ADVIA® 1800 Chemistry System Quality Control Online Training

Au moment du traitement des échantillons à code-barres sur le Sysmex CS-2000i connecté à une interface hôte bi-directionnelle, il vous suffit de charger les échantillons et de sélectionner Lancer. Cliquez sur le lien ci-dessous pour en apprendre plus sur l'interface bi-directionnelle de traitement. Welcome to the ADVIA® 1800 Chemistry System Quality Control Online Training course. The system provides a fully functional QC package that includes: Levey-Jennings graphs and numerical statistics in both daily and cumulative formats Reports that can be printed Select Next to continue. Describe how to review QC results using Daily Precision Control and RealTime Monitor Describe when to process QC List the options for managing QC List the steps required to process QC material List the steps required to save daily QC to the cumulative file Upon successful completion of this course, you will be able to: Select Next to continue. La liste de travail du système Sysmex CS-2000i met à disposition l'ensemble des informations relatives aux patients et aux contrôles de qualité. Elle vous permet de visualiser l'état des échantillons, les alarmes pré-analytiques, les messages d'erreur, ainsi que les cinétiques de coagulation en naviguant sur l'écran de la liste de travail. Cliquez sur le lien ci-dessous pour en savoir plus sur les informations des échantillons et des résultats dans la liste de travail. Congratulations.  You have completed the ADVIA®1800 Chemistry System QC Online Training course.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz. Describe when to process QC Laboratories set the guidelines for the frequency of processing QC Siemens recommends at least 2 levels every 24 hours List the steps required to process QC material Select the Start button on the Operation Panel. Select Analyze in the Control Sample box. Select Temp. Item Select and Make choices. Select Temp. Sample Select and make choices. Select Start to process the QC. Describe how to review QC results using Daily Precision Control and RealTime Monitor Daily Precision Control: From the Menu Panel select QC Daily Precision Control X-Chart Quick visual review of each analyte on each control RealTime Monitor: From the Menu Panel select Request RealTime Monitor Make sure each test requested is displayed Look for flags Repeat QC as needed Print your results List the steps required to save Daily QC to the cumulative file Review Daily Precision Control X-Chart. Select the X to close the window. Read the Prompt. If it is your responsibility to file the QC, select Yes, otherwise, select No. Select Yes to Exit the window. Note:  Daily QC should only be filed to Cumulative files once daily.   List options for managing QC including viewing charts, statistics, and screens for editing and commenting Both Daily Precision Control and QC Cumulative give options for managing QC including: X-Charts QC List Control Data/Summary Select Next to continue. The daily maintenance procedures include cleaning the rack handler and SG well.  The system prompts you to clean the SG well when twenty four hours have elapsed since the last cleaning.  The system will not begin testing until the SG well is cleaned. Select the links below to learn about cleaning the rack handler and SG well. Initial setup of your laboratory QC is done by your Technical Application Specialist when the ADVIA® 1800 Chemistry System is installed. The TAS uses three windows to define the laboratory QC materials: QC Sample Definition Ctrl/Cal Setup Ctrl Data Setup Note: Login at the Supervisor level is needed to access these windows. QC Setup Windows Learn about QC Setup windows. Tab TitleTextCtrl/Cal Setup The following information is entered in the Ctrl/Cal Setup window: Container type Lot Name Lot # Exp. date    QC Sample Definition The following information is selected in the QC Sample Definition window: CTT position A letter from A to Z is selected for each control The tests to be performed on the individual QC definition are selected in the Test Table Serum or urine as a sample type is selected  Control Data Setup The following information for each QC material is entered on the Control Data Setup window for daily and cumulative QC: Mean 1 SD (standard deviation) When complete, select the X in the upper- right corner to close the window and continue.   The card grippers on the right side of the card platform should be cleaned when debris is present in this area.  The grippers are cleaned with 70% isopropyl alcohol. Select the link below to learn more about cleaning the card grippers. Follow your laboratory specific guidelines for the frequency to process QC material. Siemens recommends: 2 levels of QC material be run at least every 24 hours to verify system performance QC be done following every calibration Following a lamp change, all analytes be calibrated and QC be performed Following the changing of the RRV cuvettes, all analytes be calibrated and QC be performed Following FSE preventive maintenance or troubleshooting, all analytes must be calibrated and/ or QC be performed Select Next to continue. To sustain the market success of the ADVIA Centaur Immunoassay systems, the new ADVIA Centaur® XPT Immunoassay system product line extension is designed to enhance the customer's experience with the addition of new features.  It is also important to discuss the sustainable benefits associated with these features with the customer.   Processing Quality Control: Initiated by selecting the Start button on the Operation Panel Samples are always processed along with calibrations Samples can be processed alone or along with ordinary samples   Note: Not all laboratories use the same QC materials.  Follow manufacturer directions for QC preparation, storage and handling. Processing QC Learn how to process QC. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004653/sim_1800_QC_Process1_750x600_9/sim_1800_QC_Process1_750x600_9.swfHTML5 File:/content/generator/Course_90004653/sim_1800_QC_Process1_750x600_9/index.htmlPDF File: You have just learned about processing QC.  