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Dimension Vista® System HIL Online Training

The HIL feature automates the manual process of assessing hemolysis, icterus and lipemia in serum and plasma samples. This clinical laboratory training qualifies for continuing education units (CEU).

A declaração de Posicionamento das Soluções VersaCell X3 Siemens é: Convencer os gerentes de laboratório / hospitais, diretores e C-Suite que a Solução VersaCell X3 usa robótica com o gerenciamento dinâmico de STAT para proporcionar a melhor combinação de análise química e / ou de imunoensaio com gerenciamento de amostras. Isto possibilita aos laboratórios, avançar em suas capacidades de fluxo de trabalho, agilizar processos e responder às novas necessidades com agilidade, a um custo que os laboratórios podem justificar e de uma forma que nos distingue dos concorrentes implícita ou explicitamente. Como você pode articular a nossa declaração de posicionamento de forma concisa? É simples: A Solução VersaCell X3 e o Pacote de Expansão VersaCell X3 podem expandir os testes de Química e de Imunoensaio de uma forma que atenda as necessidades do seu cliente. Selecione Próximo para continuar. Welcome to the Dimension Vista® System HIL Online Training course.   In this course you will learn how Hemolysis, Icterus and Lipemia (HIL) testing on the Dimension Vista®  System will: Automate the analysis of HIL testing Standardize the analysis of HIL testing Enhance sample quality assurance Select Next to continue. Describe how the Dimension Vista® System evaluates a sample for HIL Differentiate between the HIL sample processing options Explain the purpose of utilizing the Hemolysis, Icterus and Lipemia (HIL) features on the Dimension Vista® System Identify steps to perform HIL System and Method Configurations Interpret a test report with HIL information Upon successful completion of this course, you will be able to: Select Next to continue. Conhecer os recursos principais de hardware e software de ambas as soluções VersaCell X3 e o Pacote de Expansão VersaCell X3 e compreender as suas vantagens irá ajudá-lo a demonstrar o valor da Solução para o seu cliente. Alinhamos as principais características e vantagens de hardware e software do VersaCell para seu cliente. Congratulations.  You have completed the Dimension Vista® System HIL 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.  Once you have reviewed the content on this page, you may proceed to the assessment portion of this module. Explain the purpose of utilizing the Hemolysis, Icterus and Lipimia (HIL) features on the Dimension Vista System The HIL Feature provides your laboratory with: A standardized process to assess the sample integrity An index which alert you to potential HIL interference The option to have HIL testing programmed to run automatically Describe how the Dimension Vista System evalutes a sample for HIL 10 µL of patient sample is pipetted into an empty cuvette along with system water. Spectral absorbance measurements taken at  405 nm wavelength to measure for hemoglobin = H,  452 nm wavelength to measure for bilirubin = I,  700 nm wavelength to measure for lipemia or turbidity = L.   Identify steps to perform HIL System and Method Configurations HIL System Configuration Advanced> Configuration> System Configuration> Modify System Configuration Make selections for: HIL Configuration OFF mode,  HIL is not processed automatically for any sample. HIL test can be requested by the LIS or programmed manually at the instrument Always (ON) mode, HIL processes automatically for all serum and plasma samples without any additional intervention from the operator. If Needed AUTO-ON mode HIL test will be triggered to automatically process on samples having test requests for methods with configured HIL index values.   The test report will display the HIL index for the sample.  If the sample exceeds the threshold index value entered for the method an H, I or L interference comment is posted for the method on the report. Automatically order HIL on limited samples Yes No HIL Interference Alert None Yellow Red HIL Method Configuration Advanced> Configuration> Method Configuration> Select a Method> Modify Method Configuration Edits can be made by either selecting Reset to Methpar Defaults or by selecting the Enable checkbox and entering the index threshold.   Differentiate between the HIL sample processing options HIL can be processed automatically or manually.  To process automatically the HIL Configuration must be set to either Always (ON) or If Needed AUTO-ON.  When the OFF mode is selected HIL testing can be processed manually by ordering the HIL test in the Manual Order Entry screen or through the LIS.    Interpret a test report with HIL information The HIL index for a sample is displayed with individual indicies H index = Hemoglobin resulting from lysis of red blood cells I index  = Icterus resulting from endogenous bilirubin L index  = Lipemia or turbidity possibly caused by insoluble lipids Each digit corresponds to an approximate concentration for each of the potential interferents. Evaluate the HIL index, then follow your laboratory's protocal for reporting the results.   