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VersaCell® X3 System Sample Processing Online Training

Sample processing includes loading samples, running priority samples, monitoring status and results, sorting, and enabling and disabling tests. This clinical laboratory training qualifies for continuing education units (CEU).

Es gibt verschiedene Orte in der IMMULITE 2000-XPi-Systemsoftware, an denen Informationen zum Status der Proben angezeigt wird. Wählen Sie den Link, um mehr zu zwei dieser Bildschirme zu erfahren - dem Bildschirm "Probenröhrchen in Racks", und dem Bildschirm "Arbeitsliste anzeigen/bearbeiten". Welcome to the VersaCell® X3 System Sample Processing Online Training. This course provides a basic overview of how to process samples on the VersaCell X3 system. The topics covered include: Loading Samples Running priority samples Monitoring system and sample status Monitoring results Sorting Enabling and disabling tests Select Next to continue. Describe how to load tubes Describe how to monitor results Describe how to monitor system and sample status Describe the sorting features List the options available to process priority samples List the steps to enable or disable tests Upon successful completion of this course you will be able to: Select Next to continue. Es kann vorkommen, dass es notwendig ist, einer Probe, an der bereits andere Tests durchgeführt werden, weitere Testanforderungen hinzuzufügen. Falls der neue Test vom LIS angefordert wird, kann eine erneute Abfrage des LIS auf zwei Arten eingeleitet werden. Entweder wird der Barcode der Probe erneut eingelesen, indem das System pausiert und anschließend in den Modus "START" zurückversetzt wird, oder indem die Schaltfläche "Wiederabfrage" auf dem LIS-Bildschirm ausgewählt wird. Falls der neue Test nicht vom LIS angefordert wird, können Sie den Test auch mit Hilfe der Systemsoftware anfordern. Wählen Sie den Link, um zu erfahren, wie Sie mit Hilfe der Systemsoftware einen Test zu einer Probe im Betrieb hinzufügen können. Congratulations.  You have completed the VersaCell X3 System Sample Processing Online Training course.  Listed below are key points that have been presented.  Take time to review the material before you proceed to the final quiz.  Describe how to load tubes Loading tubes on the VersaCell X3 system involves the following steps:  Open the drawer Load the rack carrier with tubes Close the drawer Select the appropriate scan option Once tubes are loaded on the system, the tube barcodes are scanned and the LIS is queried.  The robotic arm then transfers the tubes to the connected instruments(s) so the sample can be aspirated.  The tube is then returned to the drawer. List the options available to process priority samples There are three ways in which a sample can be designated as priority when running the VersaCell X3 system: Use the 8-position priority drawer Configure one of the four standard drawers as priority Load the samples on the connected systems Describe how to monitor system and sample status There are several screens that can be used to monitor system and sample status: Home Screen Instruments Screen Samples Screen Describe how to monitor results The Test Results screen allows the operator to: Review the status of test orders and results Send test results to the LIS Pause LIS communication Order a repeat test The search feature allows the operator to quickly search for a tube based on one of the following: Sample ID Patient name Patient ID Describe the sorting feature You can configure the system to sort sample tubes into specific columns of a sort drawer.  Sorting enables you to group sample tubes for a particular reason (based on an error or a test code) into the same column in the sort drawer for easy access. The VersaCell X3 allows for complete flexibility in how sorting is configured:  Sample errors, bad barcode errors and duplicate tube errors can be configured to be sorted individually or not at all Multiple sort codes can be configured for each column Can use any test code as a sort code, including active test codes processed by the connected instruments  List the steps to enable or disable tests There is an option in the software that allows you to temporarily disable a test.  To enable or disable a test:  Select the Setup icon from the top Command bar. Select the Test Enable tab. Select the checkbox for any test you want to enable.  Deselect the checkbox for any test you want to disable. Select Save. Any user can enable or disable a test.  The system must be in Stop mode. Select Next to continue.   Loading tubes on the VersaCell X3 system involves the following steps: Access the drawer. Load the rack carrier with tubes. Close the drawer. Select the appropriate scan option. Once tubes are loaded on the system, the tube barcodes are scanned and the LIS is queried.  The robotic arm then transfers the tubes to the connected instrument(s) so the sample can be aspirated.  The tube is then returned to the drawer.   Load Tubes Learn how to load tubes on the VersaCell X3 system. Checklist TitleChecklist TypeChecklist ContentSelect the green drawer buttonHTML Select the green button beneath the standard drawers to unlock the drawer. The green button flashes until it is safe to open that drawer. You cannot open a standard drawer when a sample tube from that drawer is on the interface wheel or on a connected instrument. The robotic arm must return all sample tubes to the drawer before access is given. This may take several minutes. Select each checkbox to learn more about sample loading.  Pull the drawer openHTML When the light stops flashing and turns solid green, pull the drawer open. If you do not pull the unlocked drawer open within 3 seconds, it relocks automatically and the green light turns off.   Load the sample tubesHTML Load sample tubes into the rack, starting from position A1 to E10.  Do not leave more than 3 consecutive empty positions between sample tubes.  You can load samples while the rack is in the VersaCell X3 system, or remove the rack and load them separately.  If you remove the rack, reload it by placing the rack carrier into the drawer and pushing down on the handles until it locks in place.   Close the drawerHTML Close the drawer. The standard drawers have a soft-close feature, so when the drawer reaches a certain distance from the system, it closes the rest of the way without you pushing it any further. The action of closing the drawer automatically locks the drawer in less than one second. The green light turns off.   Selecting the Appropriate Scan OptionsHTML The Scan Rack Options screen displays. Select one of the following buttons, and then select OK: Resume from Last Position - Resume transfer of sample tubes from the position at which the robotic arm stopped scanning when you opened the drawer Include Tubes With Bad Barcodes, Transfer Errors or Sample Errors - Scan positions with those errors if the tubes have been reloaded with the issues resolved Start from First Position: Clear existing sample tube status information and start scanning from the first drawer position When complete, select the X in the upper-right corner to close the window and continue.   There are three ways to designate a sample as priority when running the VersaCell X3 system: Use the 8-position priority drawer Configure one of the four standard drawers as priority Load the samples on the connected systems Process Priority Samples Learn about options for processing priority samples. Tab TitleText8-Position Priority Drawer The 8-position priority drawer is located above the other four VersaCell X3 system drawers. When the 8-position priority drawer is enabled, its tubes are scanned and processed prior to the contents in any other drawer.   To enable the 8-position priority drawer: Select the Setup icon from the top Command Bar. Select the Drawers tab. Select the Enabled box under Priority Drawer. Select Save. Note:  You can change drawer configurations after you sign in to the system and before you select the Run icon.  If you have placed the system in Run and want to change the drawer configurations, shut down and restart the software. Designate a Standard Drawer as Priority To configure a standard drawer as priority: Select the Setup icon from the top Command Bar. Select the Drawers tab. Select the Priority checkbox for the drawer to be used for priority samples. Select Save. You may use the 8-position priority drawer, or identify one standard drawer as a priority drawer, but you cannot do both. Note:  You can change drawer configurations after you sign in to the system and before you select the Run icon.  If you have placed the system in Run and want to change the drawer configurations, shut down and restart the software. Load on Connected System Priority tubes can also be processed by loading them directly on the connected system.  Any tube loaded directed on the connected system will take priority over all tubes loaded on the VersaCell X3 system, including those loaded in a priority drawer. When complete, select the X in the upper-right corner to close the window and continue. Overbooked Priority Samples Learn about overbooked priority samples. Because constant access is allowed for the priority drawer, the priority drawer also allows for overbooking.   A sample tube is overbooked if it is being processed on a connected instrument, but cannot return to the priority drawer because the drawer is full (the operator has loaded additional tubes).   Overbooked samples whose tests have all been aspirated are listed in the Overbooked Samples area of the Priority Drawer tab on the Samples screen.   