BCS® XP System Sample Processing Online Training

Demonstrate how to perform routine sample processing tasks, such as adding tests, determining when results will be ready, and repeating tests Demonstrate how to process pediatric samples Demonstrate how to process routine samples Demonstrate how to process STAT samples Welcome to the BCS® XP system Sample Processing online education support tool. Upon successful completion of this course, you will be able to: Select Next to continue. В митральном клапане также могут развиваться стеноз и недостаточность.   Congratulations! You’ve completed the Sample Processing I Online Education Support Tool. In this course, you’ve been introduced to routine, pediatric, and STAT sample processing tasks. Before taking the quiz, review the summary below. Process routine samples For barcoded samples, open the Job List screen. Load samples into racks—be sure the barcode labels face outward and can be seen through the rack window. Load the racks into the analyzer. If the analyzer cannot identify a sample, the Loading screen appears automatically and the system waits for you to resolve the problem. After the sample barcode label is read, the sample ID and sample order information are automatically downloaded from the host computer and appear on the Job List. Red Xs indicate that the test has been ordered. When sample processing is completed, results will appear on the Job List. For non-barcoded samples, use the Loading screen to select a rack and enter sample ID, sample order information, and test requests. You can also identify the sample as a STAT, if applicable. Then load samples into racks and load the racks into the analyzer. If the analyzer cannot identify a sample, the Loading screen appears automatically and the system waits for you to resolve the problem. Review the Analyzer screen to ensure that sample processing is proceeding. View test results on the Job List screen. Perform routine sample processing tasks To add tests, on the Job List screen, double-click the test field next to the sample for which you want to add a test. A red X indicates that the test is ordered. To view additional sample information, on the Job List screen, select a sample, and then click Info on the toolbar or double-click the sample ID. In the Sample info dialog box that appears, the Jobs in progress box displays time estimates for when test results will be ready. To repeat a test, on the Job List screen, select a test result and then click Repeat on the toolbar. A red X indicates that the test is re-ordered. The repeated result will appear on the Job List screen. To view the first result, on the Job List screen, double-click the current result to open the Sample Result dialog box, which displays both results. Process pediatric samples Process pediatric samples just as you process routine barcoded and non-barcoded samples, with the following differences: Transfer the pediatric samples to 1.5-mL Eppendorf cups. Load Eppendorf cups into a pediatric sample rack type (No. 90) for processing. When you use this special rack, the BCS® XP system knows to adjust the immersing depth of the probe and to calculate the sample volume. Process STAT samples The BCS® XP system uses its highest priority to process STATs—if it recognizes the sample as a STAT! Use the following steps to identify samples as STATs: Process barcoded STAT samples by using the STAT rack—just load and go. STAT samples are highlighted in red on the Job List. Process barcoded STAT sample requests received from an LIS—without using the STAT rack. The BCS® XP system will find STAT samples loaded in routine sample racks, and process them as the highest priority. Change samples already loaded on the analyzer from routine to STAT. From the Job List screen, select a routine sample, and then click Info on the toolbar. Use the Info dialog box to identify the sample as a STAT.  Select Next to continue. One form of Doppler echocardiography is called CW Doppler echocardiography. This method permits assessment of valvular stenosis by analyzing the maximum flow velocities across the stenosis. The smaller the orifice of the aortic valve orifice, the higher the maximum flow velocity. It should be noted, however, that in case of severe damage and functional restriction of the ventricle, the maximum flow rate is frequently extremely low rather than high. Processing routine patient samples is easy! For barcoded samples, load samples into racks and then load the racks into the analyzer. For non-barcoded samples, select a rack and enter sample order information and test requests. Then load samples into racks and load the racks into the analyzer. Processing Routine Samples Learn how to process routine samples Slide NumberText BlocksCalloutsAudio ScriptImage File1 Welcome to the Virtual Hemostasis Lab It's the start of your shift and you have just about completed maintenance tasks to prepare the analyzer to run a batch of barcoded samples. Let's get started! Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.  Welcome to the Virtual Hemostasis Lab It's the start of your shift and you have just about completed maintenance tasks to prepare the analyzer to run a batch of barcoded samples. Let's get started! 2 Getting Started To start processing barcoded samples, open the Job List screen. Select the Job List button on the image to the left.   You are viewing the system monitor. To start processing barcoded samples, be sure the job list is displayed before loading samples into the analyzer. You'll be able to confirm right away that all barcodes were successfully read.3 Loading Samples Good job!  In our virtual lab, we have already loaded the necessary reagents.  Now, load the barcoded tubes into the appropriate sample racks. Make sure the barcode labels face outward (to the left) and can be seen through the rack window. Select Next to continue. Slide QuestionAnswer Text Which type of rack can be used to load barcoded samples? When loading samples, use rack types with digits that begin with 03.Good job! In our virtual lab, we have already loaded the necessary reagents. Now, load the barcoded tubes into the appropriate sample racks. Make sure the barcode labels face outward (to the left) and can be seen through the rack window. 4 Loading Racks Load the sample racks in Lanes 5-14 of the Rack Unit-you can load up to 100 samples.  Select Next to continue. Slide QuestionAnswer TextWhy can't sample racks be loaded into Lanes 1, 2, 3, or 4?There are two key reasons: The sample transfer arm-which holds the sample probe for aspirating samples-extends as far right as the cuvette rotors, but only as far left as Lane 3. The sample rack hardware fits only in the tracks of Lanes 5-14. Different racks have different designs-they are not interchangeable. Only Lanes 5-14 are available to load sample racks.  Tip:  You can also use Lanes 5-14 to load reagents dispensed by the sample probe (such as diluent, deficiency plasma, standards, and controls), as well as any remaining reagents dispensed by the reagent probe that are not loaded in a cooling garage.Load the sample racks in Lanes 5-14 of the Rack Unit-you can load up to 100 samples. 5 Scanning Barcode Labels The barcode reader identifies:   Rack barcode Barcode label on sample tubes and reagent vials Empty positions in racks After the sample barcode label is read, the sample ID and sample order information are automatically downloaded from the host computer and appear on the Job List. Select Next to continue.The barcode reader identifies the rack code, sample barcode, and the presence or absence of a sample tube or reagent vial in a rack. The barcode reader is scanning the samples now. Can you hear it? After the sample barcode label is read, the sample ID and sample order information are automatically downloaded from the host computer and appear on the Job List. 6 Viewing the Job List On the Job List screen, you can view:   Sample ID's Test requests Red X's indicate that a test has been ordered. Select Next to continue.Slide QuestionAnswer TextHow can you quickly tell that the analyzer will be able to process all tests requested?The BCS® XP Help function appears green!Select each number to review the corresponding text.CalloutsSample IDRed X's in this column indicate aPTT test requests.You are looking at the Job List screen, where you can view sample ID's and test requests for each sample.7 Processing begins... After the barcodes are successfully read, the analyzer immediately starts processing the requested assays. Select Next to continue. Slide QuestionAnswer TextWhat happens if a barcode label is not successfully read?The BCS® XP analyzer rejects the rack.  To continue processing:   You can reposition the tube to ensure that the barcode label is unobstructed from view and then reload the rack. You can also manually identify the sample, if the barcode label is damaged, for example.  You'll lean more about entering "non-barcoded" samples, later in this exercise. After the barcodes are successfully read, the analyzer immediately starts processing the requested assays. Can you hear the sound of the sample probe dispensing sample? 8 Processing continues... ...the barcoded samples are processing... Select Next to continue. 9 Viewing the Job List When the assay is completed, you can view test results on the Job List screen.  You'll learn how to identify symbols on the Job List screen in the Sample Processing II course.  Select Next to continue. When the assay is completed, you can view test results on the Job List screen. 10 Processing Non-Barcoded Samples Dr. Faktorius would like us to run some samples for a coagulation study that he is conducting.  The samples won't be entered in our host computer system-this means that we must run them as non-barcoded samples. Let's get busy! Dr. Faktorius has requested the following tests:   Fibrinogen aPTT Let's run these non-barcoded samples. Select Next to continue.It's Dr. Faktorius. He'd like us to run some samples for a coagulation study that he is conducting. The samples won't be entered in our host computer system. This means that we must run them as non-barcoded samples. Let's get busy. Dr. Faktorius does not like to be kept waiting.11 Processing Non-barcoded Samples To get started, we need to manually enter sample order information for the non-barcoded samples.  What should you do?  Select the Q&A button if you need help. Slide QuestionAnswer TextWhat should you do? Select the Answer button for a hint. Hint:  Select the Loading button on the Navigation bar to open the Loading screen. To get started, we need to manually enter sample order information for the non-barcoded samples. What should you do? 12 Selecting the Racks Good job!  Use the Loading screen to manually enter the sample order information.  The Racks area displays a list of all racks used on the BCS® XP analyzer. To run non-barcoded samples: Select a sample rack. Click the Select Rack button. Good job! Use the Loading screen to manually enter sample order information. The Racks area displays a list of all racks used on the BCS® XP analyzer. To run non-barcoded samples: 1.Select a sample rack. 2.Click the Select Rack button. In our Virtual Lab, the rack we will use is already selected, so go ahead and click Select Rack. 13 Loading Non-Barcoded Samples On the Loading screen,  The Racks area displays a diagram of the selected rack The Loading info area displays text boxes to enter sample order information. Note the following features displayed on the rack diagram: Number of sample or reagent positions Clear circles=empty positions Blue circle=selected position Rack number The first position is already selected, so let's enter sample order information. Select Next to continue.Note:  For orientation, rack position 1 goes into the analyzer first; position 10 is last.Select each number to review the corresponding text.Callouts Selected position Empty positionsRack numberLook! Now the Racks area on the Loading screen displays a diagram of the rack we just selected. Also, the loading info area on the right displays text boxes to enter sample order information. Rack diagrams display important features. First, note the number of circles. This indicates the number of rack positions in which you can load samples or reagents. In our example, we are loading a sample rack so the diagram displays ten sample positions. Now, note that one circle is blue and the remaining circles are clear. Clear circles indicate empty positions. The blue circle indicates an empty position that is selected so that you can enter sample order information for the sample loaded in that position. Also, note the rack number so that you can confirm that you are loading samples into the same rack indicated on the loading screen.14 Manually Entering Sample Order Information Dr. Faktorius has sent us three samples. Let's enter sample order information for the sample that we'll load into position 1. In the Sample ID text box, 0724611 has been entered for you.  Select Next to continue. Note:  You can use the Remark and Requested by text boxes to enter additional sample order information, as applicable.Dr. Faktorius has sent us three samples. Let's enter sample order information for the sample loaded in position 1. To get started, enter the sample ID in the Sample ID text box. 15 Manually Entering Sample Order Information Dr. Faktorius has requested that we run Fibrinogen and aPTT tests for each sample. In the Assays list box, click Fib and aPTT.  (This has been done for you) Select the Insert button. Slide QuestionAnswer TextHow can you use the Loading screen to process non-barcoded samples such as STATs without using the STAT rack? Select the STAT check box to identify the non-barcoded sample as a STAT.  Then, you can load the sample in any routine sample rack-the BCS® XP system will find the sample and process the STAT using its highest priority. Dr. Faktorius has requested that we run Fibrinogen and aPTT tests for each sample. Use the Assays list box to manually order individual tests. Go ahead and order test for the sample we will load into position one. Then click the Insert button. What happens? 16 Manually Entering Sample Order Information Look at the updated Loading screen! The sample ID for postion 1 is identified The next available empty position is selected so you can manually enter order information for the next sample. Note the following features on the rack diagram. Red circle=identified position Blue circle=selected position Clear circles=empty positions In our virtual lab, we've entered order information for the remaining two samples from Dr. Faktorius. Select Next to continue.Note:  The sample ID and test request for the position 1 sample is also entered in the Job List.Select each number to review the corresponding text.Callouts Sample ID Identified postionSelected positionEmpty positionsLook at the updated Loading screen! The sample ID for postion 1 appears, the position 1 circle is red and the position 2 circle is blue. The red circle indicates that position 1 is identified. The blue circle indicates that position 2 is now selected so that you can enter order information for that sample. In our virtual lab, we've entered order information for the remaining two samples from Dr. Faktorius. So let's move on.17 Manually Entering Sample Order Information See the updated Loading screen.  