Dimension® Integrated Chemistry System Configuration Online Training

Several imaging techniques are used in the diagnosis of heart failure. Echocardiography plays a major role, because it helps to provide answers to many questions: - It permits assessment of the global and regional function of the heart, as well as evaluation of right and left ventricular function. - Ventricular diameters can be determined, ejection fraction can be calculated, and regional wall motion, as well as the thickness of the cardiac wall can be analyzed. Abnormal regional wall motion for instance, is usually highly indicative of ischemic cardiomyopathy as underlying disease. - Morphological and functional assessment of heart valves is possible and congenital heart defects can be ruled out.   Welcome to the Dimension® Integrated Chemistry Systems Online Training course for System Configuration. The Dimension® System configuration provides customizable options to meet the requirements of your laboratory and optimize productivity. Note: Depending on the version of software on your instrument, some screens may appear different; however, the functionality remains the same.   Select Next to continue. Configure Temperature Override Configure the IMT module Define Method Panels Define System Password Identify Computer options Optimize Instrument Configurations Set the system date and time Setup the Printer Upon successful completion of this course, you will be able to: Select Next to continue. Right heart catheterization (RHC) is an invasive procedure that allows evaluation of cardiac output and precise determination of the pressure in the right heart and in pulmonary circulation. RHC also permits evaluation of the filling pressures in the left heart.   Congratulations.  You have completed the Dimension® Integrated Chemistry System Configuration 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.   Optimize Instrument Configurations From the operating menu, select F6: System Config to view or edit the Dimension® System settings. The System Configuration screen displays the current version of software. Enter Sample Data Mode indicates which type of Enter Sample Data screen, NORMAL (single samples) or BATCH (batch samples), appears for entering patient sample information. If your Dimension system includes the RMS module and it is configured ON, the RMS will load, hydrate and automatically remove Flex® reagent cartridges. The Automatic Rerun field must be set to ON to use the Automatic Dilution, Automatic Repeat for Panics and Automatic Reflex testing options. With the Automatic Dilution option set to ON, the system reruns a test using a smaller sample volume, when certain autodilution conditions are met. The Water In and Waste out function has two options: Plumbed or Manual. When the Automatic Repeat for Panics field is set to ON, a test is rerun automatically if the test result is outside the panic values entered by the operator for that method. When the Automatic Reflex testing option is set to ON, an automatic reflex test is run if the test result is outside the reflex limits entered by the operator for that method. With the HM Module and Automatic HM Vessel Load configured set to ON,  the HM is available for use and the reaction vessels are loaded automatically onto the incubation wheel. If your Dimension® system includes the LOCI module and it is set to ON, chemiluminescence testing can be performed. You can set additional configurations using the function keys on the System Configuration Menu screen. Define Method Panels The defining profile panel keys screen allows you to create, view or edit a panel.  Up to 10 panels can be created with a maximum of 20 tests assigned per panel key. Set the System Date and Time The Setting the Date and Time screen allows you to update the date and time or change the format. To change the date and time: Press F3: Date/Time. In the Date field, type the day. Press F2: Next Month to select the month, then type the year (e.g., 16-OCT-2011). Move the cursor to the Hour and Minute fields and enter the time. Use the 24-hour time convention for the hour (e.g., 2:00 p.m. is 1400). If you want to display the date/time as MM-DD-YY rather than DD-MM-YY as in step 2 above, select the Enter key. Verify that the entered date and time are correct. Press F1: Store Change before exiting from the screen. Identify Computer Options Sample ID options also can be configured to display information on the Enter Sample Data screen. Computer options can be set to establish communications with an LIS. Configure the IMT module The function key, F5: IMT On / Off, allows you to configure the IMT system. When you press the function key, the IMT status box at the top of the screen changes accordingly.  “IMT Not Config” in the box indicates that the IMT is OFF. Any other wording in this box indicates that the IMT is configured. Setup the Printer The function key, F6: Select Printer, is used to create the header and set paper specifications for printed test reports, and if applicable, create a custom format for an external printer. Define System Password To change the system password, press F7: Password and follow the onscreen messages. Configure Temperature Override The temperature function disables the cuvette and reagent temperature monitoring systems and displays the reagent and cuvette temperature override icons.  Using the control help feature provides information about a displayed icon. The F8: Temperature function key is used to override reagent or cuvette operating system temperatures.   Select Next to continue.     