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RAPIDPoint® 500e Blood Gas System Quality Control Job Aid

This job aid provides instruction on how to analyze quality control.

Quality Control Job Aid RAPIDPoint® 500e Blood Gas System Required Quality Control Note: When performing Required QC analysis on the RAPIDPoint® 500e system, use only RAPIDQC® Complete materials. Other QC materials may affect parameter performance adversely. The Required QC analysis option: · Prompts you to perform quality control analysis at the scheduled intervals by displaying “Required QC due” message in the banner. The system indicates the level of the specified control to analyze and the time remaining to perform Required QC · Compares the results to the ranges for each parameter and identifies any results that are out of range · Prompts you to analyze another QC sample if the first fails · Turns off any parameters that fails the second Required QC analysis. The system also turns parameters off if Required QC analysis is not performed when scheduled Note: If any of the CO-ox fractions fail QC analysis, tHb and nBili are turned off and remain unavailable until all CO-ox fractions pass QC analysis. Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/11/2019 | HOOD05162002998095 Healthineers Job Aid Effective Date: 18/Mar/2020 | HOOD05162003075280 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 Perform Required QC 1. If prompted, enter your password, or your password and operator ID 2. When Required QC is due, select the Perform QC button Ready 18 00 ? 02/25/2019 Required QC Due 02:00 PH Na+ Glu QC QC PCO2 K+ Lac 2 PO2 V Ca++ V tHb V Cl- nBili (Optional) a Start Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 2 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 3. The level of the control needed will display on the screen a. Scan the barcode on the RAPIDQC Complete control ampule SIEMENS solthineers RAPIDPoint 500€ with Integri-sense technology b. Open the ampule using an ampule breaker and attach a Quick adapter to the ampule c. Insert the ampule into the sample port wealthineers TENS Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 3 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 d. Select the Continue button to start the analysis Ready 18:04 02/25/2019 QC RapidQC Complete Level 1 Lot 361400 OC 3d 4. When prompted, remove the ampule from the sample port and then select the Continue Analyzing 18:04 02/25/2019 Qc Remove ampule 4 Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 4 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 5. Results appear for the selected parameters when analysis is complete. Results exceeding the target range are displayed in red with a symbol. Control name, level and lot number display in the row below the banner 6. Select the Continue button when you finish viewing the results Results 18 04 02/25/2019 QC RapidQC Complete Level 1 Lot 361400 PH 7.134 Na 119.7 mmol/L PCO2 74.5 mmHg K+ 3.21 mmol/L PO2 146.0 mmHg Ca+ 1.64 mmol/L CI- 78 mmol/L Glu 205 mg/dL Lac 10.50 mmol/L tHb 17.7 g/dl FO2Hb 78.4 % FCOHb 2.1 FMetHb 15.1 % FHHb 2.5 nBili 21.8 mg/dL 6 Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 5 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 Required QC not performed If Required QC is not performed on schedule, the parameter is turned off. This is indicated by the parameter buttons in the Analysis screen. See the example below. Not Ready Required QC Due ? 20:11 02/25/2019 a OC PH QC Na* Qc Glu Qc QC APCO2 QC Qc K+ QC Lac APO2 QC Ca++ tHb QC QC OC AnBili (Optional) QC a Start Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 6 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 Automatic Quality Control The Automatic QC analysis option: · Performs quality control analysis automatically at the scheduled time and for the scheduled level · Uses the Automatic QC cartridge which contains all the levels of QC material · Compares the results to the ranges for each parameter and identifies any results that are out of range · Turns off any parameters that fail QC unless configured in Setup to repeat the analysis. Once repeated, turns on any failed parameters that passed and turns off any parameters that failed the second analysis Note: If any of the CO-ox fractions fail QC analysis, tHb and nBili are turned off and remain unavailable until all CO-ox fractions pass QC analysis. The system displays the AQC Pending message in the banner 15 minutes before Automatic QC begins. If you want to begin the scheduled QC analysis sooner: 1. In the Analysis screen, select the Perform QC button Ready 17:45 ? 02/25/2019 AQC Pending 00:15 PH Na+ Glu Qc DC V PCO2 K Lac 1 OC) V AQC PO2 Ca++ tHb CI- V nBili (Optional) a Start Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 7 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 2. If prompted, enter your password, or your password and operator ID 3. Select the Automatic QC sample type button Ready 15 44 ? 07/03/2019 a PH Na+ Glu OC QC PCO2 K+ Lac Oc V AQC PO2 Ca++ tHb OC 3 CI- nBili (Optional) PH Ca++ tHb nBili 4 Start Glu Lac 4. Select the Start button 5. A screen displays which allows you to select the level for your Automatic QC sample. Select the level and then select Start 6. If prompted, enter your operator ID and then select the Continue button Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 8 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 7. Results appear for the selected parameters when analysis is complete. Results exceeding the target range are displayed in red with a symbol. Control name and level appear in the row below the banner 8. Select the Continue button when you finish viewing the results Results 11:59 07/02/2019 AutomaticQC Level 2 PH 7.356 Na+ 128.84 mmol/L PCO2 40.0 mmHg K + 4.97 mmol/L pO2 105.3 mmHg Ca++ 1.20 mmol/L CI - 101 mmol/L Glu 100 mg/dL Lac 0.86 mmol/L tHb 14.2 g/dl FO2Hb 92.3 FCOHb 2.9 % FMetHb 1.9 % FHHb 2.9 % nBili 12.0 mg/dL 8 Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 9 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 QC Results and Target Ranges The system automatically prints the QC sample report if the Auto Print option is turned on in Setup. The QC sample report provides the following information: · Control ID and results · Target ranges defined in Setup · Legend that explains result symbols Symbol Description ­ The result is above the target range ¯ The result is below the target range -----­ The result is above the reporting range -----¯ The result is below the reporting range -----? The system has an atypical response when measuring this parameter Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 10 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 Parameters not available Parameters turned off by the system due to QC analysis failure are indicated by the parameter button in the Analysis screen. See the example below. Ready 11:43 ? 07/02/2019 Na+ Glu a PH DC OC pCO2 K+ Lac OC oc AQC QC pO2 Ca++ tHb CI- nBili Start Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 11 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 Recall Quality Control Results To locate results for QC samples that have already been analyzed, use the following procedure: 1. If prompted, enter your password, or your password and operator ID 2. Select the Recall button 3. Select QC. The list of QC samples appears Note: For Automatic QC samples, AQC appears as the control name and the lot number is the last six digits of the cartridge serial number. 4. Locate the QC results you want to view: a. Use the up or down arrow buttons to view additional QC samples. You can use the left and right arrow buttons to view additional parameters b. Select the sample and then select Results Recall 11:5 07/02/2019 QC 2 Control Level Lot Ca++ CI- Glu Lac tHb 07/02 11:36 AQC 3 691363 0.79 121 51 3.10 8.1 07/02 11:32 AQC 2 691363 1.20 101 104 0.90 14.2 07/02 11:28 AQC 1 691363 1.65 81 197 12.55 18.1 06/28 13:50 1.32 106 88 1.25 14.5 4a 4b 4a Results Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 12 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 · Select the Print button to print the QC sample report, if necessary · If the system is connected to middleware or an LIS, the system also sends the results when you select the Print button · Select the Continue button to return to the list of QC samples. Repeat the steps to locate other QC sample results 5. When done, select the Continue button twice to return to the Analysis screen Recall 11 45 07/02/2019 AutomaticQC Level 3 PH 7.551 Na+ 152.3 mmol/L pCO2 22.8 mmHg K 6.99 mmol/L PO2 72.9 mmHg Ca++ 0.79 mmol/L CI- 121 mmol/L Glu 51 mg/dL Lac 3.10 mmol/L tHb 8.1 g/dl FO2Hb 60.8 % FCOHb 17.6 % FMetHb 5.4 FHHb 16.2 % nBili 4.8 mg/dl Reject Results 5 Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 13 of 14 Job Aid | Quality Control Effective Date: 18/Mar/2020| HOOD05162003075280 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 (hereinafter 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. RAPIDPoint and RAPIDQC are registered trademarks of Siemens Healthcare Diagnostics. Copyright © Siemens Healthcare GmbH 2020 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com Unrestricted Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 14 of 14

  • Rapid point
  • Rapid Comm
  • blood gas
  • arterial
  • capillary
  • QC
  • ampule
  • complete
  • automatic
  • RAPIDQC