IMMULITE® 1000 Immunoassay System Required Maintenance Online Training

Welcome to the IMMULITE® 1000 Immunoassay System Required Maintenance Online Training course.  Performing the maintenance procedures routinely and properly helps to keep your system running efficiently.  This course introduces you to the following maintenance procedures: Weekly maintenance Every two week maintenance Monthly maintenance Semi-annual maintenance Select Next to continue. Identify monthly maintenance procedures Identify semi-annual maintenance procedures List the steps to perform every two week maintenance List the steps to perform weekly maintenance Upon successful completion of this course, you will be able to: Select Next to continue. Congratulations. You have completed the IMMULITE 1000 Immunoassay System Required Maintenance 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.    Key Points:    List the steps to perform weekly maintenance Clean the fan filter - use water and dry completely before reinstalling on the system Clean the computer filter - use water and dry completely before reinstalling on the system List the steps to perform every two week maintenance   Clean the water bottle - use 70% isopropyl alcohol and rinse well with water Identify monthly maintenance procedures   Clean the probe wash bottle - use 70% isopropyl alcohol and rinse well with water Check the load platform and sample collection tray - clean using surface disinfectant and a damp cloth Change the substrate spike - replace both the substrate spike and the substrate spike o-ring Replace the small syringe tip: Run SCHANGE diagnostic - positions the small syringe for easier removal Replace the small syringe tip Run PRIME diagnostic - removes air from the system after replacing the small syringe tip Decontaminate the system and run the water tests Run the WATERTST diagnostic - tests the source water for alkaline phosphatase contamination Decontaminate the system - cleans the water lines in the system with probe wash and then rinses the lines with water Run the WATERTPM diagnostic - tests the water on the system for alkaline phosphatase contamination Identify semi-annual maintenance procedures   Replace the large syringe tip Run SCHANGE diagnostic - positions the large syringe for easier removal Replace the large syringe tip and the large syringe tip o-ring Run PRIME diagnostic - removes air from the system after replacing the large syringe tip Replace the in-line filters Replace the in-line filters for the probe wash and water lines Run PRIME and SOLE1W diagnostics - removes air from the system after replacing the in-line filters   Select Next to continue.   The weekly maintenance procedures are: Clean the fan filter Clean the computer filter After completing the weekly maintenance tasks, update the Maintenance Record to keep track that the maintenance was complete. Cleaning the Fan Filter Learn how to clean the fan filter.    Select the play arrow to begin video.    When complete, select the X in the upper-right-hand corner to close the window and continue. Cleaning the Computer Filter Learn how to clean the computer filter.   Select the play arrow to begin video.    When complete, select the X in the upper-right-hand corner to close the window and continue.       Every two week maintenance consists of cleaning the water bottle.  Cleaning the water bottle helps to prevent the growth of algae and bacteria. To clean the water bottle: Disconnect the water bottle from the system and empty the bottle Clean the bottle and cap with 70% isopropyl alcohol Rinse the bottle and cap thoroughly with distilled water Add distilled water to the bottle Reinstall the water bottle on the system Ensure the valve fittings are secure and the fluidic tubing is pulled tightly to prevent coiling After cleaning the water bottle, update the Maintenance Record to keep track that the maintenance was complete. Select Next to continue.   