Mr. Cook's heart failure therapy is monitored in the hospital. It includes intravenous administration of a high dose of diuretics to increase fluid excretion, a restriction on fluid intake, and blood pressure normalization. In case of acute decompensation, supplemental treatment with oxygen and nitroglycerin may be required, and the patient is positioned with his upper body elevated. Additional measures may include administration of medication to increase contractility of the heart. As soon as possible following the initial recompensation, Mr. Cook’s dose of antihypertensive medication (such as beta blockers, ACE inhibitors) is increased. The dose of diuretics is readjusted. The daily amount of liquid that he is allowed to drink is also restricted. This is necessary to limit circulating fluid volume and therefore the volume load on the heart. Concurrently, his atrial fibrillation is treated with medication to restore a stable sinus rhythm. The leg edema and the water accumulated in Mr. Cook's lungs has begun to recede during the recompensation phase.   The Dimension® System was configured to meet your laboratory requirements upon installation.  Over time, it may become necessary to customize instrument settings to meet current requirements. Any changes to your instrument settings should be performed at the direction of the laboratory supervisor. Note: Depending on the version of software on your instrument, some screens may appear different; however, the functionality remains the same.   System Configuration Menu Learn how to customize the menu. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004803/sim_DIM_SysConfMenu_9/sim_DIM_SysConfMenu_9.swfHTML5 File:/content/generator/Course_90004803/sim_DIM_SysConfMenu_9/index.htmlPDF File: A predefined list of tests can be assigned to a panel key on the keyboard. Panels can contain up to 20 tests and can be selected with a single keystroke. Note: Depending on the version of software on your instrument, some screens may appear different; however, the functionality remains the same.   Define Panels Learn how to define panels. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004803/DefinePanels1116_9/DefinePanels1116_9.swfHTML5 File:/content/generator/Course_90004803/DefinePanels1116_9/index.htmlPDF File: The date and time function is used to change the system date or time. Note: Depending on the version of software on your instrument, some screens may appear different; however, the functionality remains the same.   Set Date and Time Learn how to set the date and time. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004803/DateTime_demo_9/DateTime_demo_9.swfHTML5 File:/content/generator/Course_90004803/DateTime_demo_9/index.htmlPDF File: Sample ID options can be configured to display information on the Enter Sample Data screen. Computer options can be set to establish communications with an LIS. Note: Depending on the version of software on your instrument, some screens may appear different; however, the functionality remains the same.   Computer Options Learn about various computer options. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004803/LR_ComputerOptions_9/LR_ComputerOptions_9.swfHTML5 File:/content/generator/Course_90004803/LR_ComputerOptions_9/index.htmlPDF File: Use the IMT On/Off option to disable the IMT module. Note: Depending on the version of software on your instrument, some screens may appear different; however, the functionality remains the same.   Configure the IMT module Learn how to configure the IMT module. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004803/ConfigIMTOn_9/ConfigIMTOn_9.swfHTML5 File:/content/generator/Course_90004803/ConfigIMTOn_9/index.htmlPDF File: Use the Printer Set Up screen to create a report title, set system printer report printout specifications, and configure the printer(s). Note: Depending on the version of software on your instrument, some screens may appear different; however, the functionality remains the same.   Set Up Printer Learn how to set up the instrument printer. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004803/DIM_SetupPrinter_9/DIM_SetupPrinter_9.swfHTML5 File:/content/generator/Course_90004803/DIM_SetupPrinter_9/index.htmlPDF File: The F7: Password option is used to define or change the system password. Note: Depending on the version of software on your instrument, some screens may appear different; however, the functionality remains the same.   Define System Password Learn how to define the system password. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004803/sim_DIM_Password_9/sim_DIM_Password_9.swfHTML5 File:/content/generator/Course_90004803/sim_DIM_Password_9/index.htmlPDF File: Upon successful completion of this course, you will be able to: - differentiate between insurance coverage and healthcare operations initiatives. - describe key aspects of the five reform programs. - explain how customers are adapting to the new reform measures. - identify the COF molecule and the important connection to customer's hurts. Select next to continue. The temperature function disables the cuvette and reagent temperature monitoring systems and displays the reagent and cuvette temperature override icons.  Use the Ctrl/Help feature to access information about a displayed icon. Note: Depending on the version of software on your instrument, some screens may appear different; however, the functionality remains the same.   Configure Temperature Override Learn how to configure the temperature override. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004803/sim_DIM_TempOverride_9/sim_DIM_TempOverride_9.swfHTML5 File:/content/generator/Course_90004803/sim_DIM_TempOverride_9/index.htmlPDF File: