ADVIA Centaur® CP Immunoassay System Scheduled Maintenance Online Training

A change in lifestyle is both the most important and the most difficult factor in the treatment of CAD. Drug therapy normally consists of several drugs intended to relieve symptoms and, above all, prevent progression of the disease, thereby improving the prognosis.  The typical drugs used in CAD therapy are shown in the table on the left.  Other drugs may also be considered. Patient-specific selection of medication naturally has to take into account possible interactions and contraindications.   Welcome to the ADVIA Centaur® CP Scheduled Maintenance Online Training course. Performing Weekly, Monthly and As Needed Maintenance Procedures will allow you to: Keep the instrument running optimally Reduce downtime in your lab Select Next to continue. Identify As Needed Maintenance Procedures Identify the Monthly Maintenance Procedures Identify the Weekly Maintenance Procedures Upon successful completion of this course, you will be able to: Select Next to continue. Congratulations. You have completed the ADVIA Centaur® CP Scheduled Maintenance Online Training Course. Listed below are the key points that have been presented. Take time to review the material as needed before proceeding to the final quiz. Identify the Weekly Maintenance Procedures  Weekly procedures performed while the Analyzer is On: Automated Weekly Cleaning Procedure The Automated Weekly Maintenance procedure for the ADVIA Centaur CP system involves a thorough cleaning of the DI water container, and running cleaning solution through the water line into the system. This procedure has both operator and system tasks.    Weekly procedures performed while the Analyzer is OFF: Cleaning the Incubation Ring: When probe is washed the incubation ring cover can get dirty.  We clean the incubation ring cover so to Remove residual reagent around  the dispense port. Cleaning the Reagent Probe:  At times the exterior of the reagent probe will need to be cleaned to remove any residual that may build up from reagent being added to samples. Cleaning the Waste Probe:  The waste probe builds up remaining waste as it aspirates from the cuvette after measurements are taken.  To prevent movement errors the waste probe should be cleaned.  Cleaning the Probe Rails: Cleaning the Probe Rails will help to remove any dust or debris that can set on the Probe rails and cause movement errors. Identify the Monthly Maintenance Procedures Automated Monthly Maintenance Procedure: The water and Wash 1 lines can become contaminated from either low volume usage or failure to perform  weekly or monthly procedures properly.   The  Centaur CP uses an automated monthly cleaning procedure  to prevent bacterial contamination in the water and Wash 1  lines.  Cleaning the Wash 1 Container (every 2 months): In the Wash 1 container, bacteria can grow from either low usage or from pooling of the Wash 1 fluid.  The Wash 1 container must be cleaned on a bi-monthly basis to prevent bacterial contamination. Identify the As Needed Maintenance Procedures Cleaning the Sample Compartment Shutter: To reduce serum build up that may interfere with shutter movement Cleaning the Reagent Compartment Shutter: To remove reagent or condensation build up that may interfere with shutter movement   Select Next to continue . Weekly procedures performed while the analyzer is On: Automated Weekly Cleaning Procedure Weekly procedures performed while the analyzer is Off: Cleaning the Incubation Ring Cover Cleaning the Reagent Probe Cleaning the Waste Probe Cleaning the Probe Rails   Note: Personal protective equipment should be worn while performing these procedures. Select Next to continue. Anne’s test results came back a few days later. And yes, they did actually find staphylococci. Because of the test result the doctor was able to provide a less expensive antibiotic. Fortunately, no MRSA pathogens were involved. The infection subsided about a week later and we were all able to breathe a sigh of relief. Our Anne is her old self again.   Automated Weekly Cleaning Thorough cleaning of the DI water container, Running cleaning solution through the water line into the system.  Supplies Needed: Cleaning Solution-DI Water (Reagent Grade Water) NOTE: This procedure has both operator and system tasks. The automated daily maintenance procedure does not need to be performed on days when the automated weekly cleaning procedure is performed. The yellow overdue indicator next to automated daily cleaning will be removed and the due date pushed back 24 hours after the automated weekly maintenance procedure is complete.   Automated Weekly Cleaning Learn about how the automated weekly cleaning process works. Checklist TitleChecklist TypeChecklist ContentPrepare Cleaning SolutionHTML Prepare Cleaning Solution Prior to performing the cleaning procedure, we must prepare the cleaning solution.  To do this, pour a container of ADVIA Centaur CP Cleaning Solution into the cleaning bottle.  Add enough DI water to bring the entire volume to 2 liters. Select each checkbox to learn more about the Automated Weekly Cleaning.Clean DI Water ContainerHTML  Select the play arrow to begin the video. Disconnect the DI water container from the system.  Dispose of the DI water and pour 2 liters of prepared cleaning solution into the container.  Replace the cap on the DI water container. Rock the container 10 times and let the container sit for 10 minutes. Select PerformHTML Open the Maintenance window and select Automated Weekly Cleaning. Select Perform.Review Procedure 1HTMLReview procedure 1 Now that we have accessed the procedure in the software, notice this screen instructs you to connect the tubing to the water container with the cleaning solution.Connect tubing and sensor to DI water containerHTML Connect tubing and sensor to DI water container Select AcceptHTML Select Accept When the tubing is connected, go to the software and select Accept. The software will continue with the procedure until it reaches procedure 5.Rinse DI Container thoroughlyHTML  Rinse the DI water container thoroughly. Select the play arrow to begin the video.Select AcceptHTML Select Accept At this point, the tubing is connected to the DI water container which is filled with fresh DI water.  At the software, the screen has paused at procedure 5 for you to continue. Select Accept and the software will continue with the remainder of the procedure. The software will finish with procedure number 8.Select OKHTML Select OK Select OK to finish.  The system has completed the Automated Weekly Cleaning procedure and is ready to process samples.Perform Aspirate Probe Bubble Detector CalibrationHTML Perform Aspirate Probe Bubble Detector Calibration When complete, select the X in the upper-right corner to close the window and continue. Cleaning the Incubation Ring Cover Remove residual reagent, water or serum around the dispense ports. Supplies Needed: Cleaning Solution-DI Water (Reagent Grade Water) Lint Free Tissue Cleaning Incubation Ring Cover Learn how to clean the incubation ring cover. Checklist TitleChecklist TypeChecklist ContentPrepare Cleaning SolutionHTML Prepare Cleaning Solution Prior to performing the cleaning procedure, we must prepare the cleaning solution.  To do this, pour a container of ADVIA Centaur CP Cleaning Solution into the cleaning bottle.  Add enough DI water to bring the entire volume to 2 liters. Select each checkbox to learn more about cleaning the Incubation Ring Cover.Cleaning the Incubation Ring CoverHTML  Select the play arrow to begin the video. Turn power off to the system and open the top cover. Push the sample probe up and to the left of the system. Push the reagent probe up and to the right of the system. Carefully wipe the incubation ring cover with lint-free tissues or gauze saturated with cleaning solution. Carefully rinse the incubation ring cover with lint-free tissues or gauze saturated with water. Dry the incubation ring cover thoroughly. Close the top cover and restart the system.Update the Maintenance ProceduresSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004425/sim_CP_SystemInterior800x600_9/sim_CP_SystemInterior800x600_9.swfHTML5 File:/content/generator/Course_90004425/sim_CP_SystemInterior800x600_9/index.htmlPDF File: Cleaning the Exterior of the Reagent Probe Reduce reagent build up  Supplies Needed: Alcohol Wipe Cleaning the Exterior of the Reagent Probe Learn about cleaning the exterior of the Reagent Probe. Checklist TitleChecklist TypeChecklist ContentCleaning the Exterior of the Reagent ProbeHTML  Select the play arrow to begin the video. Turn power to the system off and open the top cover. Carefully lift the probe up. Use a gentle downward motion to wipe the probe with an alcohol wipe. Move the probe back over the waste bowl. Close the top cover and restart the instrument. Select each checkbox to learn more about cleaning the exterior of the reagent probe.Update the Maintenance ProceduresSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004425/sim_CP_SystemInteriorReagProbe800x600_9/sim_CP_SystemInteriorReagProbe800x600_9.swfHTML5 File:/content/generator/Course_90004425/sim_CP_SystemInteriorReagProbe800x600_9/index.htmlPDF File: Cleaning the Waste Probe To prevent Waste probe movement errors Supplies Needed: Alcohol Wipe Cleaning the Waste Probe Learn about cleaning the Waste Probe. Checklist TitleChecklist TypeChecklist ContentClean the Waste ProbeHTML  Select the play arrow to begin the video. Turn power to the system off and open the top cover. Wipe the probe with an alcohol wipe. Close the top cover and restart the instrument. Select each checkbox to learn more about cleaning the waste probe.Update the Maintenance ProceduresSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004425/sim_CP_SystemInteriorWasteProbe800x600_9/sim_CP_SystemInteriorWasteProbe800x600_9.swfHTML5 File:/content/generator/Course_90004425/sim_CP_SystemInteriorWasteProbe800x600_9/index.htmlPDF File: Cleaning the Probe Rails To prevent Probe Movement errors Supplies Needed: Alcohol Wipe Cleaning the Probe Rails Learn about cleaning the Probe Rails. Checklist TitleChecklist TypeChecklist ContentClean the Probe RailsHTML  Select the play arrow to begin the video. Turn the power off and open the top cover. Wipe the probe rails with an alcohol wipe. Allow the rails to dry before resuming system operation. Close the top cover and restart the system. Select each checkbox to learn more about cleaning the probe rails.Update the Maintenance ProceduresSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004425/sim_CP_SystemInteriorProbeRails800x600_9/sim_CP_SystemInteriorProbeRails800x600_9.swfHTML5 File:/content/generator/Course_90004425/sim_CP_SystemInteriorProbeRails800x600_9/index.htmlPDF File: Automated Monthly Cleaning To prevent bacterial contamination in the water and Wash 1 lines. Supplies Needed: Cleaning Solution-DI Water(Reagent Grade Water) The automated daily and weekly cleaning procedures do not need to be performed on days when the automated monthly cleaning procedure is completed. The yellow overdue indicator next to automated daily and weekly cleaning will be removed and the due date updated accordingly.   Automated Monthly Cleaning Learn about performing automated monthly cleaning procedures. Checklist TitleChecklist TypeChecklist ContentPrepare Cleaning SolutionHTML Prepare Cleaning Solution Prior to performing the cleaning procedure, we must prepare the cleaning solution.  To do this, pour a container of ADVIA Centaur CP Cleaning Solution into the cleaning bottle.  Add enough DI water to bring the entire volume to 2 liters. Select each checkbox to learn more about the Automated Monthly Cleaning.Start Maintenance ProcedureSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004425/sim_CP_AutoMonthly1800x600_9/sim_CP_AutoMonthly1800x600_9.swfHTML5 File:/content/generator/Course_90004425/sim_CP_AutoMonthly1800x600_9/index.htmlPDF File:Disconnect and Attach DI and Wash 1 Tubing ConnectHTML  Select the play arrow to begin the video. Disconnect and Attach DI and Wash 1 Tubing Connections Disconnect tubing from DI water container and Wash 1 container.   Attach tubing from D1 and Wash1 to bottle of cleaning solution.Select AcceptHTML Select Accept In the software, select Accept.Rinse Cleaning Bottle with DI WaterHTML  Select the play arrow to begin the video. When the procedure reaches step 6. the system pauses and prompts you to disconnect the cleaning bottle, rinse with DI water and refill with DI water.  Reconnect the DI water and Wash 1 tubings to the cleaning bottle filled with DI water.Select AcceptHTML Select Accept Select Accept and the software automatically continues through the next few procedures. Reinstall DI Water and Wash 1 containersHTML  Select the play arrow to begin the video. The software then stops at procedure number 10, prompting you to reinstall the DI water and Wash 1 containers.Select AcceptHTML Select Accept Select the Accept button.Select OKHTML Select OK When the procedure is complete, select OK.Perform Aspirate Probe Bubble Detector CalibrationHTML Perform the aspirate probe bubble detector calibration. When complete, select the X in the upper-right corner to close the window and continue. Cleaning the Wash 1 Container To prevent bacterial contamination in the Wash 1 Container Supplies Needed: Cleaning Solution-DI Water(Reagent Grade Water) Cleaning the Wash 1 Container Learn about cleaning the Wash 1 Container. Checklist TitleChecklist TypeChecklist ContentPrepare Cleaning SolutionHTML Prepare Cleaning Solution Prior to performing the cleaning procedure, we must prepare the cleaning solution.  To do this, pour a container of ADVIA Centaur CP Cleaning Solution into the cleaning bottle.  Add enough DI water to bring the entire volume to 2 liters. Select each checkbox to learn more about cleaning the Wash 1 container.Dispose & RinseHTML Disconnect the Wash 1 container from the system. Dispose of the remaining Wash 1 solution in an appropriate receptacle. Pour approximately 2L of cleaning solution into the wash 1 container and place the cap on the container. Rock the container 10 times and let the container sit for 10 minutes. Rinse the Wash 1 container: Fill the container with approximately 3L of DI water Replace the cap on the container Rock the container 5 times Dispose of DI water Repeat at least 3 times Update the Maintenance LogHTML Since the Cleaning of the Wash 1 container is a manual procedure, you must go to the Maintenance Schedule to update the Maintenance log. 1.  Select the Wash 1 Container procedure from the list and select Perform. 2.  The Perform Task window opens. 3.  Select OK. 4.  The Maintenance Schedule updates the next due date and the overdue indicator is removed. When complete, select the X in the upper-right corner to close the window and continue. There are three main areas that you can navigate in Result Manager Samples screens, Patients screens, and Results screens.  The default screen that displays when Result Manager is launched is the Samples screen.  All screens can be opened by selecting the Samples, Patients, or Results menu options.  Select Next to learn more about these three areas of navigation.  As Needed Maintenance Cleaning the Sample Compartment Shutter To reduce serum build up that may interfere with shutter movement Cleaning the Reagent Compartment Shutter To remove reagent or condensation build up that may interfere with shutter movement Supplies Needed: Cleaning Solution-DI Water (Reagent Grade Water) Lint free tissue   Clean Sample Compartment Shutter video Learn about cleaning the sample compartment shutter.   Select the play arrow to begin the video. When complete, select the X in the upper-right corner to close the window and continue. Clean Reagent Compartment Shutter video Learn about cleaning the reagent compartment shutter.   Select the play arrow to begin the video. When complete, select the X in the upper-right corner to close the window and continue.