Stratus® CS Acute Care™ Diagnostic System Daily Setup Online Training

Welcome to the Stratus® CS Acute Care™ Diagnostic System Daily Setup Online training course. The content provides you with the necessary information to perform the Daily Setup of the system. Select Next to continue.   Check and replace the supplies as needed Perform the System Check Review Reagent Status Upon successful completion of this course, you will be able to: Select Next to continue. Analizador RAPIDPoint ® utiliza tres cartuchos reemplazables para el funcionamiento del sistema: el cartuchos de lavado / desechos, de medida y de AQC, y en esta sección, usted aprenderá a reemplazarlos Congratulations.  You have completed the Stratus® CS Acute Care™ Diagnostic System Daily Setup 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. Check and replace the supplies as needed Waste Container: Should be emptied daily Pak Counter is automatically reset to zero when the Waste Container is removed Tips: Tip Manager hold two trays of tips Each tray of tips hold 40 tips Must have a minimum of 8 tips to process samples Printer Paper: A pink line appears on the edges of the paper when it is running out and needs replacement. Perform the System Check: No additional samples or TestPaks required to perform a System Check Satisfies Daily QC; save your printed report with your QC documentation Verifies four main components on the system for Accuracy and Precision: Fluidic Handling Mechanical Fluorometer Temperatures Review Reagent Status If a calibration has expired or is due to expire within 72 hours the message, Check Calibration Status, appears on the System Check report. The analyzer will not process TestPaks of an uncalibrated lot. Select Next to continue. The Craniocaudal or CC is not the best choice. The calcifications are in the lower half of the patient’s breast.  We would only biopsy from the CC position if the calcifications were in the upper half of the breast. The Lateromedial (LM) approach would be the radiologist’s second choice. This position would provide the next shortest distance to reach the calcifications. The Lateral arm from the side would not be the best choice. The area of interest is in the medial aspect and the lower half of the breast.  We want to have compression on both sides of the breast whenever possible to avoid movement of the calcifications once the biopsy device is introduced. The lateral arm from below would not be the best choice. Although the calcifications are in the lower half of the breast, having compression on both sides would provide a more optimal scenario. The left mediolateral approach is the correct answer. Because the calcifications are positioned just medial to the central line, this approach proves to be the shortest distance available. The post-fired images shown here demonstrate that the calcifications are positioned slightly off center. Due to the location of the lesion in the patient’s breast, the technologist was unable to position the calcifications in the center of the image.  This does not create a problem because as you can see we are still able to access the calcifications in the sample notch region.   Before testing, check to be sure there are enough supplies for the days testing. The supplies consist of: Waste Container Tips Paper Check and Replace Supplies Learn more about checking and replacing supplies. Slide NumberText BlocksCalloutsAudio ScriptImage File1Empty Waste Container The Waste Container should be emptied daily. The system has an automatic pak counter. When the Waste Container is removed, the automatic counter resets to zero. The system also has an alert feature to make you aware when the container becomes full. It is a best practice to empty the container at the beginning of each day. Select Next to continue.Note: If audio does not automatically start, select the play arrow in the top left to begin.Always start the day's testing with a new or empty waste container. The system has an automatic pak counter that keeps track of the used paks. It holds 20 paks. Always install a new or empty waste container after removing the container from the system. Otherwise, the pak counter will be inaccurate and jams can occur. 2 Check Tips Make sure you have enough tips for the day's testing. The red indicator light on the keypad illuminates when a new tip tray is needed. To replace the empty tray: Open the Tip Manager door. Replace empty tray with a new full tray. Close the Tip Manager door. Select Next to continue. Make sure you have enough tips for the day's testing. The indicator light on the keypad will illuminate red when more tips are needed. In addition, the system will alert you when one tray of tips has been used. 3Check Paper Check the amount of paper that is on the roll to be sure there is enough for the day's testing.  A pink line on the edge of the paper indicates the paper is running low. Check the paper by selecting the Paper Advance key to advance the paper. If the pink line appears, change the paper. To change the paper: Lift the printer paper lid. Remove the used paper roll from the holder. Remove the spindle from the used paper roll. Insert the spindle into the new paper roll. Position the spindle into the holder so the paper feeds from the bottom of the roll. Feed the paper into the printer and press the paper advance key three times. Feed the paper through the slot in the printer lid. Close the lid. Advance the paper until approximately two inches are visible.   Paper Advance Key     When complete, select the X in the upper-right corner to close the window and continue.Make sure there is enough paper for the day's testing. A pink line on the edge of the paper indicates that paper is running low. By selecting the Advance Paper key two to three times, it will allow you to view if the pink line appears. If it does appear, it is time to replace the paper. Replace the paper following the steps listed. You can also refer to the Operator's Guide, under Daily Setup to view the procedure. To ensure the analyzer's performance, a system check (Electronic QC) should be run daily.  It measures the performance of the analyzer at two specific levels: Accuracy Precision No samples or test paks are required to perform this procedure.  The system uses one Tip to perform the mechanical check. After completion of the System Check, the System Check report will automatically print. After reviewing the report, document the completion of the process on the Maintenance Log sheet.  It is recommended that all System Check printouts are stored with your quality control records.   Run System Check View the steps for performing a system check. Checklist TitleChecklist TypeChecklist ContentDisplay mode screenHTML Select each checkbox to learn more about performing a system check. From any mode screen, press F3 [Change Mode] to display the mode menu.   Close sample doorHTML Close the sample door.   Press F4 AcceptHTML Move the cursor to System Check Mode. Press F4 [Accept].   Enter System Check IDHTML Enter the System Check ID. Press the Enter key.    Enter Operator IDHTML Enter your Operator ID. Press the Enter key.   Press the Start keyHTML Press the Start key.    Review the System Check ReportHTML Review the System Check Report. If the status of all components is PASS, you can proceed with processing. If the status is of any component is FAIL, see System Check Troubleshooting Chapter in your Operator's Guide. When complete, select the X in the upper-right corner to close the window and continue. System Check Components Learn about the areas that a system check monitors. Tab TitleTextMechanical Alignment During the System Check, the instrument verifies critical alignment parameters through a series of sensors and motion control software alignments.     Temperature The System Check verifies that the temperature of the thermal chamber and fluorometer are 37 C +/- 0.2 C.  Fluid Handling The System Check verifies the integrity of the pneumatic fluid delivery system through a series of inline pressure determinations.  It also monitors fluid transfers for atypical pressure profiles during the processing of each sample.  Fluorometer A built-in feedback diode and onboard references measure the signal at two levels of fluorescence and corrects the output to minimize between-run drift. It is also calibrated to a NIST-traceable reference in order to reduce between-instrument variability.  When complete, select the X in the upper-right corner to close the window and continue.   Calibration/Reagent Status If Check Calibration Status appears on the System Check report, look for calibrations that have expired or are about to expire, which is typically within 72 hours.  You should calibrate TestPaks or run QC when necessary. Refer to the Operator's Guide for further details.   Checking Reagent Status Learn how to Check the Reagent Status. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90006297/sim_STRCS_DailySetup_800x600/sim_STRCS_DailySetup_800x600.htmHTML5 File:/content/generator/Course_90006297/sim_STRCS_DailySetup__HTML5_800x600/index.htmlPDF File: