All non-hospital medical and surgical facilities are required to have a glucometer, and they are encouraged to review their glucometer practices to ensure they are in accordance with the program’s Point-of-Care Testing standard.
Only single-use auto-disabling finger stick devices, also known as “safety lancets,” are to be used in the non-hospital setting. Fingerstick devices are designed to be used only once, after which the blade retracts, is capped or is otherwise made unusable.
Reusable fingerstick devices are not to be used in the non-hospital setting. Reusable fingerstick devices resemble a pen and lancet (endcap). The lancet is removed and replaced after each patient use. These devices are no longer permitted because of their link to blood-borne virus transmission and because they cannot be adequately cleaned.
The Centers for Disease Control and Prevention website provides useful images and descriptions of appropriate single-use fingerstick devices and reusable fingerstick devices.
Glucometers are to be cleaned and low-level disinfected (e.g. wiped down with a CaviCide™ wipe) after every use.
To ensure that the glucometer provides accurate blood glucose testing results, quality control testing needs to be performed in accordance with the glucometer’s manufacturer’s instructions for use. Glucometers are to be calibrated using testing reagents, which can be obtained from a pharmacy or the medical supplier/distributor of the device. Both the testing reagents and the glucometer testing strips also need to be checked to ensure they are within their labeled expiry date.
For further information, refer to the program’s Point-of-Care Testing standard.