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AAU Select Workbook

This workbook will be used during the initial onsite staff training to aid as a resource during training.

AAU Select Turnover Workbook SIEMENS Healthineers www.usa.siemens.com/education I. Contact Information Summary Welcome to Siemens Healthineers Printed Self-studies • Virtual Education (Offerings & Registration) • Siemens Healthineers is dedicated to helping you get the most out of your investment throughout the entire Workshops & Fellowships • product life cycle and beyond. Our goal is to enable you to take technology further, profitability higher, and patient care to the next level. Find the information, resources, and Visit www.usa.siemens.com/clinicaleducation for more tools you need to get the most out of your recent information regarding the current Siemens investment and stay up-to-date. Clinical Training and Continuing Education portfolio. Visit www.usa.siemens.com/Welcome2Healthcare. Discover. Try. Buy. on webShop Clinical Training and Continuing Education Do you want to “Discover. Try. Buy.” options, accessories, Customer Care Center - Clinical Application Support: and clinical education to make the most of your imaging equipment? Discover images, case studies, Call 1-800-888-7436 and video demonstrations with the latest clinical Troubleshooting assistance applications. Try advanced applications utilizing • Immediate assistance for software free software trials. Buy applications, coils, clinical • applications and workflow issues education, and accessories, conveniently at any time. Visit www.usa.siemens.com/webShop today! Please provide the Functional Location Number when • calling for assistance. Siemens Training Centers Siemens Clinical Education Clinical Education Offerings: Training Center – TDC2 Call 1-888-221-8010 (follow the prompts) 110 Mac Alyson Court Cary, NC 27511 Classroom Training (Offerings, Registration • & Scheduling) Educational Symposia • On-site Training • 2 II. Contents I. Contact Information Summary ..................................................................................................................................... 2 II. Contents ............................................................................................................................................................................3 III. Course Description ......................................................................................................................................................... 4 IV. Agenda ............................................................................................................................................................................... 5 Day One .................................................................................................................................................................................6 1.0 System Overview .......................................................................................................................................... 6 1.1 Wireless Detector ................................................................................................................................... 6 1.2 Mobile Patient Table (*Optional) .......................................................................................................7 1.3 Tube/Support Arm/Receptor handle ............................................................................................... 8 1.4 Wireless Remote Control (*Optional) .............................................................................................10 1.5 Touch Screen Console (TSC) .............................................................................................................. 11 1.6 Generator Console ...............................................................................................................................13 1.7 Buttonology ............................................................................................................................................13 2.0 Introduction to Tablet and Startup ........................................................................................................15 2.1 Tablet Log On/Off and Shut Down ..................................................................................................15 2.2 Patient Registration Tab .....................................................................................................................19 2.3 Pre-Acquisition Preparations ............................................................................................................21 2.4 Post-Acquisition Image Manipulation ........................................................................................... 22 2.5 Accepting or Rejecting Images ......................................................................................................... 24 2.6 Image Reviewing and Queue Management .................................................................................. 25 2.7 Archive Tab ............................................................................................................................................ 