Monthly maintenance consists of: Clean the probe wash bottle Check the load platform and sample collection tray Replace the substrate spike Replace the small syringe tip Decontaminate and perform water tests After completing each procedure, update the Maintenance Record to keep track that the maintenance was complete. Select Next to continue.   To prevent growth of algae or bacteria, clean the probe wash bottle and cap: Disconnect the probe wash bottle from the system and empty the bottle Clean the bottle and cap with 70% isopropyl alcohol Rinse the bottle and cap thoroughly with distilled water Prepare fresh probe wash by adding one 100 mL bottle of probe wash concentrate to 900 mL of distilled water Reinstall the probe wash bottle on the system Ensure the valve fittings are secure and the fluidic tubing is pulled tightly to prevent coiling After cleaning the probe wash bottle, update the Maintenance Record to keep track that the maintenance was complete. Select Next to continue.     与其它动脉粥样硬化的表现类似，PAOD由血管壁慢性炎性变化引起，可导致周围动脉血管的管腔变得越来越狭窄。 致使到周围区域的血流、供氧和营养物质的供应减少。 几乎90%的病例中，PAOD会累及下肢。 对于手臂和手，与动脉粥样硬化相关的灌注问题发生得非常少。 间歇性跛行描述的是PAOD的主要症状。 “间歇性跛行”一词源自拉丁语，意为跛行。 在PAOD初期，一般腿部用力时会出现疼痛，患者不得不停止步行以作短暂休息。 Monthly maintenance includes checking: 1 - Sample Collection Tray 2 - Load Platform If necessary, decontaminate the load platform and sample collection tray using a surface disinfectant and a damp cloth.  Surface spray disinfectant is available from Siemens Diagnostics. Note:  Do not use bleach solutions on IMMULITE 1000 system surfaces. After checking the load platform and sample collection tray, update the Maintenance Record to keep track that the maintenance was complete. Select Next to continue.   血管狭窄和梗塞可能为全身性或局部性，累及血管系统中典型的血管段。 血管狭窄或梗塞的位置与疼痛之间有联系。 通过触诊周围脉搏，可诊断结果： 下背和大腿区域疼痛说明累及的可能是一段主动脉或者髂动脉。 腹股沟内以及膝盖后窝内的脉搏几乎不能触摸到。 小腿肌疼痛说明累及的可能是股动脉或腘动脉。 膝盖后窝内的脉搏（膝弯脉搏）较弱，不容易检测到。 脚底疼痛说明累及的可能是下肢动脉。 此时，脚踝和脚背处的脉搏较弱，不容易检测到。   Replacing the substrate spike is performed to prevent contamination and buildup on the substrate spike. It is important to always wear gloves when replacing the substrate spike to prevent contamination. After changing the substrate spike, update the Maintenance Record to keep track that the maintenance was complete. Changing the Substrate Spike Learn how to replace the substrate spike.   Select the play arrow to begin video.    When complete, select the X in the upper-right-hand corner to close the window and continue.     Color Doppler sonography is the most important non-invasive imaging technique used for diagnosing PAOD.   What do you think: What kind of information can this exam provide for assessing the severity of PAOD?     Replacing the small syringe tip on a monthly basis keeps the small syringe functioning properly. The procedure to replace the small syringe tip involves: Run SCHANGE diagnostic - positions the small syringe for easier removal Replace the small syringe tip Run PRIME diagnostic - removes air from the system after replacing the small syringe tip After replacing the small syringe tip, update the Maintenance Record to keep track that the maintenance was complete. Replacing the Small Syringe Tip Learn how to replace the small syringe tip. Checklist TitleChecklist TypeChecklist ContentRun SCHANGE DiagnosticSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90005453/sim_IM1_RunSCHANGE_9Rev/sim_IM1_RunSCHANGE_9Rev.swfHTML5 File:/content/generator/Course_90005453/sim_IM1_RunSCHANGE_9Rev/index.htmlPDF File:Replace the Small Syringe TipHTML   Select the play arrow to begin video.  