ADVIA® 1800 Chemistry System Sample Processing Online Training

Welcome to the ADVIA® 1800 Chemistry System Sample Processing Online Training course. This course will teach you how to load and process samples on the system so you may generate patient results. Samples may be processed from an Automation line or front loaded onto the Sample Tray. Select Next to continue.   Identify the steps required to manually enter workorders in the Order Entry screen List the steps required to load samples onto the instrument List the steps required to process samples Review the components of the Reagent Inventory window Upon successful completion of this course, you will be able to: Select Next to continue. Congratulations.  You have completed the ADVIA® 1800 Chemistry System Sample Processing 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.  Review the components of the Reagent Inventory window Check the Reagent Inventory window and rectify all columns that are backlit yellow or red. List the steps required to load samples onto the system Use the STT rotation button to move the STT Load barcoded samples on the STT List the steps to process samples Select the Start button from the Operation panel Select a barcoded sample to run from the STT Verify that barcoded samples were processed Load additional samples and reagents while the system is processing Monitor the sample run Access sample results   List the steps to manually enter workorders in the Order Entry screen Open the Order Entry window Select a STAT (Interrupt) workorder Select Sample type (serum or urine) Select assays of interest   Select Next to continue.   Review the components of the Reagent Inventory window prior to running samples on the ADVIA Chemistry system to make sure that reagents are loaded on the system and are ready for use. Check the following columns: Test Name # Tests Exp. Date Cal Interval Cal Status QC status Days Remaining Be sure to check these columns in the Reagent Inventory for both Reagent Tray 1 (RTT1) and Reagent Tray 2 (RTT 2). A barcode scan must be performed to update the Reagent Inventory window, after adding or removing reagents.    The Reagent Inventory window never closes.  The X in the upper right corner of the window minimizes the Reagent Inventory window to the task bar at the bottom of every screen for easy access.   Reagent Inventory Window Learn about the Reagent Inventory window. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Test Name Column Check the Test Name Column to verify that the required assays appear.  They are displayed in alphabetical order. If the test name does not appear, the system will not process samples for that particular assay. In this case, reagents may need to be loaded. For assays needing 2 reagents, please check both reagent trays. Select Next to continue.   Note: If audio does not automatically start, select the play arrow in the top left to begin.The test name column displays the assay reagents currently loaded on the system in alphabetical order. Prior to loading samples on the system, you the operator needs to check this column for required reagents. If the name of the assay does not appear, the system will not perform the test. For assays containing 2 reagents you will need to check the Test name column for both Reagent Tray 1 and Reagent Tray 2. These trays are referred to as RTT1 and RTT2. If the name of the assay of interest is not displayed, youthe operator needs to add reagents in most cases. Select Next to continue.2 Number of Tests Column The Number of Tests column displays the number of tests remaining in the reagent container. If this number is backlit with red or yellow, it means a new reagent wedge needs to be placed on the system to continue processing. For assays requiring 2 reagents, the reagent wedge with the lowest number of tests remaining limits the quantity of tests that may be processed. Select Next to continue. The number of Tests column displays how many tests remain in each reagent container. For assays requiring 2 reagents, the reagent wedge with the least amount of tests remaining limits the quantity of tests that may be processed. For example, if RRT 1 lists 50 tests for an assay and RTT2 lists 45 tests for the same assay, then the maximum number of tests the system will perform for that assay is 45. If this number is backlit either red or yellow, a new reagent wedge must be placed on the system to continue processing. Select Next to continue.3Expiration Date Column The Expiration date column displays the expiration date of the reagent lot number. Reagents exceeding their expiration dates will be backlit red. When adding new reagents to the system, perform a barcode scan to update the Reagent Inventory window. Select Next to continue.The system scans the Expiration Date from the reagent container barcode. When a reagent lot exceeds its expiration date, it will be backlit red. Be sure to remove any reagent from the system that exceeds its expiration date. Good laboratory practice maintains that it is unacceptable to process patient samples using expired reagents. You will need to add reagent lots that are not expired to the system. Be sure to perform a barcode scan to update the Reagent Inventory window. Select Next to continue.4Cal Interval Column The Cal Interval Column displays the amount of days left before reagent calibration needs to be performed.     A status of "C" is displayed when a new reagent lot is placed on the system and needs calibration. A negative number is displayed and is backlit yellow when an assay has exceeded its calibration interval. Upon successful calibration, this column defaults to the maximum number of days before the calibration is due.     