The samples in positions 1, 2, and 3 have all been entered. Select Next to continue. See the updated Loading screen. The samples in positions 1, 2 and 3 have all been entered. Now we are ready to load the rack into the analyzer for processing.18 Processing Non-Barcoded Samples In our virtual lab, we are loading the non-barcoded samples into the sample rack that we previously selected on the Loading screen. Next, we'll load the rack into a sample lane on the analyzer to start sample processing. Select Next to continue. Slide QuestionAnswer Text How can you identify the correct sample rack you should use to load the samples? Each sample rack has an attached label that matches the sequential rack number that you selected on the Loading screen. Note: Barcode labels are also attached to each rack. The barcode reader scans barcode labels to identify the type of rack and its sequential number to the BCS® XP system.In our virtual lab, we are loading the non-barcoded samples into the sample rack that we previously selected on the Loading screen. Next, we'll load the rack into a sample lane on the analyzer to start sample processing. 19 Porcessing Non-Barcoded Samples Let's make sure the analysis is proceeding properly. What should you do?  Select the Hint Q&A if you need help. Slide QuestionAnswer Text What should you do? Select the Analyzer button on the navigation bar to open the Analyzer screen.Let's make sure the analysis is proceeding properly. What should you do? 20 Processing Non-Barcoded Samples Good job! On the Analyzer screen, we can see that the barcode reader detected samples in positions 1, 2, and 3 for the sample rack loaded into Lane 7. The analyzer is processing the samples.  Can you hear the sound of the cuvette rotors spinning? Dr. Faktorius will be pleased to receive the test results so quickly. Select Next to continue. Slide QuestionAnswer TextWhat happens if the BCS® XP analyzer cannot recognize a sample? For example, suppose you mistakenly loaded Dr. Faktorius' third sample into position 4 instead of position 3?If the analyzer cannot identify a sample, the Loading screen opens automatically and the BCS® XP analyzer ejects the rack. In this example, the barcode reader would detect a missing sample in position 3, and it would detect an unidentified sample in position 4. The BCS®  XP analyzer will wait for you to resolve the discrepancies before allowing you to load the rack again.Good job! On the Analyzer screen, we can see that the barcode reader detected samples in positions 1, 2, and 3 for the sample rack loaded into Lane 7. The analyzer is processing the samples. Can you hear the sound of the cuvette rotors spinning? Dr. Faktorius will be pleased to receive the test results so quickly. 21 Viewing the Job List In our virtual lab, processing has completed.  On the Job List screen, we can see the aPTT and Fibrinogen results for samples 0724611, 0724612, and 0724613. Select Next to continue. In our virtual lab, processing has completed. You can view the results on the Job List screen shown here.22 Congratulations! You've just learned how to process routine barcoded and non-barcoded samples.  These tasks included:   Loading barcoded sample tubes into sample racks.  Then, just load and go! Manually identifying non-barcoded samples by selecting a sample rack, entering sample order information and test requests, and then loading sample tubes into sample racks.  Then, just load and go! When complete, select the X in the upper-right corner to close the window and continue.Congratulations! You've just learned how to process routine barcoded and non-barcoded samples. Cardiac catherization methods are also used to diagnose valvular heart disease. The fact that CAD and aortic stenosis often occur in combination means that coronary angiography (X-ray examination of the coronary arteries using a catheter and contrast medium) is indicated to rule out significant CAD before valve surgery. A  stress test, performed as a routine procedure on CAD patients, is contraindicated for patients with severe aortic stenosis. Measuring LV pressure is not appropriate for patients with severe aortic valve stenosis because of the risk of calcifications embolizing from the valve during catheter manipulation. CT coronary angiography is a non-invasive procedure that is increasingly being used for ruling out significant CAD. No evidence of significant coronary artery disease was found in Mrs. Short's case. In conclusion, surgical aortic valve replacement is indicated for Mrs. Short.   