ACUSON NX3™ Series Ultrasound System, Getting Started

Getting Started  ACUSON NX3™ Ultrasound System Learn more about the ACUSON NX3 Security features. System Security Features Learn more about the system security features Slide NumberText BlocksCalloutsAudio ScriptImage File1The configuration of the security for the system is accessed via the Preset key on the keyboard.  Next, select the Authorization option on the left side of the displayed screen and enter the required details. Two levels of login access – Standard and Administrator. ​Standard - Access to the study screen and  can change their own passwords but cannot make new to accounts. Standard level protects patient data by requiring a unique username and password to login. Administrator - Access to the study with additional access to create new user accounts.  The configuration of the security for the system is accessed via the Preset key on the keyboard. Next, select the Authorization option on the left side of the displayed screen and enter the required details. There are two levels of access to choose from, the Standard level and Administrator level. Standard level access: The standard level provides access to the study screen or image screen for viewing and transferring patient data. In the standard level, users are able to change their own passwords but will not be able to create new accounts from themselves. The Administrator level access: Administrator level access provides the same access to study screen, and image screen for viewing patient exams. Users with administrator access can change their own password. The administrator level also has additional access including the ability to create and manage user accounts. It is important to remember that to protect patient data, the ACUSON NX3 Series ultrasound system should be configured to require all users to log in with a unique username and password. This is achieved using the Standard level access. Please make sure that all users with administrator access are identified during the training and present for the system installation. Learn more about patient registration methods and configurations. Patient Registration Methods and Configuration Learn more about patient registration methods and configuration. Slide NumberText BlocksCalloutsAudio ScriptImage File1Options to register a patient are: 1.Manual entry 2.Barcode entry 3.Worklist recall 4.Registration Bypass »Asterisk * in place of patient name »Current date and time in patient ID field Patient Registration MethodsThere are four ways to register a patient on the system: Manual Entry, Barcode Entry, Worklist recall, or Registration Bypass. Let’s discuss each of these individually. The first is called the Manual entry First, select New Patient from the control panel to access the patient demographic page. Next, Patient data can be entered manually on the displayed patient demographic or registration page by using the keyboard. Next is the Barcode entry to register a patient. For Barcode, begin by selecting New Patient from the control panel. Place the cursor within the first entry field on the patient demographic form. Next, scan the patient ID barcode to import the patient name, ID, performing physician, and other tagged demographics. If additional patient information such as location, study reason, or other, this can be added manually as necessary. The third patient registration type is the Worklist recall. Begin by selecting New Patient. Next enter the patient data to be searched and select Worklist from the upper left side of the form. A list of available studies will display. Now, select the desired study and press OK to begin that study. Finally, the last registration type is Registration Bypass. Registration Bypass allows the user to begin an examination without registering the patient immediately. This is useful in emergency situations. To begin, press the control panel key that is assigned to the Print Store function, on the right of the trackball, above the freeze button. The system will automatically open a new study, and auto-populates the patient name with an asterisk (*) and the patient ID with the current date/time the exam was started. The examination can continue as usual. Remember to add the patient information using the manual entry; this can be edited up until the exam is ended. Now that we have defined the different ways to register a patient let's now look at the configuration and customization of patient registration. 2Patient Demographic Page Presets > General 2   Customization options for patient registration are accessed with the Presets key.   Data entry order can be customized in the Patient ID section by selecting the Customize Entry Order option.   To customize the patient registration type, select an option from the drop-down menu: Original e-entry Patient Registration ConfigurationNow, during patient registration, pressing the Tab key on the keyboard moves the cursor between each data entry field located on the patient registration or demographic form. You can change the sequence that the cursor progress through the fields in a certain user-defined order. This customization of the data entry sequence can streamline the patient registration process by allowing the user to skip unrequired or unused data fields. Let’s go over the steps to customize the tab movement order: First, select Presets from the keyboard. From the configuration menu select General 2. Next, find the Patient ID section on the page and select Customize Entry Order. Now, move the desired options in the correct order from the Selectable Entries column over to the Entry Order column. Please note, the layout of the patient registration form does not change. The only change is the order by which the cursor moves throughout the form. The type of patient registration form can also be selected in the Presets under the General 2 menu option. Look under the Common Mode section find two drop-down menu options for the patient registration form: the Original and the e-entry. These two form options will be discussed on the next slide. 3Patient Registration ConfigurationOriginal / e-entry   The Original patient registration option uses the standard patient registration form with conventional requirements for data entry. If a barcode reader is being used for patient registration, the Original option must be configured. The e-entry option displays an overlay of patient identification fields on the image screen. The Original patient registration option is the standard (long) patient registration form with all of the conventional requirements for data entry. If a barcode reader is being used for patient registration, the Original option must be configured. The barcode reader cannot be used with the e-entry option. The e-entry option is a simplified display, as shown here it is an overlay of the patient identification field on the image screen. 4Patient Registration ConfigurationBarcode reader options Presets > Peripheral The Barcode Reader option identifies patient information in a barcode used by the facility for registration.   Configuration options are found under Presets.   Selectable options include patient information, performing physician and sonographer. As mentioned on the previous slide, a barcode reader is an available option for registering a patient. The barcode reader allows the user to quickly and easily register the patient data onto the ultrasound system by scanning a barcode on the patient paperwork or scanning schedule. To configure the barcode reader option, select the Presets key and the Peripheral option once in the configuration menu. The user is able to select which information types will be read (e.g., patient last name or performing MD) as well as the allowed character length of the entry. Please note that If the barcode reader option is utilized, the configuration of the patient registration type must be Original and the barcode reader option cannot be used with the short re-entry patient registration option. 5Worklist Presets > DICOM To use the patient worklist to retrieve patient data, configure the worklist server settings in Presets. To streamline the worklist search, select the Worklist Server option from the tab headings.   Enable (turn On) Streamlined Search – system will only search procedures scheduled for the next 24 hours. System must be connected to a HIS/ RIS server to access a patient worklist.Patient Registration ConfigurationPatient data can also be registered on the system by using a worklist. Once configured, the worklist option allows the user to list all the current patient data defined by the search parameters configured on the system. Certain facilities will include many different modalities such as CT, MRI, X-Ray, and Ultrasound onto a worklist schedule for patients. Depending on how the worklist is configured for the facility, the worklist can be quite large so, the worklist search parameters can be streamlined in the system configuration. Defining the guidelines that the system searches can improve your workflow by only displaying pertinent exams, such as ultrasound on the worklist. One such control option is located in the system. Presets > DICOM > Worklist Server and is known as Streamlined Search. When the Streamlined Search is enabled, the system will perform a search from the patient data form by only searching for the procedures on the worklist server for the next 24 hours. This feature speeds up the search activity by limiting the data the system has to search when updating the worklist information. Please note that when the Streamlined Search feature is enabled, it will apply to all configured worklist servers. Learn more about query, retrieve, and edit features. Query, Retrieve, and Edit Learn more about the query, retrieve, and edit features. Slide NumberText BlocksCalloutsAudio ScriptImage File1To use the Query / Retrieve feature to obtain patient data, select the Patient Browser.   Once in the browser, select Query and add the required patient information - the system will display studies that match the defined search criteria.   To import a study, load the appropriate storage device (USB or CD / DVD), select the desired study from the device, then select Retrieve to load the study on the system. Query / RetrieveThe query and retrieve function allows the user to search for patient data or import patient data from an offline study back on to the system. To use the query and retrieve feature: Begin by select Patient Browser on the keyboard. Next, select Query – the system will display all studies that match the defined search criteria. Now if you need to re-import a study. First, load the appropriate storage device on to the system (USB or CD / DVD). Insert the device onto the NX3 and select the desired study from the list on the storage device, then select Retrieve to load (import) the study onto the system. 2Entries on the patient demographic form can be edited anytime during the patient exam.   Select the Patient Data key on the keyboard to display the form, then edit the appropriate fields and press OK to save the revisions. EditEntries on the patient demographic form can be edited anytime during the patient examination. This can be edited as long as the study has not been closed or ended. To edit the patient information: First, select Patient Data on the keyboard to display the form Then, choose and edit the desired fields using the keyboard Last, select OK to save the revisions and re-display the imaging screen. Please note that studies imported from the worklist server cannot be edited for patient name, patient ID, accession number, date of birth, age, or sex. These exams have already been closed or ended. Outline patient registration methods and configuration Describe security features Upon successful completion of this course, you will be able to: Understand Query / Retrieve / Edit features Discuss customized exam presets Perform the steps to end an exam The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. ACUSON Sequoia is a trademark of Siemens Medical Solutions USA, Inc.   Copyright © Siemens Healthcare GmbH, 2019  Please note that the learning material is for training purposes only!   For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training.  The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases.   Certain products, product related claims or functionalities described in the material (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. Learn more about customizing exam presets. Customize Exam Presets Learn more about customizing exam presets. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Quick Sets are customized imaging settings for a specific transducer and exam type. Quick Sets can be created, overwritten (edited) and deleted. Settings can be backed-up and restored using CD / DVD / USB             Mode QuickSets         2D-mode M-mode Color Flow Power Mode Doppler Gain Transmit Frequency Color Map Transmit Frequency Transmit Frequency Persistence Sweep Speed Baseline Gain Gate Size Gray Map Dynamic Range Scale Scale Baseline Dynamic Range Edge Enhancement Transmit Frequency Filter Scale Edge Enhancement Map Persistence Persistence Tint Tint Gain Resolution / Speed Power Map Sweep Speed 2D FOV Transmit Power Smooth Smooth Doppler Gain Transmit Power Tint Gain Color Priority Map Depth   Filter Resolution / Speed Angle Focal Zones   Color Priority Flow State Update Rate Transmit Frequency   Invert Directional Power Filter Flip (U/D)   Flow State   Volume Flip (D/U)   Color DTI   Gain Resolution / Speed   Color DTE   Dynamic Range THI       Time/ Frequency Resolution Trapezoid Display Format       Spectral DTI SieClear/ Advanced SieClear       Auto Stat LVO Contrast       Sensitivity  Clarify VE         TGO Gain DTO Offset DTCE Image Presets          The Quick Sets are customized imaging settings for a specific transducer and exam type, and these can incorporate many different parameters in all major modes. Quick Sets can be created, overwritten (edited) and deleted. There is a maximum of 128 Quick Sets allowed on the system at one time. Quick Set names can have a maximum of ten characters per Quick Set name and will be denoted by an asterisk (*). Customized Quick Sets can easily be backed up and saved for system restore using USB or CD / DVD. The customizations can be transferred to another ACUSON NX3 Series system. Please note that If you attempt to create a new Quick Set or load a saved Quick Set from disk after the maximum is reached, the system requires you to delete one or more existing Quick Sets before you can add new ones. 2To create a Quick Set: 1.Select the exam and transducer to be customized. 2.Complete desired customizations. 3.Press Quick Set on the keyboard or Exam on the control panel. 4.Enter exam name in the Quick Set Name field. 5.To make the new setting the default select Yes next to Active Quick Set when transducer is selected. 5.Select Set as Default. 6.Select New to add the new Quick Set to the Exam / Quick Set list. 7.Select Close. Overwrite / Delete / Rename a Quick SetQuick Set names can be a maximum of 10 characters in lengthUp to 30 characters of optional information can be added to the Description field for each Quick Set.Here are the steps to create a Quick Set: 1.Select the exam and transducer to be customized 2.Adjust the settings as required 3.Press Quick Set on the keyboard or press Exam on the control panel 4.Enter the Quick Set Name in the available field (up to 10 characters) 5. To make the new setting the default for the transducer select Yes next to Active Quick Set when a transducer is selected 6.Select Set as Default 7.Select New to add the new exam to the list of Quick Sets 8.Select Close Please note that up to 30 characters of optional information can be added to the Description field for each Quick Set. 3Overwrite / Delete / Rename a Quick SetTo Overwrite a Quick Set: 1.Adjust the image parameter settings as required. 2.Press Quick Set on the keyboard or Exam on the control panel. 3.Enter the name of the Quick Set and select Overwrite. 4.To assign the new Quick Set configuration to the existing name, select OK. 5.Select Close. To Delete a Quick Set: 1.With the Quick Set list displayed onscreen, select the exam to be deleted. 2.Select Delete. 3.Select Close. To Rename an existing Quick Set: 1.Enter new name in Quick Set Name field. 2.Select Rename. 3.Select Close. Here are the steps to Overwrite a Quick Set: 1.Adjust the image parameter settings as required 2.Press Quick Set on the keyboard or Exam on the control panel 3.Enter the name of the Quick Set and select Overwrite 4. To assign the new Quick Set configuration to the existing name, select OK 5.Select Close To Delete a Quick Set: 1.With the Quick Set displayed onscreen, select the exam to be deleted 2.Select Delete 3.Select Close 4To select a Quick Set for imaging: 1.Press Quick Set on the keyboard and then select Exam, or Press Exam on the control panel 2.Select the required transducer to display associated exams 3.Select the desired exam type 4.Select Close Selecting a Quick SetNow, to choose a Quick Set for imaging: First, press Quick Set on the keyboard and then select Exam or press the Exam key on the control panel Next, select the required transducer to display the exams associated with the chosen transducer and select the desired exam type, then select Close. Please note, if the transducer associated with a Quick Set is not connected to the system, the Quick Set is not selectable. Learn More about the steps to end an exam. End Exam Learn more about ending an exam. Slide NumberText BlocksCalloutsAudio ScriptImage File1End ExamTo manually end an examination, the user may use the END key, Patient Browser or the Review screen. The second scenario, to end the current patient examination when image or clip is not stored. Press Patient Browser on the keyboard, or press Review on the control panel. The study screen will display. Select Close in the study field.   The third scenario, to end the current patient examination and to begin a new examination. Press New Patient on the control panel. Enter the Patient Data and select OK. When an exam is ended, the system closes the exam. The patient information is removed from the image screen, and the patient exam is archived to the device is configured. In the event the system is shut down without manually ending a patient exam, the system will automatically complete the patient examination during the system shut down. Before starting a new examination or between examinations, you must complete the patient examination by manually ending the examination. To manually end an examination, the user may use the END key, Patient Browser or the Review screen. There are three workflow scenarios to consider when closing an exam and they differ depending on if images were collected or not collected, and if a new exam is pending. The first scenario is to end the current patient examination when an image or clip is stored. 1. Press Patient Browser on the keyboard, or press Review on the control panel. Then select Close Study. The second scenario, to end the current patient examination when image or clip is not stored. 1. Press Patient Browser on the keyboard, or press Review on the control panel 2. The study screen will display 3. Select Close in the study field The third scenario, to end the current patient examination and to begin a new examination. 1. Press New Patient on the control panel 2. Enter the Patient Data and select OK. Please note, that the function of the END key can be configured in system Presets > Customize Keys > END key. Complete the self verification section below to verify that you have performed the appropriate tasks. Outline patient registration methods and configuration Describe security features In summary, these are the topics that have been discussed: Understand Query / Retrieve / Edit features Discuss customized exam presets Perform the steps to end an exam Thank you!