RAPIDLab® 1200 Series Blood Gas Systems Calibration Online Training

Welcome to the RAPIDLab® 1200 Series Blood Gas Systems Calibration Online Training course. The RAPIDLab 1200 Series is intended for in vitro diagnostic testing of blood gases, electrolytes, total hemoglobin, the corresponding hemoglobin fractions, neonatal bilirubin (nBili), and glucose and lactate, in arterial and venous whole blood samples. In this course you will learn how to perform and recall different types of calibrations. Select Next to continue.   Describe what automatic calibrations are and how to initiate them Describe what manual calibrations are and how to initiate them Identify failed calibrations Identify how to recall, print, and send calibration results Upon completion of this course you will be able to: Select Next to continue. Congratulations. You have completed the RAPIDLab® 1200 Series Blood Gas Systems Calibration 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.  Describe what automatic calibrations are and how to initiate them Automatic calibrations occur at prescribed intervals and require no operator intervention The system can defer a calibration to analyze a sample. Select Cancel to interrupt the calibration. If the maximum time between automatic calibrations has elapsed, the system will complete the calibration before allowing sample analysis Types of automatic calibrations: 1-Point calibration: Every 30 minutes or up to every 60 minutes Full calibration: Every 8 hours 2-Point calibration: After sensor maintenance is performed during accelerated calibration intervals 1-Point plus calibration: After replacement of the CO-oximeter sample chamber on the RAPIDLab 1245 and 1265 systems Accelerated calibration intervals: After sensors are removed or replaced or if the system detects a drop in pressure in the sample path Describe what manual calibrations are and how to initiate them Includes a 1-point, 2-point and full calibration Select Status > Calibrate Select calibration type and Start The system displays a message with the time remaining until completion and a Cancel button to interrupt the calibration If a parameter fails, the calibration repeats If parameter continues to fail then troubleshooting is needed to determine the cause of the failure Identify failed calibrations If the parameter has a single line through it there are two probable causes: The parameter failed calibration The parameter was turned off and back on in Setup If the parameter has two crossed lines through it, the probable cause is that the parameter failed calibration and is unlikely to become available with further calibrations The system repeats failed calibrations up to two times, which is the maximum number of repeats Additional Cal Required message displays in the printed report and in the events log If calibrations are not successful the system turns the parameter off, but all the other parameters remain available Identify how to recall, print and send calibration results Select Recall > Calibrations A list of calibrations display by date and time The type of calibration is indicated for each calibration (1-point, 2-point, full) Diagnostics messages are listed if associated with the calibration Use up and down arrows to view calibrations To print a calibration report, select a calibration and Print To send results to a data management system or an LIS, select a calibration and Send There are two calibration report formats: full or status The full report shows the measurement and drift values, and the D codes that explain the result symbols If the system cannot report a value during calibration, the result is blank on the full report The status report describes the calibration results as passed or failed and identifies any failed parameters Select Next to continue. The system performs automatic calibrations at scheduled intervals with no operator intervention: To calibrate the sensors Following maintenance procedures To defer a calibration for sample analysis, select Cancel. If the maximum time has elapsed since the last calibration, the system completes the calibration before samples can be processed.   Sensor Calibrations Learn about sensor calibrations. Tab TitleText1-Point The 1-point calibration occurs every 30 minutes, at a minimum, to a maximum of every 60 minutes. Sensor drift determines the intervals at which they occur. The system measures one reagent of known concentration to adjust either the offset or the slope for: pH, pCO2, pO2, Na+, Ca++, K+, Cl-, Glu and Lac    Full Full calibrations occur every 8 hours and measure two reagents of known concentration to adjust either the offset or the slope drift for: All parameters measured during a 1-point calibration, plus tHb nBili  CO-oximetry fractions A full calibration also calibrates the fluid detectors. When complete, select the X in the upper-right corner to close the window and continue.     