glucometer training program

MEMS GLUCOMETER TRAINING MEMS Education Committee 2008 NOTE Information within this presentation should be tailored to the Blood Glucose Measuring Device used by the service and should include a review of the manufacturer’s instructions. Purpose ~To prepare currently certified and future EMT- Basics to utilize a Blood Glucose Measuring Device under current MEMS Protocol Standards. Objectives At the conclusion of this program participants will be able to: • State when blood glucose measuring is indicated • Describe the importance of a full patient assessment in conjunction with test results • Demonstrate accurate calibration • Demonstrate appropriate procedures for measuring blood glucose • Explain proper maintenance, care & storage • Understand the need for a CLIA Waiver Indications for BG Measuring Signs and Symptoms consistent with • Acute Stroke • Altered Mental Status • Known Diabetic Patient • Trauma with potential for Head/Spinal Injury • Combative Patient • Seizures • Overdose • ETC… Altered Mental Status (Common Causes) AEIOU-TIPS Alcoholism Trauma Epilepsy Infection Insulin Psychiatric Overdose Stroke Underdose Pre-Hospital Care (FOLLOW THE PROTOCOLS) 1. Scene Safety/Survey 2. Perform initial assessment Considering/Treating ABC’s 3. Ensure cervical spine immobilization as indicated 4. Activate ALS-ALS must be activated when using the glucometer. Pre-Hospital Care 5. Perform focused history and physical exam (a). SAMPLE history 1. Signs/Symptoms (when did they start?; how long did they last?) 2. Allergies 3. Medications (When last taken?) 4. Prior Medical History (diabetes?, seizure disorder?) 5. Last oral intake (When did patient last eat)? 6. Events leading to illness/injury Pre-Hospital Care 5. Focused history & physical exam, cont. (b). Take base line vital signs (c). Determine blood glucose level (d). Evidence of hypothermia/hyperthermia? (e). Can the patient swallow normally? Pre-Hospital Care • Do not administer anything orally if the patient does not have a reasonable level of consciousness and normal gag reflex. • Contact medical control prior to administering glucose to patients suspected of Acute Stroke/Head/Spinal Injury. [...]... blood onto test strip and follow individual glucometer instructions • Dispose of sharps and soiled supplies in appropriate container Device & Accessories Test Strips Glucometer Lancet Glucose Measuring Steps Step #1 Step #2 Step #3 Locate Glucometer Open Up Case Turn Power On Device Variations Some glucometers turn on automatically Know the features of the glucometer your service uses Glucose Measuring... inject/spray any liquid into device CLIA WAIVERS • Required for all services using a glucometer • The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S through the Clinical Laboratory Improvement Amendments (CLIA) • The objective of the CLIA program is to ensure quality laboratory testing CLIA WAIVERS • There is a Biennial... There is a Biennial Fee of $150.00 for this waiver • An application for a CLIA Waiver can be obtained by going to: – http://www.cms.hhs.gov/clia/ • This must be filled out by all services intending to use glucometers, whether they are volunteer or paid – Or call Margaret Naas, Bureau of Health, and request application, 287-9339 Summary • Indications for blood glucose measuring • Importance of a full patient . Measuring Steps Step #1 Step #2 Locate Glucometer Open Up Case Step #3 Turn Power On Some glucometers turn on automatically. Know the features of the glucometer your service uses. Device Variations. onto test strip and follow individual glucometer instructions • Dispose of sharps and soiled supplies in appropriate container Device & Accessories Glucometer Test Strips Lancet Glucose. MEMS GLUCOMETER TRAINING MEMS Education Committee 2008 NOTE Information within this presentation should