Dimension Vista® System Quality Control Level 2 Online Training

Welcome to the Dimension Vista® System Quality Control Level II Online Training course. Quality Control processing is configured by a Siemens representative during installation to assist each laboratory and streamline QC processing. Select Next to continue. Configure QC to run automatically Describe how to create a QC Product Describe how to create panels and setup panel schedule Describe how to edit QC ranges Describe Parallel Lots Troubleshoot QC Out of Range alerts Upon successful completion of this course, you will be able to: Select Next to continue. The below image shows an example of a typical PET Auto Tasking Subtask Card. It gives you the option to automatically reconstruct the data and display it in a selected application. The Auto Cardiac Registration can also be selected if that option is available. Using this feature, it is also possible to send the data to other nodes. Primeiramente vejamos como colocar tubos de amostra dentro da rack do ADVIA Centaur® CP. A fim de assegurar a amostragem correta, é importante que todos os tubos em uma rack de suporte de amostras sejam do mesmo tipo e tamanho. Congratulations.  You have completed the Dimension Vista® System Quality Control Level II 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. Overview of Quality Control (QC) QC is the systematic performance of checks to ensure that the instrument and its associated materials meet the laboratory's acceptable standards of performance.  Routine QC procedures involve checking known sample for reproducibility and accuracy on the Dimension Vista® System.  For Quality Control to run automatically, first the system needs to be configured. Configure QC to run automatically Automatic Quality Control is a feature of the Dimension Vista® System that needs to be configured.  This configuration will set the times that the Quality Control will run. Times can be set up to 5 times a day.   List the steps required to create a QC product and edit ranges QC Products manufactured by Siemens include a barcode on the IFU that can be scanned using the handheld barcode reader to enter the product information and QC Ranges. QC Products from third party vendors currently need to be manually created in the software. This process allows you to define individual control products and select the methods associated with the product.  The purpose is to have the ability to print a barcode that will identify the vial with the QC material, Lot number, Expiration Date, and Fill Volume.   (This step is essential to the QC being performed properly because the aliquot probe does not level sense inside the vial).   Describe how to Create panels and Setup a Panel Schedule After the QC Product is created, you can create multiple panels from that product. This feature allows the laboratory to run different panels of the same QC Product at different times of the day.  This is useful if the laboratory runs QC on different groups of methods in a given day. This is an optional feature that may be used differently in each laboratory. List the necessary steps to create and order a  Parallel Lot The parallel lots in the laboratory are used to assess the current QC lot and new QC lot before the lots are used for evaluation. This procedure on the Dimension Vista® System is used: For Active lots that are about to expire and new QC lots that need to be added. To setup QC lots for crossover studies. For assayed QC products that do not need crossover studies. New lots must be setup as parallel lots before they can be switched to Active. Troubleshooting QC Out of Range Alerts When a QC result is "Out of Range" a red alert is displayed in the system status area. There are a few simple troubleshooting steps that can assist you in resolving the Out of Range alert and determine the cause of the QC result being out of range. Verify correct Quality Control product is loaded on the instrument and properly labeled. Verify the correct ranges are entered into the Dimension Vista Software. If the ranges are not correct, this can adversely effect the laboratory's Quality Control Program. Was the correct volume of QC material dispensed into the vial? If the correct volume was not dispensed, remove the vial. View the remaining tests in the reagent Flex cartidge.  Unload the reagent cartridge and reload it open a new well or load a new reagent flex on-board. Select Next to continue.         Nu hvor du er er bekendt med funtionaliteterne på CLINITEK Status®+ instrumentet, så lad os se på nogle vigtige komponenter Overview of Quality Control (QC) on the Dimension Vista® System:  Quality Control provides an early warning of system errors that could result in erroneous results Quality Control processing verifies that both the instrument and any associated material meet the laboratory's acceptable performance standards Routine QC procedures involve checking known samples for reproducibility and accuracy on the Dimension Vista® System Select  Next to continue.  Automatic Quality Control is a feature of the Dimension Vista® System that must be configured.  This configuration determines the frequency that Quality Control will run, it can be run up to 5 times a day. In addition to scheduling QC, several other features can be configured regarding QC processing.   QC Configuration Screen Overview Learn about the QC Configuration screen, which allows the operator to set QC Shift Times. Base ImageHotspotsText BlocksImage FileInterval between times when QC is required- System runs QC automatically if the QC for a method is not processed during the specified interval.  (24 hours is recommended).QC Auto- Schedule Shift Times- This feature enables and enters the times that QC is to run during the day.Display Alert on QC Out of Range- A red QC Out of Range alert displays with a list of methods that had results outside of the specified range, if enabled.At Startup, Order QC if Auto-Schedule Shift Time Missed- QC runs automatically if it was missed during a scheduled time, if enabled.  Creating a QC Product Siemens Control Products: The Instructions for Use (IFU) contains a barcode that can be scanned using the handheld barcode reader to enter the product information and QC Ranges.  This creates the database in the system for that product, including: Fill Volume, Lot Number, Product Name and Expiration, and Methods. Third-party Control Products: Need to be created manually in the software. Allows you to define individual control products and select the methods associated with the product. Provides the ability to print a barcode that identifies the vial with the following; QC material, Lot number, Expiration Date, and Fill Volume.  It is important that the information for the control product is captured. Create a QC Product Learn how to manually create a QC product. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Creating a QC Product is an Advanced software feature. Select the Advanced icon on the Home screen. Note: If audio does not automatically start, select the play arrow in the top left to begin. Each control product is uniquely identified by the manufacturer with IFU and product name. All of the required information for each product is contained on the Instructions for Use (IFU). These details are entered on the QC Product Setup screen which is an Advanced software feature. Select the Advanced icon on the Home screen now. 2Select the QC icon on the Advanced screen.Next, select QC on the Advanced screen. 3Select QC Product Setup in the dropdown menu.Then select QC Product Setup in the dropdown menu to access the QC Product Setup screen.4 All QC products display on screen Select Create New Product to add a new QC product Note:  Select Create New Product in the New action menu to continue.  Select Create New Product in the New sidebar menu to add a new QC product. 5If the QC Product has a barcode on the IFU, scan the barcode and verify the information, but if the information must be entered manually, complete all of the fields on the screen.  1) Manufacturer/Product Name:  Select from the drop down menu or manually type) 2) Stability:  Follow your laboratory protocol to establish product stability.  3) Fill Volume: This step is essential in order to make sure QC is being performed properly, because the aliquot probe does not level sense in the vial. 4) Number of Levels: The fields in here are not used if you are using the low and high levels of a three level product. 5) Methods: Select all of the methods included in the product.  Select Next to continue. Select each number to review the corresponding text.CalloutsManufacturer/Product Name Stability Fill Volume Number of LevelsMethods QC Products manufactured by Siemens contain a barcode on the Instructions for Use (IFU) which can be scanned to enter product details to the screen. For those products manufactured by a third party, the details need to be entered manually. 6Select Save Changes on the Actions menu to store product information.Once all of the details for the new QC product have been entered, select Save Changes in the action menu to store the information in the software. 7 You have just viewed how to: Navigate to the QC Product Setup screen Create a new QC Product When complete, select the X in the upper-right corner to close the window and continue.You have just viewed how to navigate to the QC Product Setup screen to create a new QC product. Quando o sistema tiver usado 80% dos reagentes ácido e base, o botão de suprimentos irá piscar em amarelo. Quando a janela de suprimentos é aberta, os campos do ácido e da base estão amarelos e exibindo o número de testes restantes em cada recipiente. Os reagentes ácido e base devem ser substituídos se quaisquer das condições seguintes ocorrerem: os sensores detectarem que há volume insuficiente nos recipientes, os reagentes tiverem expirado o prazo de estabilidade de 28 dias ou o número do lote do reagentes tiver vencido. Você deve manter o controle da estabilidade e das datas de validade, já que o sistema não monitora esta informação. Antes de substituir o ácido e a base, o sistema deve estar no estado Ready. Editing QC Ranges After the QC product is added in the software, ranges must be entered.  Note:  Before the ranges are entered, ensure that the established procedure for determining your laboratory's ranges is used.  The Dimension Vista® System compares results to the established ranges and displays red alerts for out of range results.  Editing QC Ranges Learn how to edit QC ranges. Slide NumberText BlocksCalloutsAudio ScriptImage File1 From the QC Product Setup screen: Select Edit Level for the appropriate product level to enter ranges.  Note: If QC ranges are not displayed in the bottom of the screen, select Product Details. Select Edit Level for Level 1 to continue.  Note: If audio does not automatically start, select the play arrow in the top left to begin.Once a QC Product is defined, ranges must be entered for each method associated with the control product. It is also possible to edit existing ranges for a product if needed. With the appropriate product selected, Select Edit Level for the desired level. In this example, we want to edit the ranges for Level 1 of the Urine Chemistry product. 2 Enter the ranges for the selected level Select Next to continue.  Ranges for each method are entered for this product level. 3Select Finish on the QC Ranges screen to save and continue. After all of the desired ranges are entered, select the Finish button to store the ranges in the system. 