RAPIDLab® 1200 Series Blood Gas Systems Quality Control Online Training

Welcome to the RAPIDLab® 1200 Series Blood Gas Systems Quality Control Online Training Course. The RAPIDLab 1200 Series is intended for in vitro diagnostic testing of blood gases, electrolytes, total hemoglobin, the corresponding hemoglobin fractions, neonatal bilirubin (nBili), and glucose and lactate, in arterial and venous whole blood samples. In this course you will learn about the different types of quality control (QC) options and how to review and recall results. Select Next to continue.   Describe how to utilize the AutomaticQC® Option Describe how to utilize the Required QC option Describe how to utilize the Unscheduled QC Option Identify how to recall, print and send QC results Identify how to review results and QC failures Upon successful completion of this course you will be able to: Select Next to continue. Congratulations. You have completed the RAPIDLab® 1200 Series Blood Gas Systems Quality Control 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. Describe how to utilize the Required QC option Ensures controls are analyzed according to the facility's established protocols System prompts operators to analyze specific levels of controls at intervals that are user-defined Use RAPIDQC® materials with Quick adaptors to perform Required QC Required QC Due 00:00 message displays when analysis of Required QC is needed The number of hours and minutes during which you can analyze the samples displays with the message Describe how to utilize the AutomaticQC® option Select the AutomaticQC option in Setup and insert an AQC cartridge on your system System performs AutomaticQC analysis without operator intervention Target ranges for each level of QC material automatically update when the AQC cartridge is replaced AQC Pending 00:15 displays in the banner 15 minutes before the system begins the AutomaticQC Select QC! to begin the scheduled QC analysis sooner You can manually initiate QC analysis from the AQC cartridge, but you cannot change the level of QC that you want to run while QC! displays on the screen After system performs all pending QC samples, you can perform QC on any level You can interrupt AutomaticQC analysis between levels if you need to analyze a STAT sample. Select STAT System analyzes any remaining levels of QC after you finish your manual run Describe how to utilize the Unscheduled QC option Used when troubleshooting or after cartridge replacement Use a QC ampoule and Quick adaptor or a syringe Barcoding is not necessary but is available In order to compare QC results to target ranges, controls and target ranges must be defined in Setup for Required QC and the barcoded QC material must be used along with the scanner Identify how to review results and QC failures Required QC: If you are prompted to repeat analysis because one or more parameters are out of range, select Yes If you do not wish to repeat the analysis, select No The system returns to the Analysis screen and turns off parameters that failed analysis If one or more parameters are out of range for a second time, then system returns to the Analysis screen and turns off the parameters that failed analysis AutomaticQC: The system compares the QC results to the ranges for each parameter and identifies results that are out of range Parameters that fail are turned off Depending on the options defined in Setup, the system repeats the QC analysis if the first attempt fails The system turns on any failed parameters that pass the second QC analysis If a parameter fails for a second time, the system turns off the parameters Unscheduled QC: Parameter status is not affected The system displays symbols in red on the results screen Identify how to recall, print and send results The system displays the Results screen when QC analysis is complete To view and print results for previously analyzed QC samples, use the Recall screen When you select Recall > QC, the following displays: QC List, QC Statistics, and Levey Jennings Graph QC List screen displays stored QC results Select Recall > QC > QC List to display the Recall QC Data screen Use the up or down arrow buttons to scroll through the results and the horizontal scroll arrows to view the Parameter values for the selected sample Select the sample and then select Results At the Results screen you can reject, print or send results by selecting Reject Results, Print or Send respectively Once you reject a result it cannot be undone At the QC List screen, select Search to view the Recall QC Data Search screen This screen acts as a filter to display only those results that meet the criteria you specify on the Search screen QC reports identify the control and list the target ranges as defined in Setup Select Next to continue.   In this section, the main areas of the Atellica IM Analyzer will be discussed. The external components can be accessed while the system is running.  The interior components are accessed by opening the top cover, which can only be done when the system is not processing samples. Select the link below to learn more about these hardware components.  The AutomaticQC® Analysis Option, selected in Setup, ensures that the system automatically monitors its performance according to the facility's established protocols. The AutomaticQC (AQC) cartridge is installed on the system and contains all levels of QC material. AutomaticQC analysis occurs without the need for operator intervention, and AQC Pending 00:15 displays in the banner 15 minutes before QC analysis occurs. To begin analysis sooner, select the QC! button at the Analysis screen. Note: Target ranges update automatically as the AQC cartridges are replaced.   Initiating AutomaticQC Learn about initiating AutomaticQC manually. Checklist TitleChecklist TypeChecklist ContentSelect QC!HTML   Once AQC Pending 00:15 displays in the banner and the QC! displays on the Analysis screen in the upper-right corner, you have the ability to initiate AutomaticQC sooner than scheduled. Select the QC! button to do so. Note: You cannot change the level of AutomaticQC analysis when QC! is displayed on the screen. After selecting the QC! button, the system performs the pending AutomaticQC samples. Once all of the pending AutomaticQC is completed, you can perform QC on any level. Select each checkbox to learn more about selecting the AutomaticQC levels you wish to run once the scheduled levels have been completed. Sample TypeHTML   Select the AutomaticQC sample type.  