25 Day Two ................................................................................................................................................................................26 3.0 System Training Continued ..................................................................................................................... 26 3.1 Wireless Detector ................................................................................................................................. 26 3.2 Batteries with Charger ....................................................................................................................... 26 3.3 Tablet Docking Station .......................................................................................................................27 3.4 Reject Analysis ..................................................................................................................................... 28 3.5 Customer Care Center ........................................................................................................................ 28 3.6 Perform Patient Exams ...................................................................................................................... 28 3.7 Review .................................................................................................................................................... 28 3.8 Checklist ................................................................................................................................................ 28 3 III. Course Description Course Overview: This training guide will enable the end user to effectively utilize the AAU Select system. Proper use of the systems functions and features will facilitate operators with precise workflow, quick patient through put and user satisfaction. The AAU Select is a sleek design and User friendly system. Upon completion of this course, you will be able to: Utilize the system to Perform Patient Exams. • Correctly use the ArtPix tablet. • Utilize the postprocessing functions to optimize image impression. • Correctly send Patient Images to archive destination. • 4 IV. Agenda Day One Introduction and overview of the System • Generator Console • Introduction to ArtPix tablet • Define Hospital Users • Postprocessing • Perform Patient Exams • Day Two Day one review • Settings • Reject Analysis • Introduction to the Customer Care Center • Protective Measures/Cleaning • Perform Patient Exams • Q&A • 5 Turnover Workbook | AAU Select Day One 1.0 System Overview Notes Objectives By the end of this section, the Technologist will be able to: Utilize the Wireless Detector • Utilize the Mobile Patient Table (*Option) • Operate the system, to include the tube, support Arm, and wireless remote • control (*Optional) Walk through the functions of the Touch Screen Console (TSC) • Cover the functions of the Generator Console • Buttonology • 1.1 Wireless Detector MAX slim Any configured and attached detectors are displayed in the detector list. This is • located in the Patient Registration or Study screens To attach a configured detector that has been used in another Siemens system • Press Attach Detector and follow instructions • Portable EZ 4 100% 50% Reset 141439 2430EZ Attach detector 6 Turnover Workbook | AAU Select Notes 1.2 Mobile Patient Table (*Optional) Carbon Fibre Table (Optional) 7 Turnover Workbook | AAU Select 1.3 Tube/Support Arm/Receptor handle Notes Vertical Column Swivel Arm Collimator Image Receptor Assembly X-Ray Tube Operator Control Mobile Table Touch Screen RECEPTOR HANDLE 10 3 Ho 4 5 7. 10 3. Motorized Vertical Movement of Swivel Arm 4. Motorized SID Adjustment 5. Motorized Rotation Movement of Swivel Arm 6. Automatic Undertable Positioning 7. Automatic Thorax Positioning 8. Safety Lock 9. Low Speed 10 . Motorized Rotation Movement of Image Receptor 8 Turnover Workbook | AAU Select Transverse Field Size Longitudinal Field Size Notes 1 CROSS ,44 LONG 47 SID 100 9Am Source to Image Distance Manual Blade Control KED 2 6 7 10 9 8 E Collimator controls: 1. Collimator Display 2. Manual Blade Control 3. Automatic Mode Indicator (Green) 4. System not ready Indicator (Red) 5. Manual Mode Indicator (Yellow) 6. Change of Filter 7. Collimator Lamp Control (Led "ON") 8. Retractable Metric Tape 9. Laser Pointer Window 10. Laser Pointer On/Off Button 9 Turnover Workbook | AAU Select 1.4 Wireless Remote Control (*Optional) Notes REMOTE CONTROL 12 # # 1I # 8 7 MOV 2 6 DETECTOR ROTATION 10 3 5 TUBE ROTATION 13 14- F1 F2 Automatic Positioning Button 3. Motorized Vertical Movement of Swivel Arm 4. Motorized SID Adjustment 5. Motorized Rotation Movement of Swivel Arm 6. Automatic Undertable Positioning 7. Automatic Thorax Positioning 8. 9. Safety Lock Low Speed 10. Motorized Rotation Movement of Image Receptor 11. Remote Control Sensor 12. 