4 Select Level 2 from the drop down menu under Edit Ranges. Let's also edit ranges for Level 2. 5Select Edit Level for Level 2 to continue.  Again, we will select Edit Level to make changes to the ranges. 6 Enter ranges for selected level. Select Next to continue.  Now ranges for each method in this level are entered. 7Select Finish to save ranges.And then select the Finish button to store these ranges in the system. 8 You have just viewed how to: Navigate to the QC Product Setup screen Enter QC Ranges for a selected product level When complete, select the X in the upper-right corner to close the window and continue. You have just viewed how to navigate to the QC Product Setup screen to edit QC ranges for a selected level of a control product. Create QC Panels A QC Panel is a set of tests that are ordered together from a common QC Product.  After the QC Product is created, multiple panels can be created from that product.  This feature allows you to run different panels of the same QC product at different times of the day.  This is an optional feature. Its use may vary in each laboratory. A QC Panel contains the following: Unique panel name List of methods Schedule to run automatically (optional) Create a QC Panel Learn how to create a QC Panel. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Select Panels on the QC Product Setup screen. Note:  Select Panels in the View menu on the QC Product Setup screen to continue.  Note: If audio does not automatically start, select the play arrow in the top left to begin.To create a panel, select Panel on the QC Product Setup screen. 2Select Product, then Create New Panel in the Actions menu.And select Create New Panel in the actions menu. 3 To create the panel: Enter the panel name Select the methods Once complete, select Save Changes to continue.  Enter a panel name and then select the tests that you want to be included in the new panel. After all of the details for the new QC panel have been entered, select Save changes in the actions menu to store the panel in the system. 4 The newly created panel will display along with any existing panels for the selected QC Product.  Select the Urine Chemistry Evening Shift panel tab to continue.  On this screen, the newly created Urine Chemistry Evening Shift panel displays along with the default panel for this product. Select the panel tab for the Urine Chemistry Evening Shift panel that was just created. 5 You have just viewed how to: Navigate to the QC Product Setup screen Create a new QC panel for a selected QC Product When complete, select the X in the upper-right corner to close the window and continue.You have just viewed how to navigate to the QC Product Setup screen in the Advanced software to create a QC panel for a selected control product. Setup QC Panel Schedule Learn how to setup a QC Panel schedule. Slide NumberText BlocksCalloutsAudio ScriptImage File1Select QC Panels and Results in the QC drop down menu.Note: If audio does not automatically start, select the play arrow in the top left to begin.After a panel is created in the software, a schedule can be setup to define when that panel will be run during the day. Select QC Panels and Results in the QC drop down menu to access the panel schedule. 2Select Panel Schedule in the Actions menu on the QC Panels and Results screen to continue.  And select Panel Schedule for the desired panel. 3 Auto-Schedule Options include: Number of samples: QC is processed automatically after the specified number of samples have been processed. Time of Day: QC is processed based on the time/shift specified on the QC Configuration screen. Not Auto-scheduled: QC is not processed automatically. On Demand: QC is only processed when a patient test is ordered and QC has not been processed within the time Interval on the QC Configuration screen. Select Time of Day on the QC Panels and Results screen to continue. In this example, we want to schedule this panel to automatically run at specific times during the day. To do that, select Time of Day beneath the Auto-Schedule Options area on the QC Panels and Results screen. 4 Select the desired times for each level. Select Save Changes in the Actions menu   Then the desired times are selected for each level. After all of the desired options for the panel schedule have been entered, select Save changes in the actions menu to store the newly created panel schedule in the system. 5You have just viewed how to: Navigate to the QC Panels and Results screen Setup a QC panel schedule When complete, select the X in the upper-right corner to close the window and continue.You have just viewed how to navigate to the QC Panels and Results screen in the Advanced software and setup a panel schedule. 일일 QC는 샘플 데이터 입력 화면에서 정보를 수동으로 입력하거나 QC 리콜을 이용해서 진행할 수 있습니다. 또한 정해진 QC패널을 사용하면 바코드가 있는 튜브의 SSC에서 QC를 진행할 수 있습니다. Parallel Lots The parallel lots are used to assess the current QC lot and the new QC lot before the lots are used for evaluation. This procedure on the Dimension Vista® System is used: For Active lots that are about to expire and new QC lots that need to be added. To setup QC lots for crossover studies. For assayed QC products that do not need crossover studies.  New lots must be setup as parallel lots before they can be switched to Active. Add Parallel Lot Learn how to add a Parallel Lot to a QC Product. Slide NumberText BlocksCalloutsAudio ScriptImage File1Adding a parallel lot to a QC Product  is an Advanced software feature. Select the Advanced icon on the Home screen Note: If audio does not automatically start, select the play arrow in the top left to begin. As an active QC product lot nears its expiration date or its supply begins to run low, a new "parallel" lot can be added in the software. To begin navigating to the QC Product Setup screen, select the Advanced icon on the Home screen now. 2Select the QC icon on the Advanced screenNext, select QC on the Advanced screen. 