BCS® XP System Maintenance Online Training

Describe how to perform routine maintenance tasks, such as checking tubings and syringes for leaks and air bubbles, cleaning probes and the analyzer, and checking for leaks and air bubbles in tubings and syringes Identify which routine maintenance tasks are scheduled daily, weekly, monthly, quarterly, and every six months Welcome to the BCS® XP System Maintenance online training course. Upon successful completion of this course, you will be able to: Select Next to continue. Welcome to the Setup Patient Sample Results and Demographics course for the RAPIDComm® Data Management System Online Training course.  In this course, we will discuss setting up sample demographics, tests and patient history order. Select Next in the upper right of the screen to begin the course. Congratulations. You have completed the BCS® XP System Maintenance 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. Perform the following routine maintenance tasks daily and in the order shown here: Check tubings and syringes for leaks and air bubbles Leaks can occur in syringes if a sample or reagent probe is blocked. If a syringe is leaking, moisture will appear in the straining ring. Air bubbles can occur in tubings if a disinfectant solution or distilled water filter is blocked or if a newly replaced syringe requires additional rinsing. Check valves for leaks To check the valves for leaks, fluids must be pumping through the system, so start up the BCS® XP system if it was previously switched off during the night. Rinse the tubing system On the System menu, click Syringes, and then follow the dialog box prompts. Clean probe exterior On the System menu, select Park position, and then follow the dialog box prompts. Clean the exterior of the probes using a lint-free cloth soaked with alcohol. Check probe functionality On the System menu, select Probe, and then follow the dialog box prompts. The system positions the probes above their respective washing units. Observe the jet streams as the probes dispense fluids. If a jet stream from a probe splits, appears crooked, or fans out, or if a probe drips after dispensing fluid, the probe could be damaged or blocked. Run a Shift change On the System menu, select Shift change, and then follow the dialog box prompts. During a System/Shift change, the system disinfects syringes, tubings, and probes and then rinses with distilled water. Perform the following routine maintenance tasks weekly and in the order shown here: Disinfect distilled water canister Disinfect the distilled water container with a 70% alcohol solution. Note that tube connections and level-sensor disks are color coded so operators can see at a glance that each tube is connected to the proper container. Disinfect distilled water tubing and nozzle On the System menu, click Tube disinfection, and then follow the dialog box prompts. The Shift change procedure does not include disinfecting the distilled water tubing and nozzle, so a separate cleaning procedure is required to prevent fungi and algae growth. Clean and disinfect instrument surface Use Isopropyl Alcohol (2-Propanol) in a 70% Solution. Check tubings Check tubings for bends and dirt, such as stains caused by fungi or algae. Clean and disinfect rack lanes Use Isopropyl Alcohol (2-Propanol) in a 70% Solution. Disinfect racks Use Isopropyl Alcohol (2-Propanol) in a 70% Solution. Perform the following routine maintenance tasks monthly and in the order shown here: Validate the analyzer Use the BC Validation Kit and follow the instructions on the package insert sheet. Oil black-tipped syringes with silicon oil Remove the syringes and then lubricate with silicon oil. Clean the scanner window Use Isopropyl Alcohol (2-Propanol) in a 70% Solution. Clean the keyboard Use Isopropyl Alcohol (2-Propanol) in a 70% Solution. Clean the mouse pad Use Isopropyl Alcohol (2-Propanol) in a 70% Solution. Clean rubber gripper cheeks To access the gripper cheeks, remove the waste container, and then reach upward through the rotor waste. Clean the gripper cheeks with a lint-free cloth and water, and then replace the waste container. Perform the following routine maintenance task quarterly: Renew Isopropyl Alcohol (2-Propanol) in a 70% Solution Be sure to empty the disinfectant canister before making new Isopropyl Alcohol (2-Propanol) in a 70% Solution. Perform the following routine maintenance tasks every six months: Replace white-tipped syringes. Refer to instructions in the Troubleshooting Online Training Course. Clean the mouse Remove the disc and ball from the bottom of the mouse and clean with a cotton cloth. Select Next to continue. The RAPIDComm® system allows for customizing where Patient and Visit Demographics are displayed. Patient and Visit Demographics and the Patient History Order are customized in the same manner as Sample Demographics. Demographics Setup  consists of the following options: Patient Demographics, Visit Demographics, Patient History Order and Patient Age Reporting. Routine maintenance tasks performed on the BCS® XP analyzer need to be performed according to the following schedule: Daily Weekly Monthly Quarterly Every six months Let's learn more about routine maintenance tasks. Note: In the Troubleshooting online training course, you’ll learn about special maintenance tasks that need to be performed as needed.   The BCS® XP system routine maintenance tasks include tasks that must be performed daily, and in the order shown below. Check tubings and syringes for leaks and air bubbles Check valves for leaks Rinse the tubing system Clean probe exterior Check probe functionality Run a Shift change Check tubings and syringes for air leaks & bubbles Learn how to check tubings and syringes for air leaks and air bubbles. Checklist TitleChecklist TypeChecklist ContentPlace analyzer in Standby modeHTML When starting daily maintenance, make sure the analyzer is in Standby mode (no tests ordered).  Before performing daily maintenance, make sure that all test requests are completed and no samples are placed onboard. Select each checkbox to learn more about checking tubings and syringes for air leaks and air bubbles.  Visually check tubing for leaksHTML Open the BCS® XP dispensing unit cover to visually check inside for leaks around tubings.  Leaks can occur in syringes if a sample or reagent probe is blocked. Tip: Check tubings, syringes, and valves for leaks and air bubbles while you’re rinsing the system. You will be able to observe mechanical movements.  Replace syringe if necessaryHTML If a syringe is leaking, moisture will appear in the straining ring. Replace the syringe if necessary. Refer to the Troubleshooting online training course for more information about replacing syringes. Key: 1. Dispensing unit, 2. Reagent dilutor, 3. Sample dilutor, 4. 1000 µL syringe, 5. 250 µL syringe, 9. Syringe platform with straining ring Visually check tubing for air bubblesHTML Visually check tubings for air bubbles.  Air bubbles can occur in tubings if: A disinfectant solution or distilled water filter is blocked A newly replaced syringe requires additional rinsing When complete, select the X in the upper-right corner to close the window and continue.   Check Valves for Leaks Learn how to check valves for leaks. Checklist TitleChecklist TypeChecklist ContentStart up the systemHTML To check the valves for leaks, fluids must be pumping through the system, so start up the BCS® XP system if it was previously switched off during the night. During initialization, the system rinses the tubing system and probes with water. Notes: If the analyzer runs 24 hours a day, shutting down is necessary only on a weekly basis. Make sure the analyzer is in Standby mode (no tests ordered) before shutting down the instrument. Start up BCS® XP system components in the following order: UPS, analyzer, CPU, monitor, printer. Remember that the analyzer is not operational until the BCS® XP software is activated! Initialization lasts approximately five minutes. Refer to the Troubleshooting online training course for more information about starting up the BCS® XP system. Select each checkbox to learn more about checking valves for leaks. Visually check the valve areas for leaksHTML Visually check the area around the valves for leaks. Be sure to check seams and connecting parts.  Dispensing unit valves control which liquid is aspirated or dispensed by the syringes. Leaks around valves can occur if a sample or reagent probe is blocked. Contact the Siemens Healthcare Diagnostics Technical Solutions Center if necessary. When complete, select the X in the upper-right corner to close the window and continue.    Rinse the tubing system Learn how to rinse the tubing system. Checklist TitleChecklist TypeChecklist ContentOn the System menu, select SyringesHTML On the System menu, select Syringes. The System menu controls many system operation tasks, such as initializing the system; positioning probes; rinsing and disinfecting tubings, syringes, and probes; and replacing probes and syringes. Select each checkbox to learn more about rinsing the tubing system. Read Warning message & select ContinueHTML Read the Warning message, and then select Continue. The Warning message reminds you not to perform this maintenance tasks if you are processing samples. Activate the Rinse CycleHTML In the Syringe dialog box that appears, do the following: Select Distilled Water In the No. of rinsing cycles box, type 1 Select Rinse to start rinsing tubings Select Close to close the dialog box Check for leaks and air bubblesHTML While the system rinses tubings and syringes, check for leaks and air bubbles. When complete, select the X in the upper-right corner to close the window and continue.    Clean probe exterior Learn how to clean the probe exterior. Checklist TitleChecklist TypeChecklist ContentOn the System menu, select Park positionHTML On the System menu, select Park position. The System menu controls many system operation tasks, such as positioning probes. Select each checkbox to learn more about cleaning the probe exterior. Select LoginHTML In the Park position dialog box that appears, select Login.  Check messages in the Status areaHTML Watch the messages in the Status area as the analyzer brings the transfer arms to a position for easier access. Clean probesHTML Clean the exterior of the probes using a lint-free cloth soaked with alcohol. Safety Precautions The tip of the probe is sharp and could cause injury. Be sure to wear latex or non-latex gloves when performing probe maintenance. Always clean the tip in one direction only-from the top to the end of the tip When cleaning probes, handle all instrument parts as biologically hazardous Select DoneHTML When you are finished, select Done. Check Status area and close dialog boxHTML Watch the messages in the Status area…after a few seconds, the system will return the probes to their starting positions. Select X to close the dialog box. When complete, select the X in the upper-right corner to close the window and continue.   