Post Maintenance Calibrations Learn about post-maintenance calibrations. Tab TitleText2-Point After performing sensor maintenance, an accelerated calibration interval is automatically initiated, and a 2-point calibration is performed every 2 hours for the first 8 hours of the accelerated calibration.   During a 2-point calibration the system measures two reagents of known concentration to adjust either the offset or the slope drift for: pH, pCO2 pO2 Na+ Ca++ K+ Cl- Glu and Lac Note: In addition to the parameters above, the RAPIDLab 1245 and 1265 systems measure two reagents of known concentration for tHb, nBili, and the CO-oximetry fractions.    1-Point Plus The 1-point plus calibration occurs after CO-oximeter sample chamber replacement on the RAPIDLab 1245 and 1265 systems. The system measures one reagent of known concentration to adjust either the offset or the slope for: pH pCO2 pO2 Na+ Ca++ K+ Cl- Glu and Lac The system measures two reagents for tHb, nBili and the CO-oximetry fractions.    Accelerated Calibration Intervals Accelerated calibration intervals occur in two instances after opening and closing the measurement module door. After notifying the system that sensors have been removed or replaced After notifying the system that sensors were not replaced and system detects a pressure drop in the sample path The system performs a 2-point calibration every 2 hours for the first 8 hours of the accelerated calibration interval. When complete, select the X in the upper-right corner to close the window and continue.     Three calibration types can be initiated manually in the system: 1-Point calibration 2-Point calibration Full calibration Note: In some cases, the system does not allow a manual calibration to occur for these calibration types. For example, a scheduled full 2-point calibration will occur despite a request for a 1-point calibration because the 2-point calibration includes the same parameters as a 1-point, plus measures an additional reagent.   Manual Calibrations Learn about the steps to perform a manual calibration. Checklist TitleChecklist TypeChecklist ContentCalibration Screen and TypeHTML   Select Status > Calibrate. Select the calibration type. Select each checkbox to learn more about calibrating.  StartHTML   Select Start.  MessageHTML   A message displays indicating the system is busy along with the time until completion. A Cancel button displays to interrupt the calibration if a priority sample requires analysis. Calibration FailureHTML If a parameter fails calibration, the calibration repeats automatically. If the parameter continues to fail calibration, refer to the Troubleshooting Failed Calibrations section of the Operator's Guide.   When complete, select the X in the upper-right corner to close the window and continue. The system repeats a failed calibration up to 2 times when a problem is detected during the calibration. After that, the failed parameter is turned off. Results for other parameters remain available.   The system also displays the Additional Cal Required status message on the printed report and in the events log.   Failed Calibration Indicators Learn about failed calibration indicators. Tab TitleTextParameter With A Single Line Through It Indicates a failed calibration or the parameter was turned off and back on in Setup.    Parameter With Two Crossed Lines Through It Indicates a failed calibration and that it is unlikely to become available with further calibrations. When complete, select the X in the upper-right corner to close the window and continue.     This process is accelerated if blood coagulability is already increased. This explains the protective effect of the substance acetylsalicylic acid (ASA, aspirin): the anticoagulative action of ASA is based on reducing aggregation of thrombocytes. Plaque rupture followed by thrombus formation in the coronary arteries leads to acute myocardial infarction. A heart attack often comes without warning - in one third of cases, patients have not experienced any prior symptoms.   The Recall screen lists calibrations by date and time, type of calibration (1-point, 2-point or full), and any diagnostic messages.   The system offers two types of calibration report formats that are available only to print: full or status.   The full report shows the measurement and drift values, and the D (Diagnostic) codes, which explain the result symbols. If the system cannot report a value, the result is blank The status report describes the calibration results as passed or failed, and identifies failed parameters.   Recall, Print and Send Results Learn about recalling, printing and sending results. Tab TitleTextRecall In order to recall a calibration: Select Recall > Calibrations Use the up and down arrows to view all of the calibrations  Print To print a calibration report: Select a calibration and then select Print    Send To send results to a data management system or an LIS: Select a calibration and then select Send Note: If connected to RAPIDComm® or to an LIS, the system automatically sends the calibration data to these computer systems, depending on the setup. When complete, select the X in the upper-right corner to close the window and continue.