Select Next to continue. Á medida que aumenta o número e o menu de ensaios nos laboratórios, aumentam também os desafios da manipulação de amostras e tubos no processamento dos testes. Desafios com o gerenciamento, armazenamento e estocagem de tubos além do aumento de demanda do gerenciamento de dados. . Um fluxo de trabalho típico no laboratório pode ser dividido em três fases: pré-analítica, analítica e pós-analítica. As Soluções VersaCell X3 ajudam os laboratórios a reduzirem muitas das tarefas de baixo ou nenhum valor agregado em cada uma destas fases. A fase pré-analítica inclui todos os passos necessários para obter a amostra ou tubo para a análise. Isto inclui todos os passos desde a solicitação do teste do paciente, até a amostra chegar no laboratório e qualquer processamento antes de ser colocada em um sistema analítico (por exemplo, entrada no LIS, centrifugação, abertura, divisão da amostra e re-etiquetagem) . A fase analítica compreende o processamento da amostra em um sistema analítico e a geração de resultados. Uma combinação de Sistemas Integrados da Siemens (Dimension ExL e RxL), Sistemas de Imunoensaios (ADVIA Centaur XP / IMMULITE 2000 e XPi e os Sistemas de Química ADVIA 1800 podem ser ligados a uma Solução VersaCell X3. Finalmente, na fase pós-analítica, os resultados são verificados no LIS e os tubos são movidos do analisador para o armazenamento ou descarte. Essa fase também compreende amostras retiradas do armazenamento e reanalisadas. Nesta fase os resultados são avaliados quanto à precisão e relevância antes de serem liberados para emissão do laudo. Selecione Próximo para continuar. The HIL feature on the Dimension Vista® System provides your  laboratory with: A standardized process to assess the sample integrity An index which alert you to potential HIL interference  The option to have HIL testing programmed to run automatically  Select Next to continue.  A capacidade de conectar um terceiro instrumento fornece ao cliente não só a possibilidade de aumento da produtividade através de uma única interface de amostras, mas também a capacidade de atender às mais diversas demandas clínicas. Adicionando um terceiro analisador, os clientes podem aumentar o seu menu de testes e consolidar ainda mais sua rotina. Isto lhes permitirá expandir as suas capacidades de rotina e fluxo de trabalho, acomodando necessidades imediatas ou crescimento futuro. A flexibilidade do Sistema VersaCell X3 além de atender as necessidades relacionadas à variedade e volume de ensaios, atende aos requisitos de espaço do seu cliente . A escolha de analisadores a serem conectados deve ser conduzida em função da produtividade, variedade de ensaios e exigências clínicas e de fluxo de trabalho requeridas. . A eficiência do fluxo de trabalho oferecida pelo Sistema VersaCell X3 pode ser aumentada com a incorporação do Centralink, um midlleware para gestão de fluxo de dados exclusivo da Siemens. . Selecione o link abaixo para saber mais sobre Configurações Ideais de instrumentos da Solução VersaCell X3. To perform an HIL test, the system pipettes 10 µL of sample along with system water into an empty cuvette and derives the HIL index from the absorbance measurements. For the system to process an HIL test the following conditions are required for HIL: Sample must be serum or plasma only Sample cannot be diluted HIL test must be ordered Evaluate a Sample for HIL Learn how the Dimension Vista® System evaluates a sample for HIL. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Evaluating a Sample for HIL Begin with a serum or plasma sample.  Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.To begin evaluating a sample for HIL the Dimension Vista System aliquots a serum or plasma sample into the aliquot plate.2 Evaluating a Sample for HIL Only 10 uL of sample is needed for testing. Select Next to continue.      The Dimension Vista System will then aliquot 10 uL from the aliquot plate into a cuvette which contains 150 uL of water. 3 Evaluating a Sample for HIL The cuvette passes in front of the photometer using the following wavelengths:   405 nm wavelength to measure H for hemoglobin 452 nm wavelength to measure I for bilirubin 700 nm wavelength to measure L for lipemia or turbidity  Select Next to continue.    The cuvette then passes in front of the photometer where the sample is read using the following wavelengths: • 405 nm wavelength to measure H for hemoglobin • 452 nm wavelength to measure I for bilirubin • 700 nm wavelength to measure L for lipemia or turbidity.4 Evaluating a Sample for HIL On the report the sample will have an index value of 1-8 for the H, I and L. When complete, select the X in the upper-right corner to close the window and continue.   Once the readings have been obtained the system reports an index which rates the level of hemoglobin, bilirubin or turbidity in the sample. On the report the sample will have an index value of 1-8 for the H, I and L. You will learn more about the test report later in this course. To perform customization on your Dimension Vista System, you will need to understand your configuration options.  System Configuration Method Configuration Note: The Siemens Technical Application Specialist (TAS) will configure the operating mode during installation.    HIL System and Method Configurations Learn how to configure your system and individual methods for HIL Testing. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004338/sim_DimensionVistaSystem_HILConfiguration_HTML5_800x640_9/sim_DimensionVistaSystem_HILConfiguration_HTML5_800x640_9.swfHTML5 File:/content/generator/Course_90004338/sim_DimensionVistaSystem_HILConfiguration_HTML5_800x640_9/index.htmlPDF File: Samples can have the HIL test requested  either Automatically or Manually. Select the tabs below to differentiate between HIL Sample Processing Options to determine what the best Processing Options are for you. When complete, select Next to continue. When your system is configured to process HIL testing on samples automatically there is no need for extra intervention from the operator to achieve HIL testing.  The system will perform HIL testing on serum or plasma samples when they are loaded on to the analyzer.  For this ease in processing the HIL Configuration must be programmed as Always (ON) or If Needed (AUTO ON).   When If Needed (AUTO ON) is selected method index values must be configured to trigger the HIL test.  Then the operator can just load and go.   When HIL configuration is in the Off mode the laboratorian has the ability to chose to run the HIL test on samples which visually have signs of excess hemoglobin, icterus or lipemia in the sample.  To have the test run you will need to order the HIL test on the manual order entry screen or through the LIS.      Manually Ordering a HIL Test: Access the Manual Order Entry Screen Enter the Sample ID Select Query LIS Select HIL test Select Submit Ordering an HIL test in Using Manual Order Entry Learn how to manually order HIL testing for a sample. Slide NumberText BlocksCalloutsAudio ScriptImage File1Ordering an HIL test in Using Manual Order Entry From the Home screen select Patient Samples, then Manual Order Entry. Select Next to continue.   Note: If audio does not automatically start, select the play arrow in the top left to begin.If your lab chooses to operate with HIL testing configured in the OFF mode the operator still has the option to process HIL testing on individual samples as they deem necessary. To manually order a HIL test you must go to the Manual Order Entry Screen. From the Home screen select Patient Samples, then Manual Order Entry.2Ordering an HIL test in Using Manual Order Entry Enter the Sample ID either by typing the number or scanning the barcode. Select the Query LIS activity button. Select Next to continue.   Here is sample 2281981 which has been scanned in using the hand-held barcode reader. Select Query LIS to continue.3Ordering an HIL test in Using Manual Order Entry Selecting Query LIS retrieves the sample order for the selected sample. Select the HIL test from the Methods menu.   Select Next to continue. The previously ordered tests for this sample, which have been downloaded from the LIS are now displayed. Select the HIL test from the Methods menu to continue.4Ordering an HIL test in Using Manual Order Entry Select the Submit Order activity button to complete the order. The HIL test has been added to the order. After completing your changes to this order, select submit to save the change. 5Ordering an HIL test in Using Manual Order Entry Your sample is can now be loaded onto the instrument for processing. Note: You also can include HIL in a list of test requests downloaded from an LIS. When complete, select the X in the upper-right corner to close the window and continue.Your sample is now ready to be loaded onto the instrument for processing. Follow your laboratory’s procedures for reporting results when the sample is hemolyzed, icteric or lipemic.  Using the HIL feature will help your laboratory to standardize this process. Interpret a Test report with HIL Information Learn how to interpret test report information. Slide NumberText BlocksCalloutsAudio ScriptImage File1Interpret a test report with HIL information Patient Demographics Methods Results Comments  Select Next to continue. Select each number to view the corresponding text.Note: If audio does not automatically start, select the play arrow in the top left to begin.CalloutsPatient DemographicsMethods Results Comments Here we will review an onscreen example of a test report that includes HIL testing. To begin interpreting a test report message with HIL you will want to become familiar with Patient Demographics, Methods, Results, and Comments. To learn more scroll your mouse over the areas to learn more about the sections of the test report.2Interpret a test report with HIL information Each digit corresponds to an approximate concentration for each of the potential interferents. Select Next to continue.   First let's look at the HIL results for this sample. Notice each digit corresponds to an approximate concentration for each of the potential interferents.3Interpret a test report with HIL information H index = Hemoglobin resulting from lysis of red blood cells I index  = Icterus resulting from endogenous bilirubin L index  = Lipemia or turbidity possibly caused by insoluble lipids Select Next to continue.   Enter your script here.Using the HIL Index vs. Concentration Table from the iGuide we can determine that an H of 1 means ≤ 10 mg/dL of hemoglobin is present in the sample. The I result of 2 means 2 - 5mg/dL of bilirubin is present in the sample. Lastly the L result of 6 means 600 -800 mg/dL of insoluble lipids are present in the sample.4Interpret a test report with HIL information The result for each method is displayed.  If the HIL index threshold was reached for a method a comment is posted. Select Next to continue. Enter your script here.For each of the methods the results are displayed. If the HIL index threshold was reached for a method a H, I or L Interference comment is posted. Earlier you configured the threshold for the Calcium index to 5. Since the L index for this sample is 6 the L Interference comment is posted. 5Interpret a test report with HIL information Problem Samples Alert:  Flagged with HIL   When complete, select the X in the upper-right corner to close the window and continue.Enter your script here.The Dimension Vista® System can be programmed to give an alert when test threshold index value is greater than or equal to your specified HIL alert value. Using this feature will alert the laboratory staff as soon as the HIL threshold has been surpassed for quicker sample turnaround.

  • hemolysis
  • icterus
  • lipemia
  • interference
  • hil index
  • configuration
  • automatic processing
  • manual processing