Check probe functionality Learn how to check probe functionality. Checklist TitleChecklist TypeChecklist ContentSelect Probe on the System menuHTML On the System menu, select Probe. The System menu controls many system operation tasks, such as rinsing and disinfecting probes. Select each checkbox to learn more about checking the probe functionality. Read the Warning message & select ContinueHTML Read the Warning message, and then select Continue. Select Probe dialogue options & StartHTML Select options in the Probe dialog box, and then select Start.  In the Probe dialog box, note the following options: The reagent and sample probes can be rinsed individually or at the same time. Select either or both Left and Right check boxes. In the Washing intensity combo box, select Check probe. Observe probe dispense jet streams during rinsingHTML After aspirating and dispensing sample or reagent, the system positions the probes above their respective washing units, where they are rinsed inside and out. During this process, observe the jet streams. In the photos shown here, a probe dips into its washing unit (1). As you observe the jet streams, Do you see a single stream flowing from the probe directly into the washing units?  (2) Does the jet stream split, appear crooked, or fan out?  (3) After dispensing fluid, does the probe drip? (4) If a jet stream from a probe splits, appears crooked, or fans out, or if a probe drips after dispensing fluid, the probe could be damaged or blocked. Clean blocked probes if neededHTML To clean a blocked probe, try rinsing the probe more intensely, as described below. On the Probe dialog box, do the following: Select either or both Left and Right check boxes, as necessary. In the Washing intensity combo box, select intensive as the type of rinsing required. Select Start. Refer to the Troubleshooting Guide for further information about cleaning a blocked probe. Observe probe dispense jet streamHTML The probe aspirates and dispenses washing solution three times and then rinses with distilled water. As the probe dispenses fluid, observe if the jet stream sprays directly into the washing unit in a single stream. Note: If the jet stream continues to split, appear crooked, or fan out, replace the probe. Refer to the Probe Exchange Program Job Aid in the System Overview course to view information about replacing probes. When complete, select the X in the upper-right corner to close the window and continue.    Run a Shift change Learn how to run a shift change. Checklist TitleChecklist TypeChecklist ContentOn the System menu, select Shift changeHTML On the System menu, select Shift change. The System menu controls many system operation tasks, such as rinsing and disinfecting tubings, syringes, and probes. To avoid contamination, tubings must be disinfected daily. During a System/Shift change, the system disinfects syringes, tubings, and probes and then rinses with distilled water. Select each checkbox to learn how to run a shift change. Check that Disinfect instrument is selectedHTML On the Shift change dialog box that appears, verify that only the Disinfect instrument check box is selected to retain data currently displayed on the Job List.  Notes: Use the check boxes to delete data from the Job List.  Delete Samples will delete the Sample ID and results.  Delete results will delete the results but retain the sample ID. Use the check box to delete results from the Control Journal or entries from the logbook. Whenever you use the Shift change dialog box, the BCS® XP system automatically sends Job List results to the 90-day history database. Select OK after disinfection processHTML   During the disinfection process, the message shown here appears. The OK button appears dimmed during the disinfection process. When the disinfection process is completed, click OK.  The disinfection procedure lasts about six minutes. Be sure to monitor the instrument during this process. Resume sample processingHTML When the disinfection process is completed, you are ready to resume running samples on the Job List. Notes: After a disinfection, if stains caused by fungi or algae cannot be removed, the tubing must be replaced. Unlike the File/Shift change procedure, the System/Shift change procedure does not close the BCS® XP software, shut down the analyzer, or eject racks. When complete, select the X in the upper-right corner to close the window and continue.   The BCS® XP system requires weekly maintenance tasks. These tasks should be performed weekly in the order shown below. Disinfect distilled water canister Disinfect distilled water tubing and nozzle Clean and disinfect instrument surface Check tubings Clean and disinfect rack lanes Disinfect racks   Disinfect distilled water canister Learn how to disinfect the distilled water canister. Checklist TitleChecklist TypeChecklist ContentDisinfect the distilled water containerHTML Disinfect the distilled water container with Isopropyl Alcohol (2-Propanol) in a 70% Solution. Select each checkbox to learn more about disinfecting the distilled water canister.  Rinse the distilled water containerHTML Be sure to rinse the container thoroughly with distilled or deionized water before refilling it with distilled water.  Refill and reconnect containersHTML When refilling containers, note that tube connections and level-sensor disks are color coded so operators can see at a glance that each tube is connected to the proper container. Distilled water (Green) Isopropyl Alcohol (2-Propanol) in a 70% Solution (White) Liquid waste (Red) When complete, select the X in the upper-right corner to close the window and continue. Disinfect distilled water tubing and nozzle Learn how to disinfect the distilled water tubing and nozzle. Checklist TitleChecklist TypeChecklist ContentSelect Tube disinfection on System menuHTML On the System menu, click Tube disinfection. The System menu controls many system operation tasks, such as rinsing and disinfecting tubings. During the Shift change procedure, the system disinfects syringes, tubings, and probes and then rinses with distilled water. This process does not include disinfecting the distilled water tubing and nozzle, so a separate cleaning procedure is required to prevent fungi and algae growth. Select each checkbox to learn more about disinfecting the distilled water tubing and nozzle. Select ContinueHTML Click Continue. Disinfectant will damage sensitive tubings if it is not thoroughly rinsed from the system. A warning message tells you that once the cleaning process has started, you must finish it without interruption. Remove nozzle from canisterHTML Remove the nozzle from the distilled water canister.   Place nozzle in disinfectant canisterHTML Place the nozzle in Isopropyl Alcohol (2-Propanol) in a 70% Solution disinfectant canister.   Select ContinueHTML Click Continue to start the cleaning process. Instructions displayed in the Disinfect tubes dialog box guide you through the cleaning process. Wait three minutesHTML Wait three minutes. A progress bar appears during the three-minute cleaning process as disinfectant is pulled into the analyzer.  Remove nozzle from disinfectantHTML Remove the nozzle from the disinfectant. The cleaning process is completed when the progress bar disappears.  Submerge nozzle in distilled water containerHTML Submerge the nozzle in a rinse contained filled with distilled water. The distilled water volume must be sufficient to rinse the tubing-at least 60 mL. We recommend that the water level in the rinse container be equal to or greater than the disinfectant in order to submerge the entire length of the nozzle and wand area that was exposed to disinfectant.  Select Continue to start rinse processHTML Click Continue to start the rinsing process. After you click Continue, a progress bar appears during the rinsing process as distilled water is pulled into the analyzer to rinse the tubes. Replace nozzle into distilled water containerHTML Replace the nozzle into the original distilled water canister filled with fresh distilled water. The rinsing process is completed when the progress bar disappears.  Select QuitHTML Click Quit. When complete, select the X in the upper-right corner to close the window and continue. Clean and disinfect instrument surface Learn how to clean and disinfect instrument surfaces. Clean the BCS® XP surface using Isopropyl Alcohol (2-Propanol) in a 70% Solution. When performing this maintenance task, make sure the analyzer is switched off.  Refer to the Troubleshooting online training course for more information about shutting down the BCS® XP system. When complete, select the X in the upper-right corner to close the window and continue.    Check tubings Learn how to check tubings. Check tubings for bends and dirt, such as stains caused by fungi or algae.  When performing this maintenance task, make sure the analyzer is switched off. When complete, select the X in the upper-right corner to close the window and continue.      Clean and disinfect rack lanes and racks Learn how to disinfect rack lanes and racks. Checklist TitleChecklist TypeChecklist ContentClean and disinfect rack lanesHTML Using a cloth soaked in Isopropyl Alcohol (2-Propanol) in a 70% Solution, open the protective cover and wash the rack lanes.  When performing this maintenance task, make sure the analyzer is switched off. Select each checkbox to learn how to disinfect rack lanes and racks.  Disinfect RacksHTML Spray the racks with Isopropyl Alcohol (2-Propanol) in a 70% Solution and then clean the racks.  When performing this maintenance task, make sure the analyzer is switched off. When complete, select the X in the upper-right corner to close the window and continue. Congratulations.  You have completed the Setup Sample Ranges and Sample Validation Online Training course for the RAPIDComm® Data Management Solution.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz.   The BCS® XP system requires monthly maintenance tasks that should be performed in the order shown below. Validate analyzer Oil syringes with silicon oil Clean scanner window Clean keyboard Clean mouse pad Clean rubber gripper cheeks Validate the analyzer Learn how to validate the analyzer. To validate the BCS® XP analyzer, use the BC Validation Kit and follow the instructions on the package insert sheet.  See the Troubleshooting Guide if problems occur with loading the rack with the test solution. When complete, select the X in the upper-right corner to close the window and continue.      Oil syringes with silicon oil Learn how to oil syringes with silicon oil. Checklist TitleChecklist TypeChecklist ContentRemove syringes from analyzerHTML Remove the syringes from the analyzer.  With black tipped syringes, silicon oil prevents the plunger from sticking to the glass barrel, which can cause step errors in the dilutor.  Silicon oil also increases the syringe's resistance to leakage, which improves the performance of the plunger.  For help with removing syringes or for white tipped syringe maintenance procedures, refer to Remove old syringes in the Special Maintenance Tasks section of the Troubleshooting online training course. Key:  1.  Dispensing unit; 2. Reagent dilutor; 3. Sample dilutor; 4. 1000 µL syringe; 5.  250 µL syringe;  6. Plunger; 7. Glass barrel  Select each checkbox to learn how to oil syringes with silicon oil. Pull plunger out of glass barrelHTML Pull the plunger our of the glass barrel.  Press silicon oil into plastic bagHTML Press the silicon oil into the plastic bag. Tip:  Use the Lubrication Kit, which contains a small bottle of silicon oil and a pack of plastic bags and is available from Siemens Healthcare Diagnostics.   Oil Teflon® head from all sidesHTML Oil the Teflon®  head in a circular movement from all sides.  Wipe Teflon® head surfaceHTML Wipe the surface of the Teflon® head with lint-free cloth to remove excess oil. Silicon oil does not affect measured values because it does not dissolve in the system liquids.  Replace plunger into glass barrelHTML Replace the plunger into the glass barrel. Move plunger up and downHTML Move the plunger up and down until the syringe moves freely.   Re-insert syringes into appropriate diluterHTML Re-insert the syringes into the appropriate diluter.  For help with replacing syringes, refer to Reinstall or mount new syringes in the Special Maintenance Tasks section of the Troubleshooting online training course.  When complete, select the X in the upper-right corner to close the window and continue.    Clean the scanner window, keyboard and mouse pad Learn how to clean the scanner window, keyboard and mouse pad. Checklist TitleChecklist TypeChecklist ContentClean the scanner windowHTML Clean the window of the barcode scanner with a lint-free cloth and Isopropyl Alcohol (2-Propanol) in a 70% Solution. When performing this maintenance task, make sure the analyzer is switched off. Refer to the Troubleshooting online training course for more information about shutting down the BCS® XP system. Select each checkbox to learn how to clean the scanner window, keyboard, and mouse pad.  Clean the keyboardHTML Clean the keyboard with a damp cloth and Isopropyl Alcohol (2-Propanol) in a 70% Solution.  When performing this maintenance task, make sure the analyzer is switched off. Refer to the Troubleshooting online training course for more information about shutting down the BCS® XP system.  Clean the mouse padHTML Clean the mouse pad with a damp cloth and Isopropyl Alcohol (2-Propanol) in a 70% Solution.  When performing this maintenance task, make sure the analyzer is switched off. Refer to the Troubleshooting online training course for more information about shutting down the BCS® XP system. When complete, select the X in the upper-right corner to close the window and continue.    Clean rubber gripper cheeks Learn how to clean rubber gripper cheeks. Checklist TitleChecklist TypeChecklist ContentRemove the waste containerHTML Open the waste lid and remove the waste container. Select each checkbox to learn more about how to clean the rubber gripper cheeks.  Clean the gripper cheeksHTML Reach upward through the rotor waste to access the gripper cheeks. Clean the gripper cheeks with a lint-free cloth and water.    Re-insert the waste container and close the coverHTML Re-insert the waste container and close the waste cover. When complete, select the X in the upper-right corner to close the window and continue.    RAPIDComm® allows for specifying how patient results are processed. The Sample Validation Setup screen provides options for managing rules that determine how the program responds to results, the selection of the laboratory or hospital information system that receives patient results and also for the generation of accession numbers when RAPIDComm® is not connected to a system that will generate accession numbers.  The BCS® XP system requires maintenance tasks that should be performed quarterly and every six months. Quarterly:  Renew Isopropyl Alcohol (2-Propanol) in a 70% Solution Every six months:  Clean the mouse Every 6 Month Maintenance Learn about Every 6 Month Maintenance. Clean the mouse (If applicable) Follow these steps to clean the mouse: Open the mouse, and then remove the disc and ball from the bottom of the mouse. Clean the ball with a cotton cloth. Clean the inside of the mouse with a cotton cloth, especially the rollers. Re-insert the ball. When complete, select the X in the upper-right corner to close the window and continue.