5
Protocol for the monitoring of Blood
Glucose at ward level using Roche
Accu-Chek
®
Inform II
This protocol relates to the nursing responsibility in the monitoring of
blood glucose.
1. Follow the manufacturer’s guidelines and local policy on
testing at all times.
2. Only a nurse who has received appropriate training may carry
out blood glucose monitoring at ward level.
3. Each nurse takes responsibility for ensuring the quality of all
monitoring carried out by her/him, using the following procedures:
a Quality control tests must be carried out:
• According to manufacturer’s instructions and local policy.
• When the inform II instrument indicates this is required.
b Only one pack of Roche test strips should be opened at any
one time.
c The appropriate pack of Roche test strips must be stored
with the Accu-Chek
®
Inform II for which it has been calibrated.
d The Accu-Chek
®
Inform II must be used only with test strips which it
has been calibrated for.
4. A nurse from each ward/department should be designated to
ensure that the equipment is correctly maintained.
5. Any sample reading below 2.8 mmol/l or above 20 mmol/l, or
which is not in keeping with the clinical picture, should be
verified by sending a venous specimen of blood to the laboratory
for random blood glucose testing.
This protocol should be followed in conjunction with the advice
and guidance contained in:
a NMC Code of Professional Conduct (2008)
b NMC Records and Record Keeping (2007)
c NMC Accountability (2008)
d ABA Code of Professional Conduct for each
Nurse and Midwife (2000)
Hospital Policy for Quality
Control Testing