Precision Xceed Pro First User Training

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					                                            Precision Xceed Pro
                                            First User Training




Abbott Diabetes Care                          Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Medicines & Healthcare products Regulatory Agency
MHRA state* that training should include :

           • Basic principles of testing
           • Demonstrate proper use of system
           • Consequences of improper use
           • Instruction in sample collection
           • Instruction in the importance of complete documentation of all results
           • Appropriate calibration & QC testing
           • Practical experience to satisfy instructor that the trainee is competent

         *MDA Safety Notice SN 9616 ‘Extra-Laboratory Use of Blood Glucose Meters and Test
         Strips: Contra-Indications, Training and Advice to the Users’ (1996)




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
                                            Precision Xceed Pro
                                            Overview




Abbott Diabetes Care                          Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Precision Xceed Pro Blood Glucose Test Strips

The Precision Xceed Pro Blood Glucose test strip :

           • 0.6µL sample size
           • 20-second result countdown
           • Assay Range 1.1 – 27.8 mmol/l
           • Haematocrit Range 20-70%
           • Individually foil wrapped test strips
           • Top or tip sample application
           • Visual confirmation of sufficient sample
           • Fill trigger ensures sufficient sample
           • Claim - Capillary, venous, arterial & neonatal (heel prick)




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Precision Xceed Pro Meter

                                                                  Barcode scanner positioned
    Frequently used keys                                          for easy scanning of patient &
    are easily accessible                                         operator identifications


                                                                  Large, easy to view
  Ergonomic design                                                screen with backlight
  enables one-handed use
  Designed for both left &
  right-handed users
                                                                  On/Off button is out of the way
                                                                  so it is not accidentally pressed
                                                                  during a test

    Large, laser etched
    buttons that are easily
    depressed



Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Precision Xceed Pro Meter – Port Cover

The port cover prevents fluid
entering the meter.


The meter should NOT be used
without the yellow port cover in
place.


Meters damaged by fluid in the
strip port will be charged for.




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Precision Xceed Pro Workstation

The Workstation is Designed to House the :
           • Precision Xceed Pro Meter
           • Precision Xceed Pro Glucose and/or Ketone test strips
           • MediSense High & Low Control Solutions
           • Quick Reference Guide
           • Single Patient Use Lancing Device & Cotton Pads for sample collection



When not in use, always store the Meter in the Workstation!


Do NOT store used test strips or lancets in the Workstation!



Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Precision Xceed Pro Docking Station

The Docking Station is Designed to :

           – Send data to the Network
           – Receive latest System Settings


•        Data transfer only takes approx 10-20 seconds
•        The Precision Xceed Pro can be set to prompt you when it needs Docking
•        Several Precision Xceed Pro Meters can use the same Docking Station
•        After 3 ~ 4 minutes of non use the Meter will turn off automatically !




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
                                            Performing a Quality Control
                                            Test




Abbott Diabetes Care                           Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Consequences of not performing QC Tests
•         If QC is NOT performed, misleading results may lead to inappropriate
         treatment
• Always follow your hospital protocol to avoid putting patients at risk
• Under MHRA (Medicines and Healthcare products Regulatory
  Agency) guidelines it is your responsibility to perform/document QC
  results
• The Precision Xceed Pro will prompt when this is due


• QC solution is stable for 90 days after opening, so when opening a
  new bottle write the expiry date on the bottle.




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Performing Quality Control (QC) Tests

•         Turn the Precision Xceed Pro on via the ‘On/Off’ button
          & select option ‘2’ (2-Control Test) via the keypad
•         When prompted Scan :
           i.          Your Operator Barcode
           ii.         The Low Level solution Barcode
           iii. The Strip Lot Barcode
•         Follow the steps on Screen
           i.          Before applying solution, gently invert to mix & prevent air locks
•         Repeat the procedure for High Level Solution by :
           i.          Selecting option ‘1’ (1-Next Level) via the keypad
           ii.         Following the on-screen prompts




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Performing Quality Control (QC) Tests

    1. Open the strip using the triangular notch in the foil
       tearing down & across the length of the strip
    2. Ensure the 3 electrodes enter the port facing upward
    3. A sample can be applied to the top or tip of the test
       strip
    4. Apply a sample with the meter in a horizontal (flat)
       position to avoid it entering the strip port
    5. Fill trigger electrode ensures a sufficient sample is
       applied
    6. The result, or ‘PASS’ or ‘FAIL’, is displayed after 20-
       second countdown


Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Performing Quality Control (QC) Tests

•          If results are out-of-range or ‘FAIL’ :
           i.          Repeat test (option ‘2’)
           ii.         Ensure you follow correct procedure &
                       technique for QC testing


•          If repeated results are in-range or ‘PASS’
           you can proceed


•          If either repeated result is out-of-range or ‘FAIL’ follow
           Hospital Protocol for out-of-range Results