To resolve an overbooked situation, remove tubes from the priority drawer that have completed processing.   When complete, select the X in the upper-right corner to close the window and continue.       Load Tubes in 8-Position Priority Drawer Learn how to load tubes in the 8-position priority drawer. Checklist TitleChecklist TypeChecklist ContentSelect the green priority drawer buttonHTML Select the green button to the right of the 8-position priority drawer. The green button flashes until it is safe to open that drawer. You can open the 8-position priority drawer at any time the robotic arm is not interacting with it. Select each checkbox to learn more about starting the system.   Pull the priority drawer openHTML When the light stops flashing and turns solid green, pull the drawer open. If you do not pull the unlocked drawer open within 3 seconds, it relocks automatically and the green light turns off.   Load the sample tubesHTML Load sample tubes into the rack. Tubes can be removed or added to any open spot in the 8-position priority drawer at any time.  Close the drawerHTML Close the drawer. This action automatically locks the drawer in less than one second. The green light turns off. All 8 positions are re-scanned every time the 8-position priority drawer is closed. All 8 positions will also be scanned if you press the green button but never open the drawer. When complete, select the X in the upper-right corner to close the window and continue.   From the QC Files window, you can view radar charts, Levey-Jennings charts and print QC reports. Occasionally, you will need to backup and restore QC files from this window. Select the links below to learn more about reviewing, printing, backing up and restoring QC. There are several screens that can be used to monitor system and sample status: Home Screen Instruments Screen Samples Screen Each of these screens can be accessed by selecting the corresponding button in the Command Bar at the top of the screen.   Monitor System and Sample Status Learn how to monitor system and sample status. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90008321/sim_VCX3_MonitoringStatus/sim_VCX3_MonitoringStatus.htmHTML5 File:/content/generator/Course_90008321/sim_VCX3_MonitoringStatus_HTML5/index.htmlPDF File: The Test Results screen allows the operator to: Review the status of test orders and results Send test results to the LIS Pause LIS communication Order a repeat test The search feature allows the operator to quickly search for a tube based on one of the following: Sample ID Patient name Patient ID Search Feature Learn how to search for tubes. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90008321/sim_VCX3_Search/sim_VCX3_Search.htmHTML5 File:/content/generator/Course_90008321/sim_VCX3_Search_HTML/index.htmlPDF File: Test Results Learn about the Test Results screen. Base ImageHotspotsText BlocksImage File This toolbar is used to select which samples to display.  The options in the Pre-defined Filters drop-down menu are No Filter, Tests With No Results, Tests With Results, Tests With Unsent Results, Samples Need Intervention, and Transmitted Samples. The Overview tab is used to view all orders and results. The Priority tab is used to view the orders and results for priority samples. To manually repeat a test, select the test and then select Rerun.  The VersaCell X3 system will create a new order that is identical to the original LIS order, and run the test.   You can only rerun patient tests that are in Complete status, and that were ordered originally by the LIS. You cannot rerun control tests. The View Details button opens the Patient Sample Detail screen.  This screen displays detailed information on the selected sample. Select Clear to remove selected orders and results from the Test Results screen.   Use this function with caution. Clear records only after the attached instruments have completed processing all test orders and the VersaCell X3 system has sent all results to the LIS. To send results to the LIS, either select individual records, or select the column heading to select all the results, and then select Transmit. Select this button to requery the LIS. If the Active button is selected, the button text changes to Paused and the LIS communication pauses.  Select Paused to reactivate the LIS communication. The Test Results screen does not automatically refresh. To update the screen data at any time, select the Refresh button. The worklist area of the screen displays the all of the information for the samples designated by the filters at the top of the screen.  Individual Sample IDs or tests can be selected to perform various functions using the buttons on the right of the screen. Select the arrows next to any column heading to change the sort order. There is an option in the software that allows you to temporarily disable a test.    To enable or disable a test:  Ensure the system is in Stop mode. Select the Setup icon from the top Command bar. Select the Test Enable tab. Select the checkbox for any test you want to enable.  Deselect the checkbox for any test you want to disable. Select Save. Any user can enable or disable a test.  Select Next to continue.  You can configure the system to sort sample tubes into specific columns of a sort drawer.   Sorting enables you to group sample tubes for a particular reason (based on an error or a test code) into the same column in the sort drawer for easy access.   The VersaCell X3 allows for complete flexibility in how sorting is configured: Sample errors, bad barcode errors and duplicate tube errors can be configured to be sorted individually or not at all Multiple sort codes can be configured for each column Use any test code as a sort code, including active test codes processed by the connected instruments Refer to the VersaCell X3 Solution Operator's Guide for information on how to configure a sort drawer.   Sorting Learn about sorting. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Sorting   A sort group defines which tubes are sorted into each column of the sort drawer.  The same sort group can be assigned to multiple columns if desired.   Any combination of the following tubes can be configured to be part of a sort group: Exception tubes (barcode errors, sample errors,  and duplicate samples) Tubes with active test codes ordered - tests being run on one of the connected instruments Tubes with user defined sort codes - orders that are not run on any of the connected instruments   Select Next to continue.   Note: If audio does not automatically start, select the play arrow in the top left to begin.A sort group defines which tubes are sorted into each column of the sort drawer. Exception tubes, tubes with active test codes ordered, and tubes with user defined sort codes can all be sorted as part of a sort group. Exception tubes include barcode errors, sample errors, and duplicate samples. Active test codes are tests being run on one of the connected instruments, while user defined sort codes are test orders that are not run on any of the connected instruments. Select Next to continue. 2 Home Screen   If a sort drawer is configured, the drawer icon for that drawer will appear on the Home screen with a "Sort" label.   The sort drawer icon includes the following indicators:   Error– turns red when an exception group (sample errors, barcode errors, duplicate samples) is sorted   New Work– turns red when a sample has new work orders associated with it after it has been selected for sorting. Tubes with New Work must be returned to their original drawer to complete processing.   Group Warning– turns yellow when a sort group is 75% full   Group Full– turns red when a sort group is full     Select Next to continue. If a sort drawer is configured, the drawer icon for that drawer will appear on the Home screen with a "Sort" label. The sort drawer icon includes indicators for tubes with errors and tubes with new work orders. The sort drawer icon also posts a warning when a sort group is 75% full and an indicator when a sort group is full. Select Next to continue. 3Removing Tubes from a Sort Drawer   You can remove tubes from the Sort drawer on a column-by-column basis.   When the Sort drawer is closed, the Scan Rack Options screen displays.   Each individual column can be selected as either Emptied or To Resume.     Select Next to continue. You can remove tubes from the Sort drawer on a column-by-column basis. When the Sort drawer is closed, the Scan Rack Options screen displays. Each individual column can be selected as either Emptied or To Resume. Select Next to continue. 4Sort Drawer Screen   Any time a sample requires sorting, the "Waiting to Sort" indicator displays on the sample itself on the Drawer screen until the tube is transferred to the Sort drawer.   The name of a sort group appears above the column of the drawer it is assigned to on the Sort Drawer screen.   Exceptions (sample errors, barcode errors, duplicate samples) are sorted immediately.   For sorting by test code, the tube will be sorted after all tests on that sample are resulted.   Tubes from the 8-position priority drawer are not sorted.     When complete, select the X in the upper-right corner to close the window and continue.   Any time a sample requires sorting, the Waiting to Sort indicator displays on the sample itself on the Drawer screen until the tube is transferred to the Sort drawer. Exceptions (sample errors, barcode errors, duplicate samples) are sorted immediately. For sorting by test code, the tube will be sorted after all tests on that sample are resulted. Tubes from the 8-position priority drawer are not sorted.

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