As you run your daily workload, sometimes you’ll need to perform routine tasks, such as adding a test to an existing order, viewing when a result will be ready, or repeating a test. Let’s practice performing these tasks in the virtual Hemostasis Lab. After completing the following exercise, you’ll be able to: Add test requests View additional sample information Repeat a test Performing Routine Tasks Learn how to perform routine tasks. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Welcome to the virtual Hemostasis Lab Let's practice performing a few routine tasks. Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.Welcome to the virtual Hemostasis Lab Let's practice performing a few routine tasks. 2 Viewing Data on the Job List In our virtual lab, we're viewing the Job List screen. It shows the results of our morning run. Select Next to continue. In our virtual lab, we're viewing the Job List screen. It shows the results of our morning run. 3 Adding Tests Dr. Von Klot's office is calling to add an aPTT and a Fibrinogen test to a patient sample.  Let's add the aPTT and Fibrinogen tests to sample 0107. Select Next to continue. Dr. Von Klot’s office is calling to add an aPTT and Fibrinogen test to a patient sample. Let’s add the aPTT and Fibrinogen tests to sample 0107. 4Adding Tests To order the aPTT and Fibrinogen tests: On the Job List screen, double-click the aPTT field next to sample 0107.  To order the aPTT test, on the Job List screen, double-click the aPTT field next to sample 0107.5 Adding Tests: Next, double click the Fib field.   6 Adding Tests Note the red X that appears in the aPTT and Fib field. This indicates that this sample has an aPTT and Fib test request. Select Next to continue.   Note the red X that appears in the aPTT and fibrinogen fields; this indicates that this sample has both an aPTT and Fibrinogen test request.7Viewing Additional Sample Information  Dr. Faktorius is calling to find out when PT and aPTT test results will be ready for one of his patients. Let’s get this information for the doctor… Select Next to continue.Dr. Faktorius is calling to find out when PT and aPTT results will be ready. Let’s get this information for the doctor… 8Viewing Additional Sample Information On the Job List screen, select sample 051606, (already selected for you) and then click Info on the toolbar.  Double clicking the sample ID will also open the Sample info dialog. On the Job List screen, select sample 051606, and then click Info on the toolbar.9Viewing Additional Sample Information The Sample info dialog box that appears displays a Jobs in progress box with time estimates for when test results will be ready. The estimated end of measurement time is calculated from the time the analyzer starts dispensing the sample. On the Sample info dialog box, we can see that the aPTT result will be ready at 9:36 AM. Select Next to continue. Slide QuestionAnswer TextWhat does it mean if the message waiting for evaluation appears in the Jobs in progress box instead of a result? What does it mean if the message waiting for evaluation appears in the Jobs in progress box instead of a result? A. If this message appears, a raw value has been measured but a final result could not be calculated because the assay requires a new reference curve. This could mean: A new reagent lot number is loaded or A calibrator reference value is not entered. After the assay is calibrated, the system will automatically calculate a final result for the sample using the new reference curve. The Sample info dialog box that appears displays a Jobs in progress box with time estimates for when test results will be ready. The estimated end of measurement time is calculated from the time the analyzer starts dispensing the sample. On the Sample info dialog box, we can see that the aPTT result will be ready at 9:36 AM. 10 Reviewing Results Let’s review some other results that Dr. Faktorius has been waiting for. For sample 0070815, on the Job List screen, we can see that:   The PT result has been released. The PT result is above the reference range. Select Next to continue.Let’s review some other results that Dr. Faktorius has been waiting for. For sample 0070815 on the Job List screen, we can see that: •The PT result has been released. •The PT result is above the reference range. 11 Repeating Tests Dr. Faktorius’ office has requested that we repeat all PT results longer than 60 seconds. Let’s repeat the result for sample 0070815. Select the PT secs result. Slide QuestionAnswer TextIf you repeat a test, what happens to the first result? Two results will be reported!  The most recent result appears on the Job List screen. Dr. Faktorius’ office has requested that we repeat all PT results longer than 60 seconds. Follow the instructions shown here to repeat these results. 12Repeating Tests Select Repeat on the toolbar. Note:  You can also use the the Auto Assistant program to create rules to automatically repeat the same test if certain conditions are met.  