Run PRIME DiagnosticSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90005453/sim_IM1_RunPRIME_9Rev/sim_IM1_RunPRIME_9Rev.swfHTML5 File:/content/generator/Course_90005453/sim_IM1_RunPRIME_9Rev/index.htmlPDF File: 在PAOD早期，运动训练和物理锻炼非常重要。 运动训练是间歇性跛行的一种治疗方法。 患者在踏车上行走，出现不适感之后，即暂停做放松练习。 这种训练称为间歇训练。 能够促进侧支循环。 此外，还能使心血管疾病死亡率降低20%。 运动训练至少应坚持3个月。 如果能在监督下有计划地进行训练（例如血管运动），才能实现最佳效果。 Nolan先生还参加了运动训练课程。 The following steps are included in decontaminating the system and testing the water: Run the WATERTST diagnostic - tests the source water for alkaline phosphatase contamination Decontaminate the system - cleans the water lines in the system with probe wash and then rinses the lines with water Run the WATERTPM diagnostic - tests the water on the system for alkaline phosphatase contamination After completing the decontamination and water test tasks, update the Maintenance Record to keep track that the maintenance was complete.     Performing WATERTST Learn how to perform the WATERTST diagnostic. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90005453/sim_IM1_RunWATERTST_9Rev/sim_IM1_RunWATERTST_9Rev.swfHTML5 File:/content/generator/Course_90005453/sim_IM1_RunWATERTST_9Rev/index.htmlPDF File: Performing WATERTPM Learn how to perform the WATERTPM diagnostic. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90005453/sim_IM1_RunWATERTPM_9Rev/sim_IM1_RunWATERTPM_9Rev.swfHTML5 File:/content/generator/Course_90005453/sim_IM1_RunWATERTPM_9Rev/index.htmlPDF File: Decontaminating the System Learn how to decontaminate the system. Checklist TitleChecklist TypeChecklist ContentConnect Water Line to Probe Wash BottleHTML    Select the play arrow to begin video. Select each checkbox to learn more about decontaminating the system.  Run DECON DiagnosticSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90005453/sim_IM1_RunDecon_9Rev/sim_IM1_RunDecon_9Rev.swfHTML5 File:/content/generator/Course_90005453/sim_IM1_RunDecon_9Rev/index.htmlPDF File:Replace LinesHTML   Select the play arrow to begin video.  Run DECON1 DiagnosticSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90005453/sim_IM1_RunDECON1_9Rev/sim_IM1_RunDECON1_9Rev.swfHTML5 File:/content/generator/Course_90005453/sim_IM1_RunDECON1_9Rev/index.htmlPDF File: PAOD的预后取决于二级预防的成功以及患者自身补偿机制（预防严重低灌注）的改善。 这也是为什么心血管疾病风险监测——通过定期临床和仪器检查（例如心电图、血压测量和多普勒超声）以及实验室检测（例如血糖和血脂）——很重要的原因。 疾病发展评估或血管再造的成功是通过血管超声波检查实现的。 医学治疗使四分之三的患者病情得到稳定或改善。 继续吸烟的患者的预后则不是很理想： 他们中有约5%的患者需要截肢。 此类患者中，大部分死亡是由于突发心脏病或心肌梗塞所致。   The semi-annual maintenance procedures are: Replace the large syringe tip Replace the in-line filters After completing each of the semi-annual maintenance tasks, update the Maintenance Record to keep track that the maintenance was complete.   Replacing the Large Syringe Tip Learn how to replace the large syringe tip. Checklist TitleChecklist TypeChecklist ContentRun SCHANGE DiagnosticSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90005453/sim_IM1_RunSCHANGE_9Rev/sim_IM1_RunSCHANGE_9Rev.swfHTML5 File:/content/generator/Course_90005453/sim_IM1_RunSCHANGE_9Rev/index.htmlPDF File:Replace the Large Syringe TipHTML   Select the play arrow to begin video.  Run PRIME DiagnosticSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90005453/sim_IM1_RunPRIME_9Rev/sim_IM1_RunPRIME_9Rev.swfHTML5 File:/content/generator/Course_90005453/sim_IM1_RunPRIME_9Rev/index.htmlPDF File: Replacing the In-Line Filters Learn how to replace the in-line filters. Checklist TitleChecklist TypeChecklist ContentReplace the In-Line FiltersHTML   Select the play arrow to begin video. Select each checkbox to learn more about replacing the in-line filters.  Prime Syringes and Water ProbeSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90005453/sim_IM1_PrimeSyringesAndWaterProbe_9Rev/sim_IM1_PrimeSyringesAndWaterProbe_9Rev.swfHTML5 File:/content/generator/Course_90005453/sim_IM1_PrimeSyringesAndWaterProbe_9Rev/index.htmlPDF File: