Roche Accu-Chek Instant - Fingertip Sample Collection; Alternative Site Sample Collection

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Technical Information
8
Additional Supplies
Test Strips: Accu-Chek Instant test strips
Control Solutions: Accu-Chek Instant
control solutions
Information for Healthcare
Professionals
This system can be used in professional
healthcare environments such as
doctors' oces, general wards, in
suspected cases of diabetes, and in
emergency cases.
w WARNING
Risk of infection
Any object coming into contact with
human blood is a potential source of
infection. Healthcare professionals
should follow the infection control
procedures appropriate for your
facility. Refer to the test strip package
insert for additional healthcare
professional information.
Sample Handling
Always wear gloves when handling
blood-contaminated items. Always
adhere to the recognized procedures for
handling objects that are potentially
contaminated with human material.
Follow the hygiene and safety policy of
your laboratory or institution. Prepare the
selected blood collection site per facility
policy.
Refer to the test strip package insert for
additional information regarding
acceptable sample types, anticoagulants,
and handling instructions.
Recommending Alternative Site
Testing to Patients
Decisions about whether to recommend
Alternative Site Testing (AST) should take
into account the motivation and
knowledge level of the patient and his or
her ability to understand the
considerations relative to diabetes and
AST. If you are considering
recommending AST for your patients, you
need to understand that there is a
potential for a significant dierence
between fingertip or palm test results
and test results obtained from the
forearm or upper arm. The dierence in
capillary bed concentration and blood
perfusion throughout the body can lead
to sample site-to-site dierences in blood
glucose results. These physiological
eects vary between individuals and can
vary within a single individual based
upon his or her behavior and relative
physical condition.
Our studies involving alternative site
testing of adults with diabetes show that
most persons will find their glucose level
changes more quickly in blood from the
fingertip or palm than in blood from the
forearm or upper arm. This is especially
important when blood glucose levels are
falling or rising rapidly. If your patient is
used to making therapy decisions based
upon fingertip or palm test results, he or
she should consider the delay, or lag
time, aecting the test results obtained
with blood from the forearm or upper
arm.
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