•          If proceeding to a patient test, press the ‘Menu’ key and you
           will be returned to the main menu



Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
External Quality Assessment (EQA)

• Where QC is a means of self-checking reliable results are attained,
  EQA involves the analysis of samples with unknown values from an
  external source


• These will be sent out on a regular basis from the laboratory


• Results are then subject to analysis to compare results across
  different sites




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
                                            Performing a Patient Test




Abbott Diabetes Care                           Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Performing a Patient Test
•          Turn the Precision Xceed Pro on via the ‘On/Off’
           button & select option ‘1’ (1-Patient Test) via the
           keypad
•          When prompted Scan/Enter :
           i.          Your Operator Barcode
           ii.         The Patient ID Barcode/Number
           iii.        The Strip Lot Barcode
           iv.         If you have to enter a patient ID number manually using the keypad
                       you will be asked to enter the number correctly twice before being
                       allowed to proceed to the next step

•          Follow the steps on Screen, ensuring you follow                                  Re enter ID using the
                                                                                                  keypad
           Hospital Protocol for sample collection




Abbott Diabetes Care                           Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Performing a Patient Test

  1.        Open the strip using the triangular notch in the
            foil tearing down & across the length of the strip
  2.        Ensure the 3 electrodes enter the port facing
            upward
  3.        A sample can be applied to the top or tip of the
            test strip

  4.        Apply a sample with the meter in a horizontal (flat) position to avoid it
            entering the strip port (If taking blood from a line, syringe away from the
            direction of the strip port)
  5.        Fill trigger electrode ensures a sufficient sample is applied
  6.        The result, complete with date & time, is displayed after 20-second
            countdown



Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Limitations of Use

• Particular care should be taken with those patients who are extremely
  unwell, particularly if they are :


         Severely dehydrated

         Severely hypotensive or in shock

         In a hyperglycaemic-hyperosmolar state e.g. DKA


• In these cases test results may be erroneously low
• If in doubt, send a venous sample to the laboratory



Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Action Ranges


Action Range
A result falling outside the action range will require some
intervention from the operator, such as to repeat the result. A
comment code can be scanned/entered into the meter.


For guidance on out of range results, please follow your Hospital
protocol.




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Recalling Patient Results

To recall patient results :

           With the Precision Xceed Pro turned on :

                       1. Press the ‘Menu’ button
                       2. Press button ‘1’ (1-Data Review)
                       3. Enter your Operator ID, either via keypad or scan
                       4. In Data Review you can choose to view :
                                 i.     All Patient Data, to scroll through all stored patient results
                                 ii. Patient by Patient ID, to scroll through a particular patient’s results
                                 iii. Patient by Operator ID, to scroll through all patient results you have taken




Abbott Diabetes Care                                  Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Data Upload ‘Docking the Precision Xceed Pro’

 Data Upload :

            1.         Place the Precision Xceed Pro in the Docking Station every 24 hours,
                       as per Hospital Protocol or when the meter prompts you
            2.         Data transfer only takes approx 10-20 seconds
            3.         Store the Precision Xceed Pro in its Workstation when data transfer is
                       complete
            4.         Several Precision Xceed Pro Meters can use the same Docking Station


            After 3 ~ 4 mins of non use the Meter will turn off automatically




Abbott Diabetes Care                          Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Health & Safety


     Always follow Hospital Protocol for Health & Safety !


           • Never place used Sharps or Test Strips in the workstation


           • Read & Understand the ‘Limitation of Use’ section, clearly printed on
             the insert that comes with every box of test strips


           • Clean the Precision Xceed Pro & Workstation thoroughly as instructed.




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
                                            Maintenance




Abbott Diabetes Care                          Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
Maintenance
Maintenance of the Precision Xceed Pro System :


1.       Clean the Precision Xceed Pro & Workstation with a damp cloth and a mild detergent.
         Acceptable cleaning solutions include alcohol and ammonia based cleaners. Bleach is
         not recommended.
2.       Replace ‘AA’ Alkaline batteries when ‘Low Battery Power’ message is displayed.
3.       Perform QC Test as per Hospital Protocol, when ‘QC Due Now’ or ‘Low, High Control
         Tests Required’ is displayed.
4.       Dock the Precision Xceed Pro as per Hospital Protocol, when ‘Upload Due Now’ or
         ‘Upload Required’ is displayed
5.       ‘Error nnn’, refer to Trouble shooting guide in Precision Xceed Pro Operator’s Manual.
6.       When not in use, always store the Precision Xceed Pro Meter in it’s Workstation.




Abbott Diabetes Care                        Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
                                            Any Questions ?

Abbott Diabetes Care                         Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08
                                            Congratulations !

You have completed the training session

                                                   Thank you



Abbott Diabetes Care                          Created on 10/01/08

PXP Cascade Training Pack ver. 3 07/04/08