Now let's practice what you have learned. Note: In this simulation the selections for calibration will automatically be performed.  You will be required to make the selections for processing QC. Practice Processing QC Practice processing QC along with a calibration. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004653/sim_1800_QC_Process2_750x600_9/sim_1800_QC_Process2_750x600_9.swfHTML5 File:/content/generator/Course_90004653/sim_1800_QC_Process2_750x600_9/index.htmlPDF File: To monitor the progress of your QC samples, use the Test Result Monitor window. This window provides: Color coded sample status The ability to walk away and continue to monitor the QC in process The time when samples are completed A decrease in transition time to patient sample processing Monitoring QC Learn about monitoring QC. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004653/sim_1800_QC_Monitor_9/sim_1800_QC_Monitor_9.swfHTML5 File:/content/generator/Course_90004653/sim_1800_QC_Monitor_9/index.htmlPDF File: Review QC results using the following windows: Daily Precision Control Real Time Monitor Review QC with Daily Precision Control Learn how to review QC results using the Daily Precision Control window. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004653/sim_1800_QC_ReviewDPC_750x600_9/sim_1800_QC_ReviewDPC_750x600_9.swfHTML5 File:/content/generator/Course_90004653/sim_1800_QC_ReviewDPC_750x600_9/index.htmlPDF File: Review QC with the RealTime Monitor Learn how to review and print QC results using the RealTime Monitor window. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004653/sim_1800_QC_ReviewRTM_750x600_9/sim_1800_QC_ReviewRTM_750x600_9.swfHTML5 File:/content/generator/Course_90004653/sim_1800_QC_ReviewRTM_750x600_9/index.htmlPDF File: Before leaving the first chapter, let's summarize some facts in an exercise. Daily QC must be saved to the cumulative file only once a day. The Save should be done on the same shift every day so it is routinely captures the same time frame of statistics. Saving Daily QC to the Cumulative file Learn how to save daily QC. Slide NumberText BlocksCalloutsAudio ScriptImage File1Select QC from the Menu Panel.Note: If audio does not automatically start, select the play arrow in the top left to begin.Now, let's learn how to save the Daily QC results to the Cumulative files. From the Menu panel, select QC.2Select Daily Precision Control.   Select Daily Precision Control. 3Select the X in the upper right-hand corner to close the QC window. When the Daily Precision Control window opens, review your QC. If all values are within your laboratory guidelines close the window. Select the X in the right corner of the QC window. 4Read the prompt, then select Yes. Note:  For accurate statistics Save QC once daily and on the same shift.A popup window opens asking you to confirm that you want to save the Daily QC to Cumulative QC files. Answer yes only if it is your responsibility to perform the daily save. If it is not your responsibility, answer no. When Yes is selected, all the QC data from the last save would be calculated and registered in the cumulative QC files. For example. Glucose Chem QC1 has been run 3 times since the last save. The values were 72, 74 and 76. The average mean for the day is 74. This mean point is filed in the cumulative data for Glucose Chem QC1for the given day. If the save had been done on the previous shift by mistake, when you perform the save, only the last point of 76 will be filed in cumulative and the data would not be accurate. If this is done multiple times, your cumulative QC data will not be a true representation of how Glucose is actually running in your lab and your statistics will be skewed. Now, select Yes.5Select Yes.Another popup appears to give you the option to Exit the Daily Precision Control window. Select Yes.6Congratulations.  You have filed your daily QC results to the cumulative files. When complete, select the X in the upper-right corner to close the window and continue.Congratulations. You have filed your daily QC to the Cumulative files. When complete, select the X in the upper-right corner to close the window and continue. The ADVIA® Chemistry System provides options to manage QC statistical data in both the Daily Precision Control and QC Cumulative windows. Managing QC Statistics Learn how to manage statistical data. Tab TitleTextDaily QC: Control QC Summary In the control list, select a control to review. The daily statistics for the selected control display.   Optional: You can use the daily statistics to establish the Daily QC average and 1 SD values for a control on the Control Data Setup window.  Refer to the Online Operator Guide for directions on this procedure. QC Cumulative: X-Chart X-Chart display from the QC Cumulative Menu It is similar to the X-Chart display for Daily QC Each control product is identified by a letter (A to Z) that is assigned at the QC Sample Definition window There are two charts for each test. The daily means are plotted on the top chart, and the daily ranges are plotted on the bottom chart The heading identifies the test and provides the mean and SD for the daily means QC Cumulative: Control Data At the View (V) menu, select Control Data (D). In the Control list, select the control you want to review. A letter (A to Z) defines each control product that is assigned at the QC Sample Definition window. In the Test list in the lower panel, select the test you want to review. Note: You cannot edit or erase a questionable daily data point, but it can be omitted at the supervisory level.  Refer to the Online Operator Guide for complete information.   QC Cumulative: QC Summary QC Summary You can use the cumulative statistics to establish the QC Cumulative mean and 1 SD values for a control at the Control Data Registration window. Since this task is usually not performed at the User level, refer to the Online Operator Guide for information on how to perform this task. Note:  The selected cumulative control information is sent to the Control Data Registration window. This data can also be printed. When complete, select the X in the upper-right hand corner to close the window and continue.