3From the QC Product Setup screen, select Add Parallel Lots in the New menu.From the QC Product Setup screen, select Add Parallel lots in the New menu. 4Enter new lot information: To enter details for a Siemens QC Product: Scan the barcode on the IFU for each level To enter details for a third party product: Enter lot number, sample ID, and expiration manually. The rest of the information is carried over from the previous lot. Select Save Changes in the Actions menu to store product information. The details for the new QC lot can be entered by scanning the barcode on the IFU for the products manufactured by Siemens or they can be entered manually if needed. Notice that the details for the QC Product are carried over and the only additional information needed is lot number and expiration. Additionally, stability information and the number of levels may be edited if needed. After all of the details have been entered for the new lot, select Save Changes in the actions menu to store the new lot in the system. 5You have just viewed how to: Add a Parallel Lot to a QC Product.When complete, select the X in the upper-right corner to close the window and continue.Notice the QC Product screen updates with the newly created parallel lot which displays a type of parallel lot. You have just viewed how to navigate to the QC Product Setup screen in the Advanced software and add a parallel lot to a QC Product. Order Parallel Lot Learn how to order Parallel Lots to process. Slide NumberText BlocksCalloutsAudio ScriptImage File1Ordering a parallel lot to run is an Advanced software feature. Select the Advanced icon on the Home screen.Note: If audio does not automatically start, select the play arrow in the top left to begin.Quality Control that is scheduled to run automatically will only run active lots on the system. So it is important to remember that in order to run QC on a parallel lot that is onboard the instrument, the operator must manually order the QC. To get started, select the Advanced icon on the Home screen. 2Select the QC icon on the Advanced screen.Next select QC on the Advanced screen. 3Select Order QC in the drop down menu.Then select Order QC in the drop down menu. 4Select the appropriate QC panel in the drop down menu on the Run QC Panel tab. Change the lot type to Parallel Lot Select the appropriate levels Select Source of QC Material (vials or cups) Select Submit in the Actions menu to complete the order. Locate the appropriate panel from the drop down menu on the Run QC Panel tab. And then change the lot type from active to parallel, select source of the QC Product, and select the appropriate levels to be run. After the details for the Parallel lot order have been entered, select Submit in the Actions menu to complete the order. 5You have viewed how to: Order a Parallel Lot.When complete, select the X in the upper-right corner to close the window and continue.You have just viewed how to navigat to the Order QC screen in the Advanced software and order a Parallel lot to run. Switch Parallel Lot Learn how to switch Parallel Lots. Slide NumberText BlocksCalloutsAudio ScriptImage File1Switching a parallel lot to run is an Advanced software feature. Select the Advanced icon on the Home screen.Note: If audio does not automatically start, select the play arrow in the top left to begin.After new ranges have been established for the parallel lot, it can be activated in the software or, in some cases, the laboratory may choose to inactivate a parallel lot. Either way, to switch a parallel lot to active or inactive, you must navigate to the Advanced software. Select the Advanced icon on the Home screen now. 2Select the QC icon on the Advanced screen.Next, select QC on the Advanced screen. 3Select Switch Parallel Lots in the Actions menu.The QC Product Setup screen displays a list of available QC lots. Locate the appropriate parallel lot and then select Switch Parallel lots in the Actions. 4First based on your laboratory procedure, you will: Select Accept to activate the Parallel lot or Select Reject to inactivate the Parallel lot Then, select the Finish button in the Switch Parallel Lots Step Dialog box. You must choose to either Accept the parallel lot thereby making the current active lot inactive or you can Reject the Parallel lot and inactivate it. Then Finish is selected on the Switch Parallel Lots Step Dialog box, to complete the process. 5You have just viewed how to: Switch a Parallel Lot.When complete, select the X in the upper-right corner to close the window and continue.You have just viewed how to navigate to the QC Product Setup screen in the Advanced software and switch parallel lots. IMT에 대한 월간 유지 보수 작업은 IMT 펌프 튜빙을 교체하고 IMT 시스템을 청소하는 것을 포함합니다. HM에 대한 월간 유지 보수 작업은 스타일렛을 이용해 HM 워시 프로브를 청소하고 HM 워시 스테이션의 펌프 헤드를 교체하는 것을 포함합니다. R2 드레인 청소와 기기의 공기 필터 교체 역시 월 단위로 수행해야 합니다. Troubleshooting QC When a QC result is "Out of Range" a red alert displays in the system status area.    Basic Troubleshooting steps to resolve QC Out of Range alerts: Verify the correct Quality Control product is loaded on the instrument and properly labeled. Verify the correct ranges are entered into the Dimension Vista® Software.  If the ranges are not correct, this can adversly affect the laboratory's Quality Control program. Verify the correct volume of QC material was dispensed into the vial.  If the volume is not correct, remove the vial. View the remaining number of tests in the  Flex® reagent cartidge.  Unload the cartridge and reload it to open a new well or load a new Flex® reagent cartridge on the instrument. Select Next to continue.