Dimension® EXL™ with LM Integrated Chemistry System Clot Check Online Training

Access on-screen troubleshooting help Describe the function of the clot check Identify the components of the clot check Perform clot check monthly maintenance Reprocess samples with clot check errors Welcome to the Clot Check course for the Dimension® EXL™ with LM Integrated Chemistry System. After completing this course, you will be able to: Select Next to continue. Congratulations. You have completed the Clot Check course for the Dimension®  EXL™ with LM Integrated Chemistry System. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz.  Identify the components of the clot check. IMT Port: The clot check feature adds a new IMT port that includes a clot check drain. After the system detects a clotted sample, the contents of the aspirated sample are not returned to the sample container. The remaining sample is dispensed into the IMT clot check drain during the clot check recovery sequence. Clot Check Transducer Board: The clot check pressure transducer board is mounted underneath the sample wheel hub. To access the board, open the 2 doors on the front of the instrument. Open the latch to the pump panel. Clot Check Sample Tubing: Clot check sample tubing consists of two pieces of sample tubing. The right piece of tubing is installed from the 100 µL syringe and is labeled "To Pump" on the clot check pressure transducer board. The left piece of tubing is installed from the sample probe and is labeled "To Sample Arm" on the clot check pressure transducer board. Clot Check Bypass Sample Tubing: Clot check bypass sample tubing consists of a single piece of sample tubing. If the clot check feature is not functioning properly, the clot check function can be temporarily deconfigured. The clot check bypass sample tubing must be installed to continue processing samples. Describe the function of the clot check. The clot check system utilizes the clot check pressure transducer board to check for clots. This action occurs during sample aspiration. The instrument will perform an automatic clot check error recovery when a clot is detected. The remaining sample will be dispensed in the drain port located in the back of the IMT sample port. The system will verify that the clot has been cleared, perform a bleach and wash sequence, rinse, and then return to sampling. Perform Clot Check Monthly Maintenance. With the instrument in Standby, press the Pause key and raise the IMT lid. Fill a disposable pipette with undiluted bleach and dispense approximately 1 mL into the clot check drain 10 times. Allow the clot check drain to empty itself before each subsequent addition of bleach. Fill another disposable pipette with water and dispense approximately 1 mL of water into the clot check drain 10 times. Allow the clot check drain to empty itself before each subsequent addition of water. Document that you have cleaned the clot check drain on the Monthly Maintenance log sheet. Access on-screen troubleshooting help. There are 5 new error system error codes for the clot check system. Press Alt/M on your Dimension® EXL™ with LM Integrated Chemistry System any time you see an error message to get on-screen troubleshooting help. The new codes are: (864) Sample Probe Clot - unable to clear (865) Clot Check Error - sample aborted (866) Clot Check hardware failure (867) Clot Check Error - hanging clot (868) Sample probe failed to enter the drain Reprocess samples with clot errors. All clot check errors will populate the new clot check status in the Load List. Samples with clot check errors can be rerun from the Load List. Select Next to continue.     The Dimension EXL® with LM™ Integrated Chemistry System now has the ability to check for clots during sample aspiration.  Clot check is performed on every sample. Clot check is performed during sample aspiration. Clot check does not affect turnaround time, time to result, or throughput. Clot check functions with CSF, serum, plasma, whole blood, urine, and QC sample types. Select Next to continue. Clot check functionality adds additional system error codes. The new codes are: (864) Sample Probe Clot - unable to clear (865) Clot Check Error - sample aborted (866) Clot Check hardware failure (867) Clot Check Error - hanging clot (868) Sample probe failed to enter the drain Press Alt/M any time an error message is displayed to see a description of the error and steps to resolve. Clot check functionality also adds an additional option in the Load List for rerunning samples that display clot check errors. New error messages Learn about new clot check error messages. Checklist TitleChecklist TypeChecklist Content(864) Sample Probe Clot - unable to clearHTML Select each checkbox to learn more about new clot check error messages .