Roche CoaguChek XS System Manual do Utilizador descarregar pdf (Página 11)

Testing Fingerstick Samples

(including practice and completion

of Skills Checklist)

2. Review how to prepare the lancet device.

Users pull off the cap and insert a new lancet. Provide these instructions: Twist

off the lancet’s protective cap. Put the cap back on the lancet device. To place

the cap back on, line up the notch on the cap with the center of the semi-

circle. Turn the dial so that the center of the semi-circle points to 5. (The lancet

device has multiple depth settings, so the user can use the setting that works

best. The higher the number, the deeper the penetration. The first time a

person uses it, try a depth setting of 5. If the blood drop you get is not

sufficient, try a higher setting.)

Instruct the user to press the plunger. A yellow dot appears in the release

button, telling the user that the device is ready. Tell the user to set it aside while

preparing for the fingerstick.

3. Review how to prepare for a fingerstick, instructing the user to:

• Wash the hand in warm, soapy water. This cleans and warms the hand.

• Massage the finger from its base.

• Let the hand hang loosely at his or her side for 10 to 30 seconds.

• Use these techniques until the fingertip has good color.

4. Review testing procedures, instructing the user to follow this process:

• The correct code chip must be in the meter. The code chip

automatically provides the meter with the information that is specific to

each lot of test strips. Each box of test strips comes with a matching

code chip. Every time users open a new box of test strips, they will

replace the code chip.

• Take a strip out of the test strip container. Close the container tightly.

• Slide the test strip into the meter’s test strip guide in the direction of the

arrows until it stops. The meter will turn on and the code number of the

inserted code chip will flash on the display.

• Be sure the code number on the display matches the number on the

test strip container, then press M.

• After M is pressed, an hourglass appears as the meter warms up. A

flashing test strip and blood drop appear when the meter is ready for a

sample. The user has 120 seconds to apply a blood drop to the test strip.

Training Users for Self-Testing 4

3. Review operating conditions of the meter and proper storage conditions of test strips

• Operate meter at room temperature, 65˚ to 90˚ F (18˚ to 32˚ C).

• Operate meter with 10% to 85% relative humidity, without condensation.

• Avoid bright sunlight.

• Operate the meter on a flat surface, free of vibrations.

• Use well-protected carrying case.

• Read the information packaged with the test strips regarding up to date

product specifications and limitations.

• Read the latest warfarin package insert for contraindications.

1. The CoaguChek XS System uses four AAA alkaline batteries, inserted into the

battery compartment on the back of the meter. Explain the importance of

entering the correct date and time. (Each time you run a test, the meter

compares its date with the test strip’s expiration date. If the test strip is expired,

the meter displays an error message and prevents you from running a test.)

2. Discuss the purpose of the code chip included with each test kit. The code

number on the test strip container must match the code chip number.

3. Review how to insert the code chip. Make sure the meter is off. Insert the code

chip with the code number facing up until it snaps into place.

4 Explain that the meter has set-up options that users will not be asked to change.

Appropriate settings have been programmed before they receive their meters.

Important: If a caregiver assists with the testing procedure, it is recommended that

the caregiver wash hands thoroughly and wear disposable gloves to prevent

contact with the blood sample.

1. Review supplies needed for performing a self-test:

• CoaguChek XS meter

• Container of test strips

• Test strip code chip

• ACCU-CHEK Softclix lancet device and lancet

4 Training Users for Self-Testing

Review System Set-Up

ROC270037 34690 CoagXS PT Mn 1F 4/18/07 8:05 AM Page 16

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