epoc® Blood Analysis System Quality Control Job Aid

Quality Control Job Aid epoc® Blood Analysis System 1. Log In: Turn on the epoc® Reader and Host: A. Scan or enter valid user ID and/or password. B. Press Login if required. C. Press and hold the Reader Icon and select Run QA test. If the screen defaults to Run blood test, go to Tools and select switch to QA test. epoc Host X 17-May-18 07:56 epoc Host 01-Jan-18 08:08 e Enter user ID and password. p User ID A Password Rdr281 Run blood test C #0281 C Run QA test C Login B Status Default Page Run Thermal QA 1 test epoc Host 3.27.5 Login epoc Readers Tools View Help Effective Date: 07/03/2018 | HOOD05162002886514 SIEMENS Healthineers siemens.com/healthineers Job Aid | epoc Quality Control Effective Date: 07/03/2018 | HOOD05162002886514 2. Insert Test Card and Enter QC Lot Number: A. Configuration takes about 15 seconds. B. Enter the QC Lot # which can be read on the Controls Box. C. Fully insert the Test Card using a smooth, single motion allowing bar-code to be read properly. The blue arrow should be facing up and towards the Reader. Card insertion will be confirmed. D. A 165-second calibration phase begins. epoc Host 01-Jan-18 08:10 X B Lot # 01-Jan-18 08:10:29 QA Calibration Insert test card to begin test. C epoc Readers Rdr3610 (03610) Tools View Help 5ª epoc Host 01-Jan-17 08:21 X Lot # 01-Jan-17 08:19:57 QA BGEM Calibration 70s D Calibrating ... DO NOT INJECT SAMPLE. epoc Readers Rdr3610 (03610) Tools View Help Siemens Healthineers Services Page 2 of 6 Job Aid | epoc Quality Control Effective Date: 07/03/2018 | HOOD05162002886514 3. Collect control solution with a syringe: A. To transfer Control Fluids from an ampoule to the Test Card, Siemens recommends plain 1-mL or 3-mL syringes and 16-20-gauge blunt needles. B. Carefully draw over 1mL of fluid from the bottom of the ampoule. C. During the draw, air may remain entrapped between the syringe plunger and the fluid. Never attempt to expel it. This air is far enough as to not affect the solution near the tip of the syringe. However, an air bubble traveling though the sample would contaminate it through- out its entire volume. D. Whenever a stream of air bubbles is drawn into the syringe, or an air bubble gets nested near the syringe tip, discard both the syringe and the ampoule. Begin again with a new syringe and ampoule. GAS-ISE Metabolites Level 1 $304 .010 10 125 ML LOT 179-1-8304 REF 179.001.010 23 2014-01 2 - 8º C Level 1 .com 2014-01 LOT 179-1-B304 www.eurotrol.com C 179-1-11104 Level 1 COW Siemens Healthineers Services Page 3 of 6 Job Aid | epoc Quality Control Effective Date: 07/03/2018 | HOOD05162002886514 4. Apply Sample: Before injecting fluid in the Test Card, expel a few drops from the syringe. Remove the blunt needle and apply the syringe luer in the Test Card sample introduction port as during a normal blood test procedure. Inject sample when the epoc® System is ready. A. Using downward pressure, secure syringe tip into the sample entry port, rotating syringe a 1/4 turn to ensure proper seal. B. Maintaining downward pressure, depress syringe plunger in a smooth, continuous motion until you hear a single beep which indicates that adequate volume has been introduced to the card. C. When adequate volume has been introduced to the card, the epoc® Reader will display a flashing green light. D. The Host screen will indicate the sample is being analyzed along with the time to completion. E. The test will complete, and begin calculating