DFM Select Turnover Workbook

DFM Select Turnover Workbook SIEMENS Healthineers www.usa.siemens.com/education I. Contact Information Summary Welcome to Siemens Healthineers Virtual Education (Offerings & Registration) • Siemens Healthineers is dedicated to helping you get the Workshops & Fellowships • most out of your investment throughout the entire product life cycle and beyond. Our goal is to enable you to take technology further, profitability higher, and patient Visit www.usa.siemens.com/clinicaleducation for more care to the next level. Find the information, resources, and information regarding the current Siemens tools you need to get the most out of your recent Clinical Training and Continuing Education portfolio. investment and stay up-to-date. 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, and clinical education to make the most of your Customer Care Center - Clinical Application Support: imaging equipment? Discover images, case studies, and video demonstrations with the latest clinical Call 1-800-888-7436 applications. Try advanced applications utilizing Troubleshooting assistance free software trials. Buy applications, coils, clinical • education, and accessories, conveniently at any time. Immediate assistance for software • Visit www.usa.siemens.com/webShop today! applications and workflow issues Please provide the Functional Location Number when Siemens Training Centers • calling for assistance. Siemens Clinical Education Training Center – TDC2 Clinical Education Offerings: 110 Mac Alyson Court Cary, NC 27511 Call 1-888-221-8010 (follow the prompts) Classroom Training (Offerings, Registration • & Scheduling) Educational Symposia • On-site Training • Printed Self-studies • 2 II. Contents I. Contact Information Summary ..................................................................................................................................... 2 II. Contents ............................................................................................................................................................................3 III Course Description .......................................................................................................................................................... 4 III Agenda ................................................................................................................................................................................ 5 1. System Overview ..............................................................................................................................................................6 1.1 Objectives ....................................................................................................................................................... 6 1.2 Wireless Detector .......................................................................................................................................... 6 1.3 Batteries with Charger .................................................................................................................................7 1.4 Patient Table ..................................................................................................................................................7 1.5 Tube Stand ..................................................................................................................................................... 9 1.6 Wall Stand ....................................................................................................................................................10 1.7 Generator Console.......................................................................................................................................10 2. Introduction to Tablet and Startup ........................................................................................................................... 12 2.1 Objectives ......................................................................................................................................................12 2.2 Tablet Log On/Off and Shut Down .........................................................................................................12 2.3 Hospital-Users Types and Access Rights ..............................................................................................13 2.4 Hospital Examination Name Matching ................................................................................................13 2.5 The Top Panel indicates system status .................................................................................................14 2.6 Patient Registration Tab ............................................................................................................................16 2.7 Pre-Acquisition Preparations ...................................................................................................................18 2.8 Post-Acquisition Image Manipulation ..................................................................................................18 2.9 Accepting or Rejecting Images ................................................................................................................ 20 2.10 Image Reviewing and Queue Management .......................................................................................21 2.11 Archive Tab ..................................................................................................................................................21 2.12 Tablet Docking Station ........................................................................................................................... 22 2.13 Perform Patient Exams ........................................................................................................................... 22 3. System Training ..............................................................................................................................................................23 3.1 Objectives ..................................................................................................................................................... 23 3.2 Reject Analysis ............................................................................................................................................ 23 3.3 Customer Care Center............................................................................................................................... 24 3.4 Perform Patient Exams ............................................................................................................................. 24 3.5 Review ........................................................................................................................................................... 24 3.6 Checklist ...................................................................................................................................................... 24 3 III Course Description Course Overview: This training guide will enable the end user to effectively utilize the DFM Select system. Proper use of the systems functions and features will facilitate operators with precise workflow, quick patient through put and user satisfaction. The DFM Select is the solution for a user friendly system with versatile functionality. 