IMMULITE® 2000 Immunoassay System Sample Processing Online Training

Welcome to the IMMULITE® 2000 System Sample Processing Online Training course.  This course introduces you to: Processing patient samples using the LIS, monitor their status, and review their results Manually processing patient samples in certain situations, such as the LIS not being operational Select Next to review the course objectives.  There are 4 types of Objections: Misconception- which is incorrect or inaccurate information a customer may have, often from a competitive source. Skepticism – the customer thinks the information is too good to be true or won’t work for them. Complaint – the customer perceives they have been wronged often regarding service, support or analyzer performance and Real Drawback – which is a gap or weakness in the solution relative to the customer’s needs or they believe a competitive solution is better or more economical. We have different response tactics to address the customer’s objection based on the category. Let’s take a look at our first objection.  Select Next to continue.   On the IMMULITE 2000 System, the sample carousel must be paused in order to load and unload samples.  After loading and unloading samples, you must put the system back into Run mode in order to continue processing new samples.   Sample Tube Sizes Learn more about sample tube sizes. The following primary and secondary round bottom tube sizes may be used by the system:   12 x 75 mm 13 x 75 mm 16 x 75 mm 12 x 100 mm 13 x 100 mm 16 x 100 mm The sample volume required varies with the assay to be run and the number of replicates requested on that sample. The exact sample volume required for each test can be found in the corresponding instructions for use. An additional 250 µl of sample, as dead volume, is required for proper instrument operation.     When complete, select the X in the upper-right corner to close the window and continue. Loading and Unloading Samples Learn about loading and unloading samples. Checklist TitleChecklist TypeChecklist ContentOpen sample carousel doorHTML   Select the play arrow to begin video.  Select each checkbox to learn more about loading and unloading samples. System enters pause and select rackSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004003/sim_IMM2K_EnterPauseMode_9/sim_IMM2K_EnterPauseMode_9.swfHTML5 File:/content/generator/Course_90004003/sim_IMM2K_EnterPauseMode_9/index.htmlPDF File:Remove sample rack from sample carouselHTML   Select the play arrow to begin video.     Load tubes on sample rackHTML   Select the play arrow to begin video.      Load sample rack on sample carouselHTML   Select the play arrow to begin video.   Put system in Run modeHTML   Select the Run button to interrogate the sample carousel.  The sample rack barcode and sample tube barcodes will be read and displayed in the software. When complete, select the X in the upper-right corner to close the window and continue.     Take a few moments to review the key features of the ADVIA 212i Hematology System along with each feature's advantages and value to the customer. For more in- depth information, please refer to the sources listed. Select next to continue. If the system is in Run mode, the IMMULITE  2000 System will automatically start running barcoded patient samples with LIS orders. Bi-directional LIS system: A worklist is created when the LIS downloads the accession numbers, desired tests, and any patient demographics to the system No samples are needed to create the worklist The system matches the downloaded records to the barcoded samples placed on the system Bi-directional Query LIS system: A worklist is created when the samples are placed on the system The barcodes are read and the system requests the test orders for the samples onboard from the LIS host The LIS downloads the orders and the system processes the samples Select Next to continue.   The five key messages of the ADVIA 2120i Hematology System are: Quality Results Efficiency Improved Outcomes Successful Partnerships Sustainability When you are finished reviewing this material, select next to continue. If the system is not connected to an LIS, you must manually order tests using the IMMULITE 2000 System software. The samples must be loaded and the system must be in Run mode before the tests are ordered. Let's look at how to run barcoded patient samples without an LIS.   Loading Barcooded Patient Samples Learn how to load barcoded patient samples.   Select the play arrow to begin the video.  When complete, select the X in the upper-right corner to close the window and continue. Running Barcooded Patient Samples without an LIS Learn how to run barcoded patient samples without an LIS. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004003/sim_IMM2K_RunBarcodedPatientSamplesNoLIS_9Rev2/sim_IMM2K_RunBarcodedPatientSamplesNoLIS_9Rev2.swfHTML5 File:/content/generator/Course_90004003/sim_IMM2K_RunBarcodedPatientSamplesNoLIS_9Rev2/index.htmlPDF File: There are several places within the IMMULITE 2000 software where information on the status of your samples is displayed. Identifying Sample Status Learn about identifying sample status. Tab TitleTextSample Tubes in Racks Screen To access the Sample Tubes in Racks screen, select the Sample Tubes button from one of the Rack Details screens.  The Sample Tubes in Racks screen displays all the racks and any tubes currently on the system.  The color of the sample tube positions indicates the status of the samples. The shape of the sample tube positions indicates the type of tube. NOTE:  It is important to select Update on the top right corner of the screen to display the most current information.    