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the user is to do if the doctor is not immediately available. The user’s
doctor should write these immediate follow-up values and follow-up
instructions in the appropriate section of the user’s Log Book.
NOTE: Be sure the meter is properly set up, including date, time, and units of
measurement, before the training session ends.
The CoaguChek XS System has built-in quality control functions in the meter and
test strips. The meter automatically runs its own quality control test as part of every
blood test, so you never have to run quality control tests with liquid quality controls.
When the quality control test runs, the letters QC flash on the meter’s display.
When the quality control test is finished, a check mark (√) appears following the
letters QC. Then the meter continues to run the blood test.
The built-in quality control helps you know that your test strip has not been damaged.
If you receive a test error, look in the manual for an explanation of all test errors.
Review cleaning procedures with the user, instructing them to follow this process:
A user should clean the meter whenever it looks dirty or each time he or she
opens a new box of test strips, whichever the user prefers.
Use only the following products to clean the meter:
• pre-packaged bleach towelettes such as CoaguWipes
®
or 10% bleach
solution (1 part bleach and 9 parts water)
• 70% isopropyl alcohol solution
• lint-free tissues
• cotton swabs.
Do not spray any cleaning solution on the meter. Never use a spray of any type.
To clean the exterior of the meter:
1. With the meter turned off, wipe the meter’s exterior clean.
2. With a lint-free tissue, dry the meter.
Training Users for Self-Testing 4
Cleaning the CoaguChek
XS System
Review Built-In
Quality Control
18
5. Review collecting and applying the sample, instructing the user to follow
this process:
• Massage the finger from the base until there is increased color in the
fingertip. Keeping the hand down, press the tip of the lancet firmly
against the side of the fingertip. Press the release button.
• The meter must be on a table. Find the target area on the test strip.
• Within 15 seconds of sticking the fingertip, apply the blood drop from
the fingertip to the target area from the side. See the user manual for
more information.
• Hold the blood drop to the test strip until the meter beeps. The flashing
blood drop symbol will disappear and the result will appear on the
display, which takes about a minute. Do not add more blood or touch
the test strip.
• If the meter displays an error message rather than a test result, refer to
the Error Messages section of the user manual to learn what to do next.
• To run a new test, use a new test strip and a different finger.
6. Review final testing steps, instructing the user to:
• Record the result in the Log Book. The meter will automatically store
100 results, with the date and time, in its memory.
• Clean up: remove the lancet from the lancet device. Place the used test
strip and lancet in a puncture-proof waste container with a lid. Turn the
meter off. If the meter is dirty, wipe it with a lint-free tissue and an
approved cleaning solution.
• Always call the doctor with test results.
• If the result is outside the therapeutic range, call the doctor
immediately.
7. Review the procedure to follow if the test results are not in the accepted
PT/INR range:
• Explain to the user that a PT/INR result outside the therapeutic range is
a result that is above or below the immediate follow-up values set by
their doctor or designated healthcare professional. The user must
contact his or her doctor immediately if this occurs. Include clear
instructions on how the user is to contact his or her doctor and what
4 Training Users for Self-Testing
ROC270037 34690 CoagXS PT Mn 1F 4/18/07 8:05 AM Page 18
- CoaguChek 1
- Table of Contents 2
- Introduction 3
- Materials for User Training 5
- PERFORMANCE CHARACTERISTICS 7
- 3 User Selection Guidelines 7
- PREPARATION 9
- SUPPLIES 9
- TRAINING OUTLINE 10
- CERTIFICATE OF COMPLETION 13
- FOLLOW-UP VISITS 13
- TESTING THE TRAINEES 13
- Proficiency Checks 14
- OVERVIEW 15
- Indianapolis, IN 46256 19
- Roche Diagnostics 19
- 9115 Hague Road 19
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