13. Collimator Control Button (At Remote Control) Tube Rotation (Not Available) 14. Pre-programmed Functions (Not Available) 10 Turnover Workbook | AAU Select 1.5 Touch Screen Console (TSC) Notes CONTROL PANEL Arm Angle SID 0 100 7 T + 3 . Height Detector Angle 129 17 5- -5 Ho 10. Positioning Programs Generator 10 MOVE 11- 2- 1. Touch Screen Console 2. Automatic Positioning Button 3. Motorized Vertical Movement of Swivel Arm 4. Motorized SID Adjustment 5. Motorized Rotation Movement of Swivel Arm 6. Automatic Undertable Positioning 7. Automatic Thorax Positioning 8. Safety Lock 9. Low Speed 10. Motorized Rotation Movement of Image Receptor 11. Remote Control Sensor 1.5.1 Positioning Screen Positioning Screen Arm Angle SID 105 + 134 Positioning Information Height Detector Angle 129 17 1 High / Low Speed Safety Lock Button Positioning Programs Generator Access to Generator parameters Screen Access to Programs Screen 11 Turnover Workbook | AAU Select 1.5.2 Selecting Programs using the Touch Screen Console Programs Screen Select the Program number with the Up and Down • arrow buttons Upright 180cm Mid Reference picture of Picture Program Number program number selected Press “Select” and the screen will display the • Positioning screen. 2 Position number selection Press and hold the “Move” button for auto • positioning. Select Select Program number. The screen goes to "positioning" SAVED PROGRAM SID 180 Height 135 Auto positioning Data Arm Angle 90 Detector Angle Auto Enable Manual or viceversa (Auto) O Tube Angle O Positioning Programs Generator Access to Generator Parameters Screen Access to Positioning Access to Programs Screen Screen (press and hold for 5 seconds) 1.5.3 Modifying Program positions SKULL 1 .- Press and hold "Programs" for 5 seconds. 2 .- Insert the password (1111) and press "OK". The position has been changed but not saved. Do you want to 3 .- Select the Program position number to be modified save these changes? and Press "Modify". 4 .- Then, press the "Positioning" button and press on the different motion buttons in order to place the Arm at the Yes No desired position. 5 .- Then, go back to Programs Screen (the screen shows Positioning Programs Generator actual position data) and press "Save". This screen does not allow exiting 6 .- Press "Exit", to go back to previous screen. without taking a decision Notes 12 Turnover Workbook | AAU Select 1.6 Generator Console Notes O kVp MAS mA WARNING: + + + + ATENCION: + 11 10 10 12 1. Power On 7. Radiographic Values 2. Power Off 8. AEC Density Values 3. Workstations Selection 9. Patient Size Selection (APR) 4. AEC Reset 10. Body Regions/Anatomical View Selection (APR) 5. AEC Field Selection 11. Focal Spot Indicators and Selectors 6. Film/Screen Combination 12. Exposure Indicators and Controls 1.7 Buttonology SID – These two buttons are used to increase or decrease the Source-Image • Distance. Release them to lock in position. SID Detents are set to 100 cm (40”) and 180 cm (72”). When one of • the positions is reached, the movement is blocked, to continue SP Y movement press the button again. -) I SID SID + SID 100 Vertical – Control the vertical motorized movement of Central • Carriage and consequently the vertical adjustment of the Swivel Arm. Release the buttons to lock in position. 1 4H Height 129 13 Turnover Workbook | AAU Select The Swivel Arm height (from center of the detector axis to the floor) is displayed Notes • on the Touch Screen Console (height). Swivel Arm Rotation – Press and hold the desired button to • engage the clockwise or counterclockwise rotation. Release of the button will lock the arm in place. The Swivel Arm Rotation is continuously indicated in the Touch • Screen Console (Arm Angle). Note Rotation angle of the Arm is Ho +120 degrees to -30 degrees from its vertical position 0 degrees. Arm Angle O Ho Undertable Position – press and hold the button to place the Swivel • Arm in the Undertable Position. Thorax Position – press and hold this button to place the Swivel • Arm in the Thorax Position. Low/High Speed – Default system movement is High Speed. To use • Low Speed press the button and the button will illuminate. To return to High Speed press the button again. Safety Lock – This button will illuminate on the Touch Screen • Console when the Undertable or Thorax positioning is reached, or when a safety device is activated. Image Receptor Rotation (Detector) – motorized movement • that covers +45 degrees clockwise to -45 degrees counterclockwise. DETECTOR ROTATION The Image Receptor Rotation Angle (Detector Angle) is • Detector Angle displayed on the Touch Screen Console. Move Button – To move the system into position after selecting the • desired number, press and hold this button. A message on the MOVE ) MOVE screen will display when saying “Position reached” and the Safety Lock button will activate. Move + Any movement button – If the unit is blocked (Safety Lock • MOVE MOVE active), press and hold the “Move button and then press the movement button desired. Any movement Button Rotation Display – This display shows the angle performed by the ROTATION • Arm and Detector. ROTATOR 14 Turnover Workbook | AAU Select Notes 2.0 Introduction to Tablet and Startup Objectives By the end of this section, the technologist will be able to: Turn the Tablet On/Off • Assign and set up Hospital-Users • Utilize the tablet for Patient Registration/Exposure/Archive • Utilize the Pre/Post Image Acquisition functions • Accept/Reject Image and Sending Images to Archive • Perform Patient Exams • 2.1 Tablet Log On/Off and Shut Down Log into the system by entering the created User Name and Password. • Login User Name* Password* Emergency Log in The following disclaimer will always appear, select ok. • Disclaimer Images displayed on this device alone shall not be used for diagnostic