STANDARD OPERATING PROCEDURE

Transcription

1 Table of Contents Page 1. Scope 2 2. Objective 2 3. Definitions 2 4. Responsibility 2 5. Procedure 3 6. Precautions 7 7. References 7 8. Appendices 7 9. Revision History 7 Original Authorised Copy for: Reading Copy Written by: Reviewed by: Approved by: Signature/Date: Signature/Date: Signature/Date: Page 1 of 7

2 1. Scope This Standard Operating Procedure (SOP) applies to the staff and students using the ACCU-CHEK Safe-T-Pro Plus in the Pharmacy Practice Resource Unit (PPRU) at the Pharmacy Department, University of Malta. 2. Objective To describe the procedure for the operation of the ACCU-CHEK Safe-T-Pro Plus. 3. Definitions 3.1. ACCU-CHEK Safe-T-Pro Plus: A sterile single-use lancing device used for the collection of capillary blood from the finger tip in adult patients or from the heel in children under 1 year of age. It has the option of 3 different penetration depth settings (1.3mm, 1.8mm and 2.3mm) which are marked by notches of different lengths on its T- shaped body. This lancing device also has a safety mechanism in which the needle automatically retracts after the puncture process to avoid needle-stick injuries and cross-contamination. 4. Responsibility 4.1. The members of the Department of Pharmacy (staff and students) are responsible for following this SOP The designated Laboratory Officer or Laboratory Assistant is responsible for ensuring that this SOP is followed. Page 2 of 7

3 5. Procedure 5.1. Diagram of ACCU-CHEK Safe-T-Pro Plus 5.2. Operation Collecting blood in adults Instruct the patient to wash hands well with soap and water and to dry them properly Use an alcohol wipe to disinfect the side of the fingertip to be punctured Check that the finger is completely dry before the skin is punctured Collecting blood in children < 1 year old Instruct the guardian to wash the heel well with soap and water and to dry it properly Use an alcohol wipe to disinfect the lateral area of the sole to be punctured Check that the sole is completely dry before the skin is punctured Twist the sterility cap to remove it Dispose of the sterility cap. Page 3 of 7

4 Turn the depth adjuster to the desired penetration depth Ensure that a click is heard when choosing the desired penetration depth Hold the lancing device between the index finger, middle finger and thumb Press the lancing device firmly against the chosen puncture site Completely depress the trigger button with the thumb Dispose of the lancing device in the sharps container Gently massage the finger towards the finger tip or exert slight pressure on the heel to encourage a drop of blood to form Apply the drop of blood directly to the desired test strip Wipe the puncture site with a small piece of dry clean gauze Gently press the gauze onto the puncture site if it continues to bleed Cover the puncture site with a plaster to protect it and prevent infection. Page 4 of 7

5 5.3. Flow Chart Operation Start Yes Child < 1 yr old No Instruct patient to wash hands well with soap and water and to dry them properly Instruct guardian to wash heel well with soap and water and to dry it properly Use an alcohol wipe to disinfect the side of finger to be punctured Use an alcohol wipe to disinfect the lateral sole to be punctured Check that finger is completely dry Check that sole is completely dry Twist sterility cap to remove it Dispose of sterility cap Turn depth adjuster to the desired penetration depth Ensure that a click is heard when choosing the desired penetration depth Hold lancing device between index finger, middle finger and thumb Press lancing device firmly against chosen puncture site Completely depress the trigger button with thumb Dispose of lancing device in sharps container 1 Page 5 of 7

6 1 Gently massage finger towards finger tip or exert slight pressure on heel to encourage a drop of blood to form Apply drop of blood directly to desired test strip Wipe puncture site with a small piece of dry clean gauze Yes Puncture site continues to bleed No Gently press gauze onto puncture site Cover puncture with plaster to protect it and prevent infection End Page 6 of 7

7 6. Precautions 6.1. Do not puncture an already punctured site Use only the low or medium penetration depth setting when collecting blood from the heel of children under 1 year of age Improve blood flow to the heel by wrapping it in a warm moist cloth prior to puncturing Do not use the single-use lancing device if the sterility cap has been previously removed Do not set the penetration depth before removing the sterility cap. 7. References Roche Diagnostics. ACCU-CHEK Mannheim: Roche Diagnostics; Safe-T-Pro Plus instructions for use. 8. Appendices N/A 9. Revision History Version Number Amendments/ Reasons for change 01 Initial Release Page 7 of 7