You'll learn more about using Auto Assistant in the Customizing the BCS® XP System online training course.13 Repeating Tests The red X indicates that the PT tests has been ordered. Select Next to continue. The red X indicates that the PT test has been ordered.14 Repeating Tests Here is the result! On the Job List screen, we can see that the PT seconds result is still above the reference range. This result confirms that the earlier result was valid. Select Next to continue.   Slide QuestionAnswer Text How do you view the original PT result? To view the first result, double-click the current result on the Job List screen to open the Sample Result dialog box, which displays both results. Here is the result! On the Job List screen, we can see that the PT seconds result is still above the reference range. This result confirms that the earlier result was valid. 15Congratulations! You’ve just learned how to perform key sample processing tasks, such as: Adding test requests Viewing additional sample information Repeating tests When complete, select the X in the upper-right corner to close the window and continue.Congratulations! You’ve just learned how to perform key sample processing tasks! Through the example of aortic valve stenosis, you learned about the clinical picture of valvular heart disease. You know that all cardiac valves can be affected by valvular heart disease and you are familiar with the difference between valvular stenoses and insufficiencies. You know the causes and symptoms of valvular heart disease and have even heard how different valvular heart diseases sound on auscultation. You are aware of the fact that important methods for diagnosing valvular diseases include auscultation and echocardiography and that coronary angiography is also used before valve operations. You also know that surgical valve replacement in conjunction with medication is indicated for advanced valvular heart disease. Interventional methods are becoming increasingly important. Now check your newly acquired knowledge in the following self-test. Then you will go on to learn about cardiac arrhythmias by following Ms. Martens' case in the next chapter.   Processing pediatric or other low-volume samples is easy—just load and go as follows: Transfer the pediatric sample to an Eppendorf cup On the Loading screen, select the pediatric rack Attach a barcode label for each sample, or enter sample ID and tests manually Load the Eppendorf cups into the designated pediatric rack Processing Pediatric Samples Learn how to process pediatric samples. Slide NumberText BlocksCalloutsAudio ScriptImage File1Welcome to the virtual Hemostasis Lab! We are in the middle of a morning run. We’ve just received a barcoded pediatric sample that needs to be processed. To process pediatric samples, plasma samples are transferred to 1.5-mL Eppendorf cups, and then loaded into special racks. Let’s process the pediatric sample. Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.Welcome to the virtual Hemostasis Lab! We are in the middle of a morning run. We’ve just received a pediatric sample that needs to be processed. To process pediatric samples, plasma samples are transferred to 1.5-mL Eppendorf cups, and then loaded into special racks. Let’s process the pediatric sample. 2 Processing Barcoded Pediatric Samples Load the barcoded Eppendorf cup into the pediatric rack. Select Next to continue.Slide QuestionAnswer TextWhy can Eppendorf cups be loaded only in a pediatric rack? Because of the special rack-type (No. 90). The BCS® XP system knows to adjust the immersing depth of the probe and to calculate the sample volume. Tip:  Select and drag the border of the Q & A box if it is in your way. You can also minimize or maximize the box. Load the barcoded Eppendorf cup into the pediatric rack…3 Processing Barcoded Pediatric Samples Load the rack into the analyzer. Select Next to continue. Then, load the rack into the analyzer. 4Processing Barcoded Pediatric Samples The BCS® XP barcode reader reads the barcode label… Select Next to continue.The BCS® XP barcode reader reads the barcode label…5 Processing Barcoded Pediatric Samples On the Analyzer screen, we can see that the barcode reader detects only one sample loaded in the rack-this is good! Select Next to continue.   On the Analyzer screen, we can see that the barcode reader detects only one sample loaded in the rack-this is good! 6Processing Barcoded Pediatric Samples …the pediatric sample is processing… Select Next to continue.7 Processing Barcoded Pediatric Samples …and here are the results! On the Job List screen, we can see the results for sample 300605. Select Next to continue. …and here are the results! On the Job List screen, we can see the results for sample 300605. 8Processing Non-barcoded Pediatric Samples In our virtual lab, we’ve received another pediatric sample…it is a non-barcoded sample. The tests requested are the group of tests included in our virtual lab’s STAT profile (although this sample is not a STAT). PT secs INR aPTT Let’s process this non-barcoded pediatric sample. Select Next to continue.In our virtual lab, we’ve received another pediatric sample…it is a non-barcoded sample. The tests requested are the same as those individual tests included in our virtual lab’s STAT profile: Let’s process this non-barcoded pediatric sample. 