Display/Edit Screen To access the Display/Edit screen, select the Worklist button from the horizontal toolbar and then select the Display/Edit button. The Display/Edit screen displays a list of pending test orders, including the tube's sample carousel position and the status of that test.  After a test has been successfully pipetted, the status will indicate the time to completion for that test. NOTE:  It is important to select Update Screen on the bottom right corner of the screen to display the most current information. When complete, select the X in the upper-right corner to close the window and continue.    The results review function is used to review results from a sample previously run. To access the Review screen, select Review from the horizontal toolbar. A blank Review screen displays. Results will appear on the screen when a time frame is selected. Review Screen Components Learn more about the Review screen. Base ImageHotspotsText BlocksImage File Options In the options area of the screen, select the type of result you would like to view: All Patient Adjustor Control Verifier (for calibration verifier)  Time Select Time to set the time frame searched. The default is the current date. When the Time button is selected, the Select Time Method window opens.  You can select: date range, today only, or all results.  After making your selection, click the ok button.  Search When the Search button is selected, the Search By window opens.  This option allows you to search for a particular result. The Search By window varies depending on the record type selected in the options area: patient, control, adjustor, or calibration verifier.  The Search button is not available if the All option is selected.    Results   Results are listed on the screen for one sample at a time.  Previous / Next  Use the Previous and Next buttons to scroll through the results, viewing the results for one sample at a time.  Print The Print button is used to print the results for the sample currently displayed on the screen.  Sample tubes that have missing or damaged barcodes must either be re-labeled or assigned an accession number. Let's look at how to run unbarcoded patients. Running Unbarcoded Patient Samples Learn about running unbarcoded patient samples. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004003/sim_IMM2K_RunningUnbarcodedPatientSamples_9/sim_IMM2K_RunningUnbarcodedPatientSamples_9.swfHTML5 File:/content/generator/Course_90004003/sim_IMM2K_RunningUnbarcodedPatientSamples_9/index.htmlPDF File: Loading Unbarcoded Samples Learn about loading unbarcoded patient samples.   Select the play arrow to begin the video.  When complete, select the X in the upper-right corner to close the window and continue. The hematology market has strong competition globally. Understanding our competitors in the market is key to your success.  You will want to know where their products are positioned in the different market segments and how they compete with our products in the areas of testing, volume and complexity.  Understanding the competitive situation is critical to your success as a Hematology Sales Representative.  Select Next to continue. Microsample tubes allow you to run volumes of sample less than 250uL using specified aliquot tubes and a microsample tube holder. The dead volume of microsample tubes is 50uL A disposable 10 x 50 mm sample tube is inserted into a resuable microsample tube holder Microsample tubes are placed in the same standard sample racks that are used to run secondary and primary tubes The positions of microsample tubes are identified on the Sample Tubes in Racks screen by a square Note: It is recommended to run no more than five tests from a single microsample tube. Select Next to continue.   There may be times when it is necessary to add a test order to a sample that is already in progress with other tests. If the new test is being ordered from the LIS, a requery of the LIS can be initiated by having the sample tube barcode be reread by the system.   If the new test is not being ordered from the LIS, you can order the test using the system software.  Select the link to learn how to add a test to a sample in progress using the system software.   Adding a Test to a Sample in Progress Learn how to add a test to a sample in progress. Instructions:If media does not automatically start, select the play arrow to begin. Flash File:/content/generator/Course_90004003/sim_IMM2K_AddTestToInProcessSample_9/sim_IMM2K_AddTestToInProcessSample_9.swfHTML5 File:/content/generator/Course_90004003/sim_IMM2K_AddTestToInProcessSample_9/index.htmlPDF File: There are several options that can be assigned to samples on the Worklist screen: STAT Secondary/Primary Tube Onboard Dilution Manual Dilution Worklist Options Learn how to assign worklist options to samples. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004003/sim_IMM2K_Worklist2_9/sim_IMM2K_Worklist2_9.swfHTML5 File:/content/generator/Course_90004003/sim_IMM2K_Worklist2_9/index.htmlPDF File: Access the Sample Tubes in Racks screen, Display/Edit screen and Review screen to retrieve sample information Add a test to a sample in progress and assign various worklist options to samples Load and unload samples Order unbarcoded patient samples Run patient samples using microsample tubes Run patient samples with and without an LIS Upon successful completion of this course, you will be able to: Select Next to continue. Congratulations. You have completed the IMMULITE 2000 System Routine Sample Processing 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.   