purposes. Diagnosis must be performed by a qualified physician on a dedicated high resolution workstation or a printed image. OK Select the gear icon and select Log Off, this will close the system and return to • the Login Screen. Select the gear icon and select Switch User, this will allow operators to switch • between Users and return to the same screen. Select the gear icon and Shut Down, this exits the application and turns off the • tablet. admin Switch User Log Off N Shut Down About 15 Turnover Workbook | AAU Select Hospital-Users Types and Access Rights Notes • Default Users are Emergency, Admin, and Super User • + Title Last Name First Name User Name Password User Type Emergency Emergency ******** Emergency ... admin admin ******* Admin super user super user ******* Super user Add new Users under User Type by selecting the + sign. • Add rights to new Users via Access Rights. Check all boxes that are needed, • then select Save. Delete Users by highlighting the User name under the User type and select the • “Trashcan” icon. Edit Users by selecting the User to be modified, then select the pencil icon • Hospital Examination Name Matching • Select Settings • Select Registration • Select “Hospital examination Names” • Fill in the “Hospital Examination Name” with the exact wording from the • hospital RIS work-list Under Examination use the drop down to select the correct Exam. • For extremity exams, select laterality (Left or Right). • Select “Add” and then “Save”; the Exam will move to the list on the right. • To “Edit” an existing name select the name from the list on the right hand side • and select Edit. To “Remove” the name from the Hospital Examination Names list, select the • name from the list on the right side and select Remove. Hospital Examination Names Hospital Examination Name: Hospital Exam Lat Add chst CHEST ( RAD ) None Examination: csp CSPINE ( RAD ) None AC JOINTS Edit elb ELBOW ( RAD ) None Laterality: None Remove hnd HAND ( RAD ) None Hospital Examination Tag: 0032 1060 Save Hospital Examination Nested T ... 16 Turnover Workbook | AAU Select The Top Panel indicates system status Notes • ART . PIX THALES adminy 13/11/2014 10:22:19 PM Green = System is ready for image acquisition • Red = System is not ready for image acquisition • OJO Workstation status = WIFI Status, press to refresh available WIFI networks • 99% 39% Green is greater than 75% • Yellow is 50% to 75% • Red is less than 50% • If connections are lost a red triangle will appear with an exclamation point (!). • Work station battery status • 000 Green is greater than 20% • Yellow is 9% to 20% • Red is less than 9% • Detector Connection Status • + 80% 70% WIFI Status • Green is greater than 75% • Yellow is 50% to 75% • Red is less than 50% • 17 Turnover Workbook | AAU Select Lost Communication Notes • A A Yellow triangle means the system is trying to reconnect. • Red triangle means the connection has been lost. • Detector Battery Status • Green is greater than 65% • Yellow is 35% to 65% • Red is less than 35% • Detector Temperature Status is only seen if there is concern. • Yellow means the detector battery is above normal operating temperature. • Red means the detector battery is at critical temperature, acquisition is • prohibited until battery is cooled. Disk Space • Yellow means the free disk space is higher than normal operating free space. • Red means there is not enough room to make another acquisitions (saving • image manipulations are denied). Queue Manager shows the sending status. The number on the top right corner is • how many studies are pending to be sent. 0 The yellow triangle indicates an item is stuck in queue. • External Tools when selected open items such as Remote Access, Reject Analysis, • and Capture last image data. 18 Turnover Workbook | AAU Select 2.2 Patient Registration Tab Notes Work-List registration • Automatic Patient Registration • Select the patient to be examined • Study screen will display • Additional Actions • Press the check box of desired exams to be performed. Multiple exams for the • same patient can be selected. Select Register once all exams are chosen. Press View to see the patient record • Press Close to discontinue or to close the patient • Press Refresh to update the worklist, this is also done in the background. • Registration Study Archive Search Name V Advanced Search > Urgent New Patient Barcode Refresh Worklist Registe View Close Status First Name Last Name Patient ID Age At Visit Gender Scheduled Date Exam Accession number Kirstie Dale 32352 52Y 11/5/2014 12:59:00 PM 11059060 - Bar Col 5371 34Y 11/5/2014 12:59:00 PM 11084090 Jennifer Colemar 45384 74Y 11/6/2003 1:43:00 PM 11086270 Penelope Miler 4792 69Y 11/4/2003 7:13:00 AM 11069130 George Lewis 212 42Y 11/3/2003 4:05:00 PM 11066590, 11066740 John Dog 209 60Y 11/3/2003 3:55:00 PM 11066470 Denis Lewis 210 93Y 11/3/2003 3:55:00 PM 92281191055 19 Turnover Workbook | AAU Select Manual registration Notes • Select New Patient tab and fill in mandatory fields, select Exams • New Patient First Name* Last Name* Alina Shapira ID Date of Birth* Age 3141516171 03 05 1983 31 Gender* Cancel Pregnant Height(cm) Weight(kg) BMI Exams's M Other Procedure Description Performing Technologist admin Patient Comments Medical Alerts Select Exams to be performed, then