DM related question & answer for JCI-2022

1 What is the meaning of POCT?

Point of care test.
The term used to describe laboratory testing performed usually by the non-
lab staff- mainly medical and nursing staff- outside the main lab.

2 POCT available in the unit are:

Blood glucose, blood ketone

3 Where can you access the policies regarding Performing Point of Care Testing
and Performing Quality Control of POCT?
ARIS - - Departmental view --Departmental level - -DHA Structuring model--
Rashid Hospital – Assessment of Patient
( Or)
ARIS - - Departmental view - - Operational level - - Core processes - -
Assessment of Patient

4 Why do we need to keep the glucometer in the docking station?

To keep the meter to remain fully charged
To transmit the data
5 Normal capillary blood volume required to analyze glucose on Glucometer
is 1.2 μL.

Normal capillary specimen volume required to analyze β-ketone on Glucometers

6 is 0.6 μL.

7 The glucose test result displays after 6 seconds in glucometer

β-ketone test result displays after 10 seconds in glucometer
8 Glucometer’s reportable range in glucometer
10 to 600 mg/dl for blood glucose
0.1 to 7.0mmol for β-ketone

9 Rt indicator light -Amber- when charging, green when fully charged

Left indicator light-Hospital network link
Center indicator light-Network activity
10 Is there expiry date for the battery?
Yes. Expiry date is written upper rt hand corner of the battery label. (3.7volt
lithium battery)

11 The meter will go in sleep mode automatically after 90 minutes of non-use

12 Date of Opening, Date of Expiry, staff initials and staff number to write on the
 strip’s bottle & QC solution vial’s
a. True
b. False
13 If no order available for POCT, how will you check the PCOT during
emergency situation?
Nurse can Order POCT for patient using option ‘POCT Glucose Once’ in
SALAMA

14 Lancet used for Blood sugar checking has valid date of expiry
a. True
b. False

15 When will you do critical lab reporting of POCT Glucose?

<47mg/dl and > 400mg/dl

16 Do we need to perform PPM for Novastat strip Glucometer?

No need; it is calibrated by the manufacturer?

17 What is the expiry date of strips (glucose and ketone) and QC solutions?
Exp date of glucose strips-180 days
Exp date of Ketone strips-90 days
Exp date of QC Solution-90 days

18 Which barcode is used for scanning the patient for checking POCT
1 D barcode

19 How do you disinfect the glucometer?

By using Caviwipe Metrix

20 What are the actions to be taken if quality control reading falls out of
acceptable ranges?
Recheck using proper technique and confirm. If still out of range inform unit
in-charge and biochemistry for further assistance.

21 When do we need to do Glucometer Quality Control Test?

"If Glucometer is in use on daily basis:

**Once in 24 hours, run 2 different levels (High / Low) of the control
solutions.
**If Glucometer is not used for more than 24hrs; glucometer will be
automatically locked. To unlock the glucometer prior to testing any patient
 specimen, run 2 different levels (High / Low) of the control solutions.
**And under the following circumstances:
1. If the QC result is out of range OR within borderline
2.When opening a new box of strips-with a new lot number
3.If the meter has been dropped
4.Whenever there is doubt about the performance or the result
5.When changing the battery
22 Who validates the QC Check data?
It is monitored centrally and lab staff will do.

23 How to store Insulin?

Unopened vials in fridge
Opened vials in High alert cabinet

24 Hypoglycemia
 Hypoglycemia protocol available
 Hypoglycemia Algorithm is available
 Hypoglycemia- Blood sugar below 70 mg/dl or if patient is
symptomatic
 Mild, moderate and severe hypoglycemia
 We use hypo-box items to correct the hypoglycemia
25 DKA
We follow DKA pathway