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.etc.. • 4 III 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 | DFM Select 1. System Overview 1.1 Objectives Notes By the end of this section, the Technologist will be able to: Utilize the Wireless Detector • Maneuver the Patient Table • Utilize the Tube and Wall Stand • Cover the functions of the Generator Console • 1.2 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 • 4 Portable EZ + 4 100% 50% Reset 141439 2430EZ Attach detector 6 Turnover Workbook | DFM Select 1.3 Batteries with Charger Notes 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. 1.4 Patient Table Table de-elevating Table elevating foot pedal foot pedal Four-way lock release pedals Depress pedal to activate movement Elevating table with four-way lock release pedals • 7 Turnover Workbook | DFM Select Notes Optional table Handle • 8 Turnover Workbook | DFM Select 1.5 Tube Stand Notes The digital SID is displayed on the tube when the table is at the set working height. 29.8 33.8 INCHES INCHES TABLE RECEPTOR - - HIL 1 = Longitudinal movement of the Tube • 2 = Transverse movement of the Tube • 3 = L-T Detent • 4 = All Locks • 5 = Vertical movement of the Tube • 6 = Roll – Rotation of the Tube • 7 = Longitudinal and Transvers Detent – displays “Lit” when the tube is locked into • the Detent. 8 = Tube Angle – Displays the degree of angle actively on the tube. • 9 = Table Top SID • 10 = Table Receptor SID • Collimator • Manual collimation • Collimator light I H • tot # 9 Turnover Workbook | DFM Select 1.6 Wall Stand Notes Hand grips for patient support • PA Handgrips Lock Release Handle • Lock release handle Overhead Patient Grip • Detector Tray and Holder Clip • 1.7 Generator Console kVp MAS mA WARNING: E MAYPEH + + + + ATENCION: 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 10 Turnover Workbook | DFM Select Weekly tube warm-up procedure For all exposures: o Close the collimator blades o Set mAs to 20.0 o Set kVp and mA (see below), take x-ray, wait 30 seconds between each exposure Select generator column from table below and perform Exposure 1-7 If an error occurs: o Leave kVp and mAs the same o Repeat exposure, with reduced mA stations, until error stops o Repeat exposure at original mA value in table mA station table Exp kVp Generator Generator 400S 650S 1 50 500 630 2 70 500 630 3 90 400 630 4 110 320 500 5 125 320 500 6* 140 250 500 7* 150 250 500 * Only for systems that have a tube and a generator capable of 150kVp/65KW. If so, perform Exposure 6 and 7. Notes 11 Turnover Workbook | DFM Select 2. Introduction to Tablet and Startup 2.1 Objectives Notes By the end of this section, the technologist will be able to: Turn the system 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 • 2.2 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. • A 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 • admin v the system and return to the Login Screen. Switch User Select the gear icon and select Switch User, this will • allow operators to switch between Users and return to Log Off the same screen. N Shut Down Select the gear icon and Shut Down, this exits the About • application and turns off the tablet. 12 Turnover Workbook | DFM Select 2.3 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 • 2.4 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: AC JOINTS Edit csp CSPINE ( RAD ) None V elb ELBOW ( RAD ) None Laterality: None Remove hnd HAND ( RAD ) None Hospital Examination Tag: 0032 1060 Save Hospital Examination Nested T ... 13 Turnover Workbook | DFM Select 2.5 The Top Panel indicates system status Notes ART . PIX THALES - admin v 13/11/2014 10:22:19 PM Green = System is ready for image acquisition • Red = System is not ready for image acquisition • 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% • 14 Turnover Workbook | DFM 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 • 000 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. The yellow triangle indicates an item is stuck in queue. • 15 Turnover Workbook | DFM Select External Tools when selected open items such as Remote Access, Reject Notes • Analysis, and Capture last image data. 2.6 Patient Registration Tab 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 Advanced Search > Urgent New Patient Barcode Refresh Worklist Register 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 11069060 H. Bar Cole 5371 34Y 11/5/2014 12:59:00 PM 11084090 Jennifer Coleman 45384 74Y 11/6/2003 1:43:00 PM 11086270 Penelope Miler 4792 69Y 11/4/2003 7:13:00 AM 11069130 T George Lewis 212 42Y 11/3/2003 4:05:00 PM 11066590, 11066740 John Dog 209 11/3/2003 3:55:00 PM 11066470 CANE DAIST Dani's Lewis 210 93Y 11/3/2003 3:55:00 PM 92281191055 16 Turnover Workbook | DFM 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* Pregnant Cancel Height(cm) Weight(g) BMI M F Exams> 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 Register HUMERUS 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 • 17 Turnover Workbook | DFM Select 2.7 Pre-Acquisition Preparations Actions v Notes Actions drop down • Close Visit Close Visit: Patient exam(s) will be closed • and cannot be opened for further Suspend Visit imaging. Exams will appear in Discontinue Visit “Archiving”. Add Exam 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.png] • Confirm Selected Detector • Choose Exam and View • [Choose Exam.png] • Once ready symbol is green, system is ready to receive acquisition. • ART . PIX 30% 3 60% Registration Study Archive 2.8 Post-Acquisition Image Manipulation 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 18 Turnover Workbook | DFM Select Check DI for correct exposure Notes • DI>3 Red Excessive over exposure 2 Actions V Show: All Select all ... . Review Send Name LID Date The following can be selected from this tab • Show • Select all • Delete • Send • Review • Multiple or single patient selection is possible • 21 Turnover Workbook | DFM Select 2.12 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. • 2.13 Perform Patient Exams 22 Turnover Workbook | DFM Select 3. System Training 3.1 Objectives Notes By the end of this section Technologist will be able to: Utilize Reject Analysis to pull a report • Review Customer Care Center Calls • Utilize the room for patient exams • Review Checklist • 3.2 Reject Analysis Reject Analysis is located in the External Tools icon • LO admin v 13/11/2014 10:22:19 PM External Tools Reject Analysis Report Capture Remote Access Exit 23 Turnover Workbook | DFM Select Once Reject Analysis Report is selected the user can make selections on what is Notes • necessary to export. Reject Analysis Report Display Image Distribution By : Body Part and View V echnologist Rejection Reas V Display Detailed Report Filter Report By: Date All From 8/30/2015 To 8/30/2015 Reject Reason All Technologist All Body Part All Generate Report 3.3 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. 3.4 Perform Patient Exams 3.5 Review 3.6 Checklist 24 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. Siemens reserves the right to modify the design, packaging, specifications and options described herein without prior notice. Please contact your local Siemens sales representative for the Local Contact Information most current information. Siemens Medical Solutions USA, Inc. 40 Liberty Blvd. Malvern, PA 19355-9998 Note: Any technical data contained in this document may vary within defined USA tolerances. Original images always lose Telephone: +1-888-826-9702 a certain amount of detail when siemens.com/healthcare reproduced. 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. HOOD05162002943937 Printed in USA · 0000.x · © Siemens Healthcare GmbH, 2017 ·