AnalyzeHTML Select Analyze.  QC LevelHTML    Select the QC level, then select Start.  Operator IDHTML  If prompted, enter operator ID, then select Continue.  View ResultsHTML View results and select Continue when finished. When complete, select the X in the upper-right corner to close the window and continue.   Performing STAT Samples During AutomaticQC Learn about performing STAT samples during AutomaticQC analysis. Checklist TitleChecklist TypeChecklist ContentInterrupt AutomaticQC AnalysisHTML   The operator can interrupt AutomaticQC analysis between levels, if a STAT sample needs to be analyzed. Select STAT at the AutomaticQC Results screen to delay analysis of the next level of QC. Select each checkbox to learn more about performing a STAT during AutomaticQC analysis. AnalyzeHTML    When the system is ready, analyze the STAT sample at the Analysis screen.  Upon CompletionHTML   When finished, the system analyzes any remaining levels of QC. When complete, select the X in the upper-right corner to close the window and continue.   The Required QC Analysis Option helps to ensure controls are analyzed according to the facility's established protocols. When this feature is enabled, the system prompts you to analyze specific levels of controls at intervals defined by your facility. If Required QC Due 00:00 displays on the banner, then Required QC samples (RAPIDQC® Complete controls) need to be analyzed. The number of hours and minutes during which you can analyze the QC samples, displays next to the message.   Required QC Learn about the steps to perform Required QC. Checklist TitleChecklist TypeChecklist ContentQC!HTML Select QC! at the Analysis screen. Select each checkbox to learn more about the steps to performing Required QC.  Scan AmpoulesHTML When prompted, introduce the level of control shown on the screen by scanning the barcode on the QC Ampoule. Note: The system verifies that you scanned the correct ampoule for the scheduled control material.   Invert/Open SampleHTML   Gently mix the QC ampoule by inverting the ampoule several times, then snap open the ampoule.  Attach AdaptorHTML   Attach the Quick® adaptor to the ampoule.  Insert AdaptorHTML   Insert the adaptor with the ampoule into the sample port as displayed on the screen.  Select AnalyzeHTML    Select Analyze. The system then aspirates the QC sample.  Remove AdaptorHTML  When prompted, remove the Quick adaptor from the sample port and then select Continue.  Operator IDHTML  If prompted, enter your operator ID and select Continue.  View ResultsHTML View results on the screen and select Continue when finished. Note: Results are checked against the ranges defined for each parameter for that level of the control. When complete, select the X in the upper-right corner to close the window and continue. The Unscheduled QC Option is the used when troubleshooting or after replacing cartridges. QC samples can be from an ampoule with a Quick adaptor or from a syringe. Barcoding is not necessary unless you are using the RAPIDQC Complete controls. In order to compare QC results to target ranges, controls and target ranges must be defined in Setup, and barcoded QC ampoules must be used.   Unscheduled QC Learn about the steps to perform Unscheduled QC using RAPIDQC. Checklist TitleChecklist TypeChecklist ContentQC Sample TypeHTML   Select the button for QC sample type (ampoule, or syringe). Select each checkbox to learn more about performing Unscheduled QC.  Scan BarcodeHTML   Scan the barcode on the ampoule, if necessary.  Invert/Open SampleHTML   Gently mix the QC ampoule by inverting the ampoule sample several times, then snap open the ampoule.  Attach AdaptorHTML   Attach the Quick adaptor to the ampoule.  Insert AdaptorHTML   Insert the Quick adaptor into the sample port.  AnalyzeHTML  Select Analyze.  Remove Sample DeviceHTML  When prompted, remove the sample device from the sample port, then select Continue.  Operator IDHTML    If prompted, enter operator ID, then select Continue.  View ResultsHTML   View results on the screen and select Continue when finished. When complete, select the X in the upper-right corner to close the window and continue. At the Results screen, you can send the QC analysis results to your printer, or to a data management system or an LIS. To print a report, select the Print button. To send a report, select the Send button. To view and print a QC result from a previous sample, use the Recall screen. Select Recall > QC to display the following options: QC List QC Statistics Levey-Jennings Graph   Recall, Print and Send Results Learn about the contents of a QC report, the QC List screen and the Data Search screen. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Contents of the Printed QC Report:   The printed QC report* identifies the control and lists the target ranges as you defined them in Setup. There is a legend at the bottom that explains the result symbols used in the report. Note: If RiliBAK range checking was selected in Setup, the report contains an additional line with the parameter target value and the percentage difference between the measured value and target. If the measure value exceeds the RiliBAK range, the report also displays a "Failed" message.   *The image on this page is not representative of the QC report since the QC report can only be viewed if printed.     Select Next to continue.   Note: If audio does not automatically start, select the play arrow in the top left to begin.The QC report identifies the controls and lists the target ranges as defined in Setup. A legend displays at the bottom of the report that explains the result symbols used in the report. If using the RiliBAK range checking feature, the report contains an additional line with the parameter target value and the percentage difference between the measured value and the target. If the measured value exceeds the RiliBAK range, the report also displays a Failed message. Select next to continue. 