Select Next to continue. The Cal Interval Days is the number of days remaining until the calibration expires. When a new lot number of reagent is placed on the system, the Cal Interval Days column displays the letter C if it has not been calibrated. You must perform a calibration before proceeding. After calibrating the new reagent, the number in the Cal Interval Days column resets to the maximum calibration interval for the assay, which counts down each day. When the Cal Interval reaches 0, the assay line is highlighted in yellow, which indicates that recalibration is required for the assay. Select Next to continue.5Cal Status Column Check the Calibration status for the assays of interest. The Cal status may be displayed as: Pass Fail Restored The ADVIA Chemistry system will not generate results using a failed calibration curve. Note:  It is not advisable to use the Restore option, unless directed by Siemens. Select Next to continue.   The Cal status column displays whether the calibration has passed, failed, or has been restored. The analyzer automatically updates the calibration status on the Reagent Inventory screen. The instrument will not generate results using a failed calibration curve. You must recalibrate the assay in question. It is not advisable to use the Restore calibration option unless directed by Siemens. Select Next to continue.6QC Status Column Check the ADVIA QC status for the assays of interest on the Reagent Inventory window. OK = Green Warning = Yellow Error = Red The Reagent Information window only captures the status of ADVIA QC if in use.  The ADVIA Chemistry system will not process samples for an assay when the ADVIA QC results are out of range. Select Next to continue. QC status is the state of ADVIA QC and is only functional if the ADVIA QC package is being used by the customer. The QC status displays as OK or green, warning as yellow, or error which would be red. When a control sample is out of range, ADVIA QC alerts the system that the controls for the test are out of range. The system will not process any samples for an assay where the ADVIA QC limits are exceeded. Note: this field is only populated if the ADVIA QC package is being used by the system. The status of other QC will not be displayed. Select Next to continue.7 Days Remaining Column The Days Remaining column tracks the on-board stability (OBS), of the reagents. This field is red when a reagent exceeds its OBS. Replace all reagents that display a red field in this column. Good laboratory practice maintains that it is unacceptable to process patient samples using reagents which have exceeded their OBS. Perform a barcode scan whenever reagents are added to or removed from the reagent trays. Select Next to continue. The days remaining column displays the time in days, left for the reagents on-board stability, or OBS. When a reagent exceeds its OBS, it will display as red in this column. Good laboratory practice maintains that it is unacceptable to process patient samples using reagents exceeding their OBS. You will need to add fresh reagents to the system. Be sure to perform a barcode scan when adding or removing reagents from the system. Select Next to continue.8Scanning Reagent BarcodesIf reagents are added to or removed from the system, a barcode scan must be performed.To perform a barcode scan: From the Menu panel, select the Reagent button Select the Reagent Inventory button Select the Barcode Scan button located at the upper left corner of this windowWhen complete, select the X in the upper-right corner to close the window and continue.After loading or removing reagents from the reagent trays, the inventory needs to be updated. This is accomplished by performing a barcode scan. To perform a barcode scan, select Reagent Inventory from the Task bar at the bottom of the screen, or select the Reagent button from the Menu Panel then select Reagent inventory. Select the barcode scan button located at the upper left corner of this window to initiate a scan for both RTT1 and RTT2. When complete, select the X in the upper-right corner to minimize the window and continue. Loading Samples on the System Patient samples are loaded on the Sample Tray (STT). When loading Samples onto the STT, make sure that the barcode is facing outward.  The following are the tube types that may be loaded onto the STT: 5 ml 7ml 10ml 2-ml sample cups with adapter 2-ml sample cups with tube Note: Samples may also be processed by the system from an Automation line. Loading Samples Learn how to load samples onto the analyzer. Checklist TitleChecklist TypeChecklist ContentSelect the Rotation ButtonHTML   Select the play arrow to begin the video. Select each checkbox to learn more about loading samples.  Remove Completed SamplesHTML   Select the play arrow to begin the video.  Load Samples in the Sample TrayHTML   Select the play arrow to begin the video. When complete, select the X in the upper-right corner to close the window and continue.    Samples can be directly loaded on to the STT, or the ADVIA Chemistry system can accept samples from an external transport system. Samples can be processed within the following modes: Interrupt (STAT) Routine Barcode Cup Position Note: Processing samples in barcode mode is recommended to ensure positive sample confirmation. Requesting a Sample Run Learn how to process a sample run.   Select the play arrow to begin. When complete, select the X in the upper-right corner to close the window and continue. Adding Samples and Reagents Additional samples and reagents may be loaded on the ADVIA Chemistry system while it is processing.  The system does not need to be in Ready state before loading additional samples and reagents.  This helps to minimize system downtime. Pausing the Sample Tray Learn about loading additional samples to the system. Slide NumberText BlocksCalloutsAudio ScriptImage File1Pausing the STT Select the Sample Pause (SMP Pause) button on the Operation Panel to pause the STT.  