In this online training course, you learned how to:   Unload and load samples: Open sample carousel door Wait for system to enter sample pause Select sample rack to remove Remove sample rack from sample carousel Load tubes in sample rack Load sample rack on sample carousel Put system in Run mode Run patient samples with LIS orders.  These orders will automatically run if the tubes are barcoded. Order barcoded patient samples without an LIS.  If the system is not connected to an LIS, you must manually order tests using the IMMULITE 2000 system software.  The samples must be loaded and the system must be in Run mode before the tests are ordered.  To manually order tests on patient samples: Load barcoded patient samples on the system and put the system into Run mode Select Worklist Select Next Order Tests Select Accept Patient Review Display/Edit screen   Identify sample status on the Sample Tubes in Racks screen, Display/Edit screen, and the Review screen. To access the Sample Tubes in Racks screen, select the Sample Tubes button from one of the Rack Details screens. The Sample Tubes in Racks screen displays all the racks and any tubes currently on the system. The color of the sample tube positions indicates the status of the samples.  The shape of the sample tube positions indicates the type of tube. It is important to select Update on the top right corner of the screen to display the most current information. To access the Display/Edit screen, select the Worklist button from the horizontal toolbar and then select the Display/Edit button. The Display/Edit screen displays a list of pending test orders, including the tube's sample carousel position and the status of that test.  After a test has been successfully pipetted, the status will indicate the time to completion for that test. It is important to select Update Screen on the bottom right corner of the screen to display the most current information. To access the Review screen, select Review from the horizontal toolbar.  A blank Review screen displays.  Results will appear on the screen when a time frame is selected. This screen can be used to review results from a sample previously run. Order unbarcoded patient samples.  Sample tubes that have missing or damaged barcodes must either be re-labeled or assigned an accession number. To order tests on unbarcoded patient samples: Load unbarcoded patient samples on the system and put the system into Run mode Select Worklist Select New and enter accession number Order tests Assign tube position Select Accept Patient Review Display/Edit screen Run patient samples using microsample tubes.  Microsample tubes allow you to run volumes of sample less than 250uL using specified aliquot tubes and a microsample tube holder. The dead volume of microsample tubes is 50uL.  Microsample tubes are identified on the system by a permanent barcode label attached to a reusable microsample tube holder.  A disposable 10 x 50 mm polystyrene sample tube is inserted into the holder.  Microsample tubes are placed in the same standard sample racks that are used to run secondary and primary tubes.  After you load the microsample tubes on the sample carousel and put the system into Run mode, the samples are ordered the same as primary and secondary tubes.   Add a test to a sample in progress.  If the new test is being ordered from the LIS, a requery of the LIS can be initiated by having the sample tube barcode be reread by the system.  This can be done by pausing the sample carousel and then putting the system back into Run mode.  If the new test is not being ordered from the LIS, you can order the test using the system software. To add a test to a sample that is in progress:   Select Worklist. Ensure that Patient is highlighted in blue at the top of the screen. Select the New button to display a blank worklist. Enter the accession number for that sample into the accession field. Select the Test button to view the available tests screen.  Select the appropriate test(s) to run, and press OK. Select Accept Patient.   Use several options that can be assigned to samples on the Worklist screen.  A test order can be assigned a STAT status, meaning that the test will have pipetting priority over the other tests in the worklist.  Also, a sample tube can be identified as either a secondary tube or a primary tube, which affects how the sample is pipetted.  There are additional options for dilutions, including ordering onboard dilutions on tests and identifying samples as being manually diluted. To indicate a STAT sample: Select STAT on the Worklist screen Select the test name in the Tests Ordered screen. The test name turns red, indicating this test now has a STAT priority and runs first. Select Accept Patient Tube Type Setting: Primary Tube:             - A blood collection tube in which the serum is separated from the blood cells by a gel barrier             - The probe stops before penetrating the gel barrier Secondary Tube:             - A sample tube in which the serum is aliquotted to a different tube             - The probe moves further into the tube before aspirating the sample   To run an onboard dilution: The appropriate assay diluent must be loaded on the sample carousel in a 16 x 100 mm tube with the diluent barcode. Select the Dilution button on the Worklist screen. Select the assay. Select the desired dilution factor. To run a manually diluted sample:   The appropriate assay diluent must be used.  The diluents are concentrated and must be diluted 1 part diluent to 1.5 parts water before using it to dilute the sample. In the Worklist screen, select the Manual Dilution button Type the manual dilution factor Select OK   Select Next to continue.