the results. Test results will be available in aprroximately 30 seconds after sample injection. epoc Host 16-Jan-13 11:22 X B Lot # 179-1-8023 16-Jan-13 11:21:55 QA BGEM Analyzing sample 33s D Analyzing sample ... A epoc Readers | Rdr775 (00775) Tools View Help Siemens Healthineers Services Page 4 of 6 Job Aid | epoc Quality Control Effective Date: 07/03/2018 | HOOD05162002886514 5. Check values are in range: A. Value Assignments are lot and software (sensor configuration) specific, and appropriate Value Assignment Datasheets (VADs) must be used. Value Assignment Datasheets contain target values and acceptable ranges for Aqueous Control and Calibration Verification Flu- ids specific to the epoc® System. B. Download the current Value Assignment Datasheets at:  www.healthcare.siemens.com/blood-gas/blood-gas-systems/epoc-blood- analysis-system (Customer Resource Center) C. Never use Target Values or Ranges from the package insert included with Control Fluids. D. Each Value Assignment Datasheet is identified by the:  Fluid Name, Level, Lot Number, and epoc® System Sensor  Configuration Version  VADs change with sensor configuration changes and changes to control fluid lot numbers. Assure all information is correct when using a VAD to determine acceptability of your results. The epoc® System Sensor Configuration version is lo- cated in the epoc® Host’s Help About Menu epoc® System Value Assignment Datasheet LOT 183-B742 Sensor Configuration 31.n (epoc18172.eVAD) D SIEMENS REF 183.000.005 Eurotrol'™ Calibration Verification Fluids, n = 1 althineers 2018-10-31 CV1:183-1-B738 CV2:183-2-B738 CV3:183-3-B738 CV4:183-4-B738 CV5:183-5-B738 X R, n = 1 X R, n = 1 X R, n = 1 X R, n = 1 X R, n = 1 PH 6.973 6.913 7.033 7.335 7.275 - 7.395 7.572 7.512 7.632 6.641 6.581 - 6.701 7.887 7.827 7.947 pCO2 mmHg 77.7 68.4 87.0 41.3 33.8 48.8 24.0 16.5 31.5 138.7 113.7 163.7 15.5 8.0 23.0 kPa 10.36 9.12 11.60 5.51 4.51 6.51 3.20 2.20 4.20 18.49 15.16 21.82 2.07 1.07 3.07 pO2 mmHg 62.0 46.2 77.8 101.0 85.2 - 116.8 195.0 165.7 224.3 29.4 13.6 45.2 615.6 492.5 738.7 kPa 8.26 6.15 10.37 13.47 11.36 15.58 26.00 22.10 29.90 3.92 1.81 6.03 82.06 65.65 98.47 Na+ mmol/L mEg/L 105 141 135 147 167 80 74 86 191 184 - 198 K+ mmol/L mEq/L 2.1 1.7 2.5 4.0 3.6 4.4 6.1 5.5 6.7 7.9 7.3 8.5 12.5 11.8 13.2 mmol/L 1.56 1.44 - 1.68 1.19 1.10 1.28 0.67 0.60 0.74 3.92 3.48 4.36 0.30 0.23 0.37 Ca++ mg/dL 6.2 5.7 6.7 4.8 4.4 5.2 2.7 2.4 3.0 15.7 13.9 17.5 0.9 1.5 mEq/L 3.1 3.3 2.4 2.2 2.6 1.3 1.2 1.4 7.8 6.9 8.7 0.6 0.5 0.7 mmol/L mEq/L 78 73 83 99 92 106 124 116 132 59 55 63 138 124 152 mg/dL 30 21 39 102 87 117 257 200 314 15 24 682 532 832 Glucose mmol/L 1.6 1.1 2.1 5.6 4.8 6.4 14.1 11.0 17.2 0.8 0.3 1.3 37.5 29.3 45.7 g/L 0.30 0.21 0.39 1.02 0.87 1.17 2.57 2.00 3.14 0.15 0.06 0.24 6.82 5.32 8.32 mmol/L 0.79 0.49 1.09 2.67 2.07 3.27 6.01 4.66 7.36 0.45 0.15 0.75 17.77 11.91 23.63 Lactate mg/dL 7.1 4.4 9.8 24.0 18.6 29.4 54.2 42.0 66.4 4.1 1.4 6.8 160.1 107.3 212.9 g/L 0.07 0.04 0.10 0.24 0.19 0.29 0.54 0.42 0.66 0.04 0.01 0.07 1.60 1.07 2.13 Creatinine mg/dL 0.91 0.46 1.36 2.19 1.70 2.68 4.37 3.40 5.34 0.43 0.00 0.80 14.65 9.81 19.49 umol/L 80 40 120 194 151 237 386 300 472 38 0 78 1295 868 1722 Siemens Healthineers Services Page 5 of 6 Job Aid | epoc Quality Control Effective Date: 07/03/2018 | HOOD05162002886514 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (herein- after collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2018 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018