(865) Clot Check Error - sample abortedHTML(866) Clot Check hardware failureHTML(867) Clot Check Error - hanging clotHTML(868) Sample probe failed to enter the drainHTML When complete, select the X in the upper-right corner to close this window and continue. Reprocessing Samples with Clot Check Errors Learn about rerunning samples with clot check errors. Checklist TitleChecklist TypeChecklist ContentClot Check ErrorHTML Select each checkbox to learn more about rerunning samples with clot check errors.Press Alt/L to display the Load List.HTML Press F2: Next Status.HTMLSelect F8: Edit Sample.HTMLReprocess using your laboratory procedures.HTML When complete, select the X in the upper-right corner to close the window and continue. The clot check system utilizes the clot check pressure transducer board to check for clots. This action occurs during sample aspiration. The instrument performs an automatic clot check error recovery when a clot is detected. The remaining sample is dispensed into the drain port located in the back of the IMT sample port. The system verifies that the clot has been cleared, performs a bleach and wash sequence, rinse, and then returns to sampling. Clot Check in Action View the clot check in action.    The sample is dispensed into the clot check drain when the clot check system detects a clot. If media does not automatically start, select the play arrow to begin. When complete, select the X in the upper-right corner to close this window and continue. Clot Check Error Message Learn about clot check error messages.   The instrument displays the error Clot Check Error - sample aborted. When complete, select the X in the upper-right corner to close this window and continue. Clot Check Test Report Messages Learn about clot check test report messages. Clot Check Test Reports: A test result with a "ClotCheckErr" test report message will not include a numerical result. Any successfully completed test results from the same sample cup will be displayed. Any tests that have not yet aspirated sample from the same sample cup will be aborted, and have an "Aborted Test" message associated with them. TEST ------- RESULT ------------- REF. INTERVAL ---------------------- UNITS --------- MG 21.4 HI assay range mg/dl CA   ClotCheck Err   BUN   Aborted Test   GLUC   Aborted Test     When complete, select the X in the upper-right corner to close this window and continue. Important components of the clot check are: IMT Port Clot Check Transducer Board Clot Check Sample Tubing Clot Check Bypass Sample Tubing New Status Icons Clot Check Components Learn about clot check components and functions. Checklist TitleChecklist TypeChecklist ContentIMT PortHTML The clot check feature adds a new IMT port that includes a clot check drain. After the system detects a clotted sample, the contents of the aspirated sample are not returned to the sample container. The remaining sample is dispensed into the IMT clot check drain during the clot check recovery sequence.Clot Check Transducer BoardHTML The clot check pressure transducer board is mounted underneath the sample wheel hub. To access the board, open the 2 doors on the front of the instrument. Open the latch on the pump panel.Clot Check Sample TubingHTML Clot check sample tubing consists of two pieces of sample tubing. The top piece of tubing is installed from the 100 µL syringe and is labeled "To Pump" on the clot check pressure transducer board. The bottom piece of tubing is installed from the sample probe and is labeled "To Sample Arm" on the clot check pressure transducer board.Clot Check Bypass Sample TubingHTML Clot check bypass sample tubing consists of a single piece of sample tubing. If the clot check feature is not functioning properly, the clot check function can be temporarily deconfigured. The clot check bypass sample tubing must be installed to continue processing samples.New Status IconsHTML 2 new icons have been added to the Operating Conditions Status area. The red icon indicates that a clot check error has ocurred. It shares the same location as the printer icon. If the printer icon and the clot check icon need to be displayed at the same time, the screen will flash from one icon to the other. The yellow icon indicates that the clot check feature is turned off. It shares the same location as the printer icon. If the printer icon and the clot check icon need to be displayed at the same time, the screen will flash from one icon to the other. When complete, select the X in the upper-right corner to close the window and continue. There is a new monthly maintenance procedure associated with the clot check functionality. "Cleaning the Clot Check Drain" on the IMT port is an additional monthly maintenance procedure that must be performed on the Dimension® EXL™ with LM Integrated Chemistry System. This procedure should be performed prior to completing the IMT System Clean and the Monthly Review log should be updated. Cleaning the Clot Check Drain on the IMT Port Learn about cleaning the clot check drain on the IMT port. With the instrument in Standby, press the Pause key and raise the IMT lid. Fill a disposable pipette with undiluted bleach and dispense approximately 1 mL into the clot check drain 10 times. Allow the clot check drain to empty itself before each subsequent addition of bleach. Fill another disposable pipette with water and dispense approximately 1 mL of water into the clot check drain 10 times. Allow the clot check drain to empty itself before each subsequent addition of water. Document that you have cleaned the clot check drain on the Monthly Maintenance log sheet. When complete, select the X in the upper-right corner to close this window and continue.