Once the STT is paused, samples may be added or removed. Select Next to continue.  Note: If audio does not automatically start, select the play arrow in the top left to begin.Select the sample pause button, also known as the SMP Pause button, at the Operation Panel to temporarily stop sampling and add samples to the STT. It is important to note that SMP Pause button is not always available for use. The text on the SMP Pause button is gray when inactive and black when active. Select Next to continue.2Selecting SMP Pause ButtonThe SMP Pause button may be selected after it becomes active on the Operation Panel . The text on the SMP Pause button located on the Operation Panel will be black, which indicates an active state.Select Next to continue.  After the SMP pause button is selected, the system displays the message S PAUSE SHIFT in the status window. When possible, the system mode will change to ADD SAMPLES. At this time, samples may be added or removed from the STT using the STT Rotation button. Select Next to continue3STT Rotation Button Press the yellow STT rotation button to move the STT. This allows access to positions in the STT that are wedged under the dilution probe guide. The STT contains 84 positions for loading samples. Remove all completed samples and empty cup adapters from the STT. Place barcoded samples with barcode labels facing the barcode scanner. Select Next to continue.  Press the yellow STT rotation button to add and remove samples from the STT that are situated under the dilution probe guide. To add samples, press the rotation button to find an open position or remove a completed sample tube from the sample tray. Remove all completed samples and empty cup adapters from the STT. The STT contains 84 positions for sample loading. Select Next to continue.4Loading SamplesLoad sample tubes on the STT with barcodes facing out. You may also use 2 ml sample cups with adapters or inserted into sample tubes.Select Next to continue. Be sure to load the samples onto the STT with barcodes facing the barcode reader. Alternately, 2 milliliters cups may be loaded on the sample tray using the sample cup adapters or inserted into sample tubes. Select Next to continue5Resume Sampling To resume sampling on the analyzer, press the SMP Pause button. Alternately, you may access the Start button on the Operation panel to resume sampling. When complete, select the X in the upper right corner to close the window and continue.Pressing the SMP Pause button will resume sampling. At that point, the sample pause button becomes inactive. The system scans the STT and starts sampling. Alternately, you may select the Start button on the Operation panel in order to resume sampling. Select the X in the upper right corner to close the window and continue. Loading Additional Reagents Learn about loading additional reagents to the system. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Pausing the Reagent Trays Additional reagents may be loaded on the ADVIA Chemistry system while the system is processing by selecting the Reagent Pause button, or RGT Pause button, from the Operation panel. Note: It is recommended that all reagents are placed on the system prior to processing.  Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.To add or remove reagents from the reagent trays, select the Reagent Pause or RGT pause button located on the Operation panel. This temporarily pauses sample aspiration. The RGT Pause button is not always available. The text on the RGT Pause button is gray when inactive and black when active. After the button is selected, the reagent pause process can take some time to complete. The system will safely complete any tests on samples that have already been aspirated. A barcode scan of the reagent trays must be performed. It is recommended that all reagents are loaded on the system prior to processing. Select Next to continue.2Accessing the Reagent Trays After the RGT Pause button is selected, the analyzer will alert you when it is safe to access the reagent trays. The system will display several messages. The system mode changes to "ADD REAGENTS", the Alarm Log displays the message "ADD REAGENTS", and the RGT SCAN window opens. Add or remove reagents from the reagent tray as needed. A message box displays the message "After Loading Reagents, click SCAN to perform a barcode scan". Select Next to continue.  Select the RGT Pause button. The system will display several messages while pausing the reagent trays. The reagent trays may be accessed when the system mode displays "ADD REAGENTS". At this time, reagents may be added or removed. A message pop up box will display the Scan button, which must be selected to scan the reagent trays and update the Reagent Inventory window. Select Next to continue.3 Perform a Barcode Scan Select the barcode scan button to update the reagent inventory screen. Select Next to continue. Select Se  After you add or remove reagents, select Scan to update the Reagent Inventory window. Select Next to continue.4 Using the Reagent Confirmation window After the system scans the reagent trays, the Reagent Confirmation window opens up. Select the Timer Off button. Select the OK button to allow the system to proceed. When complete, select the X in the upper-right corner to close the window and continue. After the system scans the reagent trays, the Reagent Confirmation window opens. Selecting the Timer off button, allows you to type reagent barcode information for misread reagent barcodes. You can also rectify any issues that occur, such as reagents that have been placed in the wrong trays. Select the Ok button to allow the system to continue checking reagent volumes. When complete, select the X in the upper-right corner to close the window and continue When processing samples in barcode mode from the STT, samples may be verified through the Sample Confirmation window. The following may be done at the Sample Confirmation window: Verify that barcodes are read Verify that workorders are entered for a sample Change the priority status of a sample Note:  The Sample Confirmation window will only appear while performing a sample run with samples loaded on the STT and processed  in barcode mode. Sample Confirmation Window Learn how generate the Sample Confirmation window. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90004113/sim_1800_SampleProcessing_SampleConf_750x600_9/sim_1800_SampleProcessing_SampleConf_750x600_9.swfHTML5 File:/content/generator/Course_90004113/sim_1800_SampleProcessing_SampleConf_750x600_9/index.htmlPDF File: The EasyLink Data Management System provides support applications that assist you with questions regarding your product. The two main support applications are the iGuide and the Onboard Help. The iGuide provides an indexed and searchable format of the Operator's Guide. The Onboard Help provides performance support for specific task related activities in the software. Monitoring the run After the samples and reagents are loaded on the system and the run is in process, you can monitor a sample run by accessing the Test Result Monitor screen. From the Test result monitor screen, you can verify: Sample status Sample information Time remaining for sample processing Monitor the Run Learn how to monitor the run. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Access the Test Result Monitor Window Select the Request button on the Menu panel to open up the Request Menu. Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.From the Menu Panel, select the Request button to open up the Request button menu. Select Next to continue.2Test Result Monitor Button Select the Test Result Monitor button Select Next to continue.Select the Test Result Monitor button to open the Test Result Monitor window. Select Next to continue.3Test Result Monitor window From the Test Result Monitor window, sample status can be monitored to determine: Whether the sample has been aspirated If the sample is processing The time remaining until sample processing is complete Whether the sample processing has been completed When complete, select the X in the upper right corner to close the window and continue.The center of the Test Result Monitor window resembles the STT. The outer ring is the STT tray and the inner ring is the calibrator/control tray, or CTT. Each tray is represented by a circle. The left side of the Test Result Monitor window displays 3 panels; the System status, the Sample information, and the Sample status color code panel. As the sample run processes, the circles containing samples change color. Refer to the online Operator's guide for more information about identifying additional test status color codes. Select the X in the upper right corner to close the window and continue Sample Status Colors Learn about Sample Status colors. Tab TitleTextWhite Test Status A white circle means that the position number does not contain a sample for this run.  This can also indicate a barcode that did not read.    Grey Test Status A grey circle means that the run has begun and a workorder has been created for this sample, but the sample has not been aspirated from the sample tray.  Pink Test Status A pink circle means that the sample in this position was aspirated from the sample tray and was added to the dilution tray.  Blue Test Status A blue circle means that sampling is complete.  However, there may be instances when results may not be generated. Select the X in the upper-right corner to close the window and continue.      To initialize the application, double click the RAPIDComm icon which appears on the desktop. When logging in, input your user name and password and click on the green arrow. Your User Name and password will be provided to you by your IT Department and will be configured with appropriate security levels. In the next simulation, you will learn how to login Access the RealTime Monitor window to: View patient sample results Print patient sample results Accessing Patient Results Learn about the RealTime Monitor window. Checklist TitleChecklist TypeChecklist ContentSelect the RealTime Monitor buttonHTML   To access the RealTime Monitor window, select the Request button, then select RealTime Monitor.  Note that you can view and print data only after all results for a sample are completed. Select each checkbox to learn more about accessing patient results.  RealTime Monitor windowHTML   The RealTime Monitor window allows you to monitor data for any of the 7 dated folders. Selecting a sample number allows you to view all tests associated with that sample. You may also select to view data for several samples by holding down the Ctrl key.  Printing from the RealTime Monitor screenHTML   Select the Print button. You may specify a range to print by entering a Start and Finish line number. Select the Monitor Pause button if the system is processing.  This keeps the window from trying to update while it captures the data to print.  Be sure to select the Monitor Pause button again when the printing is completed, so the window will update for monitoring.  Filtering the dataHTML   You can limit the data viewed by selecting the appropriate filter buttons located on top of the screen. These filters include; All, Patient, Control, Standard, ISE Calib, and Other. When complete, select the X in the upper-right corner to close the window and continue.    The Order Entry screen allows you to create workorders. Workorders may be entered for STAT or routine samples, with or without barcodes. Manual Order Entry Learn how to create a workorder for a barcoded sample.   Select the play arrow to begin. When complete, select the X in the upper-right corner to close the window and continue.