9Processing Non-Barcoded Pediatric Samples Click the Loading button on the navigation bar. Click the Loading button on the navigation bar. 10Processing Non-Barcoded Pediatric Samples On the Loading screen, in the Racks area, click the pediatric rack number 900102… On the Loading screen, in the Racks area, click the pediatric rack number 900102… 11Processing Non-Barcoded Pediatric Samples  …and then click Select Rack. …and then click the Select Rack button.12 Processing Non-Barcoded Pediatric Samples We loaded the Eppendorf cup into the sixth position of the rack.   On the Loading screen, in the Racks box, click the sixth position. Note: For orientation, rack position 1 goes into the analyzer first; position 10 is last. We loaded the Eppendorf cup into the sixth position of the rack…so click the sixth position.13Processing Non-Barcoded Pediatric Samples In the Sample ID field, type: 00911 (this has already been done for you). Select Next to continue.In the Sample ID field, type 0091114 Processing Non-Barcoded Pediatric Samples In the Profile list box, click STAT to order PT sec, INR, and aPTT-with one click! In the Profile list box, select STAT to order PT seconds, INR, and aPTT with one click!15Processing Non-Barcoded Pediatric Samples Then, select Insert.Then, click the Insert button.16 Processing Non-barcoded Pediatric Samples See the updated Loading screen.  The sample in the sixth position is loaded and the BCS® XP system is ready for the next sample. Select Next to continue. See the updated Loading screen. The sample in the sixth position is loaded and the BCS® XP system is ready for the next sample. 17 Processing Non-Barcoded Pediatric Samples Load the pediatric rack into the BCS® XP system. Select Next to continue. Load the pediatric rack into the BCS® XP18Processing Non-Barcoded Pediatric Samples On the Analyzer screen, we can see that the barcode reader detects only one sample loaded in the rack-this is good! Select Next to continue.On the Analyzer screen, we can see that the barcode reader detects only one sample loaded in the rack-this is good! 19Processing Non-Barcoded Pediatric Samples …the pediatric sample is processing… Select Next to continue.20Processing Non-Barcoded Pediatric Samples …and here are the results! On the Job List screen, we can see the results for sample 00911. Select Next to continue.…and here are the results! On the Job List screen, we can see the results for sample 00911. 21Congratulations! You’ve just learned how to process pediatric samples! These tasks included: Using 1.5-mL Eppendorf sample cups and a special pediatric rack No. 90 Processing a barcoded pediatric sample-just load and go! Processing a non-barcoded pediatric sample-order rack, order tests, and then load and go! Tip: When complete, select the X in the upper-right corner to close the window and continue. Congratulations! You’ve just learned how to process pediatric samples! Processing STATs on the BCS® XP system is easy because the system gives STATs the highest priority. All you have to do is identify the STAT to the system—the BCS® XP system takes over from there. Let’s practice processing STAT samples by using the following methods to identify STATs to the system: Processing barcoded STAT samples using the STAT rack Processing barcoded STAT sample requests received from an LIS—without using the STAT rack Changing samples already loaded on the analyzer from routine to STAT Tip: Use the Loading screen to identify non-barcoded samples as STATs. You can then process the samples without using the STAT rack.   Processing STAT samples Learn how to process STAT samples. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Welcome to the virtual Hemostasis Lab! We’ve received a STAT sample request. Let’s use the STAT rack to process the barcoded STAT sample. Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.Welcome to the virtual Hemostasis Lab! We’ve received a STAT sample request. Let’s use the STAT rack to process the barcoded STAT sample. 2 Processing Barcoded Samples Using the STAT Rack Load the barcoded STAT sample into the STAT rack. Select Next to continue. Slide QuestionAnswer Text If you load a non-barcoded routine sample in a STAT rack, will it be processed as a STAT? Yes!Load the barcoded STAT sample into the STAT rack. 3 Processing Barcoded Samples Using the STAT Rack Insert the STAT rack into the analyzer. Select Next to continue.   Slide QuestionAnswer TextHow does the analyzer “know” that this is a STAT rack?” The barcode reader scans barcode labels attached to each rack. Each barcode label identifies the type of rack (such as rack type 03) and its sequential number. Note: All racks have been previously defined to the system by the user-03 series racks are sample racks that are defined as STAT racks.Insert the STAT rack into the analyzer. 