select Register • Registration Archive Search All Exams Select Exams Left Upper Extremity X SCAPULA SCAPULA SHOULDER Back HUMERUS Register Right Left AC JOINTS Accession Number ELBOW FOREARM Procedure Description Add To WRIST Referring Physician Worklist HAND Urgent Patient registration • Select the Urgent tab, this will allow for imaging without filling in mandatory • patient information. Information can be modified in the archive screen • 20 Turnover Workbook | AAU Select 2.3 Pre-Acquisition Preparations Notes Actions drop down • Actions V Close Visit Suspend Visit Discontinue Visit Add Exam Close Visit: Patient exam(s) will be closed and cannot be opened for further • imaging. Exams will appear in “Archiving”. Suspend Visit: Patient exam(s) will suspend and appear in “Registration”. • Exams can be re-opened for further imaging. Discontinue Visit: Work-List will open but the current patient will not appear on • the list. Add Exam: Will allow the addition of other exams to patient study. • Choose Patient Body Size • Body Size Confirm Selected Detector • Choose Exam and View • HAND PELVIS OBL LAT PA Once ready symbol is green, system is ready to receive acquisition. • ART . PIX 30% Registration Study Archive 21 Turnover Workbook | AAU Select 2.4 Post-Acquisition Image Manipulation Notes Edit any necessary data by selecting the corresponding pencil icon. • The top pencil is “modify image protocol”. • The middle pencil allows for modification of the techniques used by the • generator, to display correct technical factors in PACs. The bottom pencil allows adjustment to the ROI, for calculation of the DI. • CHEST AP 11/10/2014 8:19:36 AM KV : 73.00 mAs : 2.50 DAP : 0.00 mGcm2 DI: 0.4 Zoom x1.02 Flip Left-Right Check DI for correct exposure • DI>3 Red Excessive over exposure 2 Actions V Show: All Select all ..... Review Sen Name Actions EC Edit patient details Delete patient Protect Un-protect Refresh The following can be selected from this tab • Show • Select all • Delete • Send • Review • Multiple or single patient selection is possible • 25 Turnover Workbook | AAU Select Day Two 3.0 System Training Continued Notes Objectives By the end of this section Technologist will be able to: Review the Detector and Docking station for the tablet • Utilize Reject Analysis to pull a report • Review Customer Care Center Calls • Utilize the room for patient exams • Review Checklist • 3.1 Wireless Detector Any configured and attached detectors are displayed in the detector list. This is • located in the Patient Registration or Study screens To attach a configured detector that has been used in another Siemens system • Press Attach Detector and follow instructions • 4 Portable EZ + 4 100% 50% Reset 141439 2430EZ Attach detector 3.2 Batteries with Charger The system comes with two batteries and a charging station. • It takes approximately three hours to fully charge a depleted detector battery. • A fully charged detector battery should last approximately eight hours depending • on system use. 26 Turnover Workbook | AAU Select 3.3 Tablet Docking Station Notes The tablet can be placed in the docking station when not in use. • Tablet battery will charge in docking station. • It takes approximately two and a half hours to fully charge the tablet. • The tablet battery life is approximately fourteen hours. • Tablet must be in docking station for screen display on second monitor, if present. • 27 Turnover Workbook | AAU Select 3.4 Reject Analysis Notes Reject Analysis is located in the External Tools icon • adminv 13/11/2014 10:22:19 PM External Tools Reject Analysis Report Capture Remote Access Exit Once Reject Analysis Report is selected the user can make selections on what is • necessary to export. Reject Analysis Report Display Image Distribution By : Body Part and View echnologist ejection Reas Display Detailed Report Filter Report By: Date All From 8/30/2015 To 8/30/2015 Reject Reason All V Technologist All Body Part All Generate Report 3.5 Customer Care Center To contact the Customer Care Center dial 800-888-7436, then follow the prompts • to route you to Application or Technical Support. 3.6 Perform Patient Exams 3.7 Review 3.8 Checklist 28 On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical descriptions of specifications and options as well as standard and optional features which do not always have to be present in individual cases. Local Contact Information Siemens Medical Solutions USA, Inc. Siemens reserves the right to modify the 40 Liberty Blvd. design, packaging, specifications and Malvern, PA 19355-9998 options described herein without prior notice. Please contact your local USA Siemens sales representative for the Telephone: +1-888-826-9702 most current information. siemens.com/healthcare Note: Any technical data contained in Legal Manufacturer this document may vary within defined Siemensstrasse 1 tolerances. Original images always lose a certain amount of detail when Forchheim, Germany 91301 reproduced. Phone: +49 9131 84-4746 siemens.com/healthcare Siemens Healthcare Headquarters Siemens Healthcare GmbH Healthcare Sector Henkestr. 127 91052 Erlangen Germany Phone: +49 9131 84-0 siemens.com/healthcare Published by Siemens Healthcare GmbH · Order No. HOOD05162002979064 · Printed in USA · 0000.x · © Siemens Healthcare GmbH, 2017