2 QC List Screen: The QC List screen displays stored QC results. Select Recall > QC > QC List.  The list box on the QC List screen displays: Required QC Unscheduled QC AutomaticQC High G/L results Select the sample and then select Results. At the Results screen you can: Reject results (select Reject Results) Print results (select Print) Send results (select Send)  Select Continue when finished. Note: Once you reject a result, you cannot accept it again. The Reject Results button excludes the results from QC statistic calculations and is plotted differently on Levey-Jennings graphs.     Select Next to continue.                The QC List screen displays stored QC results. Select Recall, QC, then QC List. The list box on the QC List screen displays: Required QC, Unscheduled QC, AutomaticQC and High G/L results. Select the sample and then select Results. You can reject, print or send results. Once you reject a result, you cannot accept it again. Select next to continue. 3 Recall QC Data Search Screen:   The Recall QC Data Search screen allows you to search for: A specific QC lot QC sample results performed between a specific date range Combination of search criteria It acts as a filter to display only those results that meet the criteria specified on the Search screen.    Select Search from the QC List screen, and use the search options to set your criteria. When finished selecting your criteria, select Continue. When complete, select the X in the upper-right corner to close the window and continue.  The Recall QC Data Search screen allows you to search for a specific QC lot, QC sample results performed between a date range, or a combination of criteria. It displays only those results that meet the criteria specified on the Search screen. When complete, select the X in the upper-right corner to close the window and continue. The epoc Enterprise Data Manager will start automatically when the EDM computer is started. Using a supported web browser, users can access the EDM Web Application from any LAN connected computer by entering the EDM’s web address (URL). To login to the epoc Enterprise Data Manager, enter the user ID and password assigned by your Siemens Healthineers distributor.  The Results screen displays QC data for review, after the system completes QC analysis. If results are out of range or atypical, symbols display to indicate the QC failure. Each of the three QC analysis options (Required QC, AutomaticQC®, and Unscheduled QC) has different scenarios that can occur when a QC result is out of range.  Note: For a Required QC analysis and Unscheduled QC analysis, the Results screen displays with specific information (QC type, Level, and Lot) after scanning the barcode on the ampoule. For AutomaticQC samples, the system displays the level.   Identify QC Failures Learn about the different ways the system handles each QC type with respect to failures. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Required QC Analysis Option:   If prompted to repeat analysis because one or more parameters is out of range, then select: Yes, to continue processing the sample as you would normally process a Required QC sample No, if you do not wish to repeat analysis. The system then returns to the Analysis screen and turns off the parameters that have failed QC analysis If one or more parameters is out of range for the second time, the system returns to the Analysis screen and turns off the parameters that failed QC.   Results for these parameters cannot be reported until the parameters are restored.      Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.When using the Required QC Analysis Option, and one or more parameters are out of range, the system prompts you to either repeat analysis or not. If No is selected, the system does not repeat analysis and turns off the affected parameters, and the system returns to the Analysis screen. If parameters are still out of range after a repeat analysis, the system turns the parameters off and returns to the Analysis screen. The results for these parameters cannot be reported until an authorized operator restores the parameters. Select next to continue. 2 AutomaticQC® Analysis Option:   The system compares the QC results to the pre-defined ranges for each parameter and identifies QC results that are out of range. Parameters that fail QC are turned off by the system and not available for analysis. Depending on the options defined in Setup: The system repeats the QC analysis a second time if the first attempt fails, and turns on those parameters that pass The system turns off those parameters when QC fails the second time   Select Next to continue. With the AutomaticQC Analysis Option, the system compares the QC results to the pre-defined ranges for each parameter and identifies the QC results that are out of range. The system responds differently depending on the options defined in Setup. It either repeats the QC analysis if the first attempt fails and turn on the parameters that pass, or turns off these parameters if QC fails the second time. Select next to continue. 3 Unscheduled QC Analysis Option:   When this type of QC is performed, it does not affect the parameter status: If a parameter fails, the system does not turn off that parameter If a parameter passes for a previously failed level, the system does not turn on a parameter that was turned off  When complete, select the X in the upper-right corner to close the window and continue. The Unscheduled QC Analysis Option does not affect the parameter status.The system won't turn off a parameter that fails. It also won't turn on a parameter that passes for a previously failed QC level. When complete, select the X in the upper-right corner to close the window and continue. QC Result Symbols Learn about the different QC result symbols.  QC Result Symbols: This symbol... Indicates that...  ¦ The result is above the target range.  Ø 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.   When complete, select the X in the upper-right corner to close the window and continue.