glucometer /infection control - page 2

Have you all heard that this is a major issue this year with the DOH? We have 1 glucometer on each unit -6 finger sticks before breakfast and our trays arrive at 7:00. We now have glucometer wipoes... Read More

  1. by   SuesquatchRN
    Quote from CapeCodMermaid
    I called the company that makes the glucometers and had them send me a sheet on the proper way to disinfect...NO alcohol on the machine. It ruins the sensor. I was ready but the DPH had other priorities.
    Well, crap. I have always, even before the new tags being issued, wiped it down with an alcohol pad between uses.

    To everyone wondering about the other items: the concern is blood-borne pathogens. And I always wipe down my steth before and after use, same with my bandage scissors and clamps and sometimes the cuff on the sphyg.
  2. by   sls73
    Well I better check out the manufactures recommendations tomorrow....we use alcohol wipes b/t use on the glucometers. Housekeeping does disinfect the handrails and door knobs though already. We also clean blood pressure cuffs when visibly soiled. Getting ready to review my infection control policy and procedures for it's yearly review , so may as well make sure I get all of this covered.
  3. by   wooh
    Quote from ktwlpn
    During a mock survey recently a nurse dropped a pill on the floor,picked it up and BLEW ON IT then proceeded to administer it to the res.
    Well come on, if you blow the floor germs off, it should be ok right?
  4. by   wooh
    I know at one time, I was told that we could put the glucometer in a biohazard bag, so that it was covered, when we went into contact precautions rooms. That would "protect" it. Maybe that would be an option instead of waiting 5 minutes between sugars?
  5. by   ktwlpn
    Quote from CapeCodMermaid
    We just finished survey. Infection control wasn't even mentioned and I know they knew we used a glucometer because they were all over our sliding scale insulin documentation. We never use bleach in long term care here. I called the company that makes the glucometers and had them send me a sheet on the proper way to disinfect...NO alcohol on the machine. It ruins the sensor. I was ready but the DPH had other priorities.
    That's just the way it goes- We'll spin our wheels for the next month or so and then when they show up they won't mention it...That will be a laugh
  6. by   Nascar nurse
    My state has posted all over that we will be given an IJ if glucometers not properly sanitized. That is just nuts! AN IJ!?!

    I haven't been thru survey yet and so far haven't heard of any nearby facilities getting tagged for this - fingers crossed.
  7. by   SuesquatchRN
    Facilities in NYS have been tagged. The DON finally issued a policy yesterday.
  8. by   Havin' A Party!
    As of six months ago, this wasn't a requirement in PA for LTC. Not sure if that's the case today.

    Ironically, it was -- and still is -- for AL. Go figure.
  9. by   nursinger
    Quote from kmarie724
    Pretty soon we'll have to shower and change clothes in between every resident we come in contact with.
    Better yet...

    "Hi there, I've come to do your finger stick!"
  10. by   Havin' A Party!
  11. by   Finallydidit
    We just got the "new" policy a few weeks ago.. NO Alcohol on Gluc. Has to be bleach sanitizer, have to lay out on a paper towel and wait 2 minutes to dry. Also requires a couple of glove changes. 14 of my 30 Residents are diabetic.. I have 2 finger sticks per shift... We are not allowed to take the med or tx cart into Res. rooms so I just hold it in my hand, it never touches anything, even the Res, or the Res. blood.

    I do like the idea of 2 glucometers per cart, to save waiting time..
  12. by   ktwlpn
    We got a "newer" new policy last week.Seems they actually found a product that does not have to sit on the unit for FIVE minutes. We now first wipe the unit with an alcohol wipe and then a chlorox wipe and wait TWO minutes.That's do-able but still over kill IMHO with a glucometer that never touches anything-not even a table. At least the surveyors might believe we actually do it routinely. I'm on a 42 bed unit and we only have 8 finger sticks in the am so we are sticking with one glucometer-Our meal trays are staggered-hhalf the unit at a time so it works pretty well. DOH is due any minute-whoopee.....
  13. by   debRN0417
    If the glucometer is terminally cleaned at the end of each shift and then wiped down between residents- what is the problem? I am a surveyor- I don't understand...I watch this all the time. Am I missing something?