4 Processing Barcoded Samples Using the STAT Rack On the Job List screen, we can see that: The BCS® XP barcode reader has identified the sample 00230124 as a STAT. The sample ID appears in red. ALL tests ordered for this sample will be run as a STAT. Select Next to continue.On the Job List screen, we can see that the BCS® XP barcode reader has identified the sample 00230124 as a STAT-the sample ID is red. This means that ALL tests ordered for this sample will be run as a STAT. 5 Processing Barcoded Samples Using the STAT Rack …the STAT sample is processing… Select Next to continue. 6 Processing Barcoded Samples Using the STAT Rack On the Job List screen, we can see that the STAT results for sample 00230124 are light green-this means that the results were released and sent to the host. Let's look at another way to process STATs. Select Next to continue.   On the Job List screen, we can see that the STAT results for sample 00230124 are light green-this means that the results were released and sent to the host.7 Processing STAT Requests Sent from an LIS In our virtual lab, we just received barcoded samples with test requests sent from the LIS (or host computer) directly to the BCS® XP system. You loaded the samples into routine sample racks but just noticed that a few of the samples are STAT requests.  Let's look at another way to process STATs.  Select Next to continue.   Slide QuestionAnswer Text Do you need to load the STAT samples into a STAT rack to get the results out fast? No.  Because the STAT request was sent from the LIS to the BCS® XP system, the analyzer will recognize the STAT samples and process them using its highest priority-no matter if they are loaded into a STAT rack or a routine rack! Note:  If the LIS cannot send STAT information to the BCS® XP system, barcdoded STAT samples loaded in routine racks will be processed as routine samples. In our virtual lab, we just received our morning batch of barcoded samples. All test requests were sent from the LIS (or host computer) directly to the BCS® XP system. You loaded the samples into routine sample racks but you just noticed that a few of the samples are STAT requests. To get these results out fast, do you need to load the STAT samples into a STAT rack? 8Changing Routine Samples to STATs In our virtual lab, the Intensive Care Unit called. They want to change the tests ordered for sample 00912 from routine to STAT-but this sample is already loaded in a routine rack on the instrument. Reviewing the Job List screen, we can see that: Sample 00912 already appears on the Job List screen. The red Xs indicate that tests have already been ordered. The analyzer symbol appears to the left of the sample ID-this means that the barcode reader has already identified the sample. Select Next to continue.In our virtual lab, the Intensive Care Unit called. They want to change the tests ordered for sample 00912 from routine to STAT-but this sample is already loaded in a routine rack on the instrument. Reviewing the Job List screen, we can see that: •Sample 00912 already appears on the Job List screen. •The red Xs indicate that tests have already been ordered. •The analyzer symbol appears to the left of the sample ID-this means that the barcode reader has already identified the sample. 9 Changing Routine Samples to STATs Double click on the sample ID to open the Sample Info dialog. Remember, you can also select the sample ID and click Info.  We need to change the status of sample 00912 from routine to STAT. Double click on the sample ID to open the Sample Info dialog. 10 Changing Routine Samples to STATs In the Sample Info dialog box, do the following: Select the STAT check box to identify the sample as STAT. In the Sample Info dialog box, click the STAT check box to identify the sample as STAT. 11 Changing Routine Samples to STATs Select Save. Click the Save button.12 Changing Routine Samples to STATs Select Close. …and then click the Close button on the toolbar.13 Changing Routine Samples to STATs The sample is now a STAT! Note that the sample ID is red. The BCS® XP will run all tests for this sample using its highest priority. Select Next to continue. Slide QuestionAnswer Text Could you also add a new test request for this sample? Yes. On the Job List screen, select the test you want to add, and then click New. The sample is now a STAT! Note that the sample ID is red. The BCS® XP will run all tests for this sample using its highest priority. 14 Congratulations! You’ve just learned how to process STAT samples, such as: Processing barcoded STAT samples using the STAT rack Processing barcoded STAT sample requests recieved from an LIS-without using the STAT rack Changing samples already loaded on the analyzer from routine to STAT When complete, select the X in the upper-right corner to close the window and continue.Congratulations! You’ve just learned three ways to process STAT samples!