-8 inches in front of vial barcode 5. When “Flashing Arrow” symbol appears, insert test strip (close cap asap) Note: Test strip must ALWAYS be in meter BEFORE application of patient blood sample!!

Accu-Chek Inform II Perform a Patient Test – Hands On – Simulate with Level 1, 4, 5 or 6 Comfort Curve Linearity solutions 6. For actual patient testing - make sure site is cleaned with antiseptic or soap and water, and thoroughly air dry. 7. When “Flashing Drop” symbol appears, pierce site – simulate with level 1, 4, 5 or 6 Comfort Curve solution – Big vial (up to 10 minutes to apply sample) 8. Wipe away first drop and apply second drop to front edge of test strip (not top) Result appears after 5 seconds! comments may be added – (site specific) press “Cloud” icon and select comments. Press “Check Mark” Fill the yellow target window completely - insufficient sample will give an error code Avoid placing meter at angle which allows blood (or QC) to drip into strip port opening.

Accu-Chek Inform II Ranges Critical values: “CR LO” < 2.0 mmol/L “CR HI” Adult Critical Range > 30.0 mmol/L (site dependent) Pediatric: < 17 years old results > 11.0 mmol/L Linearity Range of Meter 0.6 – 33.3 mmol/L Hematocrit operating range: 10%-65% (extremes in hct will effect test result) Sample Types Venous Arterial Capillary Neonate

Accu-Chek Inform II Results Review Quality Control – Hands On From main menu screen touch ‘Review Results’. Stored test results are displayed in a sequential list. Touch or to scroll up or down in the list. Results are grouped by date.

Interference of Galactose with Inform II Glucose System