Dimension® Integrated Chemistry System Sample Processing Online Training

Continue Continue Continue Continue backgroundpolitico.png Continue Continue Continue Continue Course Master Template HILS2218 | Effective Date: 25 Mar 2022 ? Dimension® Integrated Chemistry System Sample Processing Online Training In this course you will learn about the procedures for processing samples and obtaining test results. Assess sample height and volumes for appropriate processing 1 Interpret printed test reports 4 Process and monitor patient and QC samples 3 Identify sample containers and how segments and adapters are used 2 Welcome Audio Notes: dimension_systems_sampleprocessing_olt_01.mp3 Welcome to the Dimension® Integrated Chemistry System Sample Processing Online Training. In this course, you will learn about the procedures for processing samples and obtaining test results on the Dimension EXL 200, Dimension EXL with LM, Dimension RxL Max and Dimension Xpand Integrated Chemistry Systems. This course will cover the following four learning objectives. Assessing Sample Volumes Use the Tube Fill Guide to determine adequate sample height in primary tubes before processing. To assess the sample height: Hold the 5-mL, 7-mL, or 10-mL primary tube that you are assessing against the area indicated on the Tube Fill Guide Verify that the sample height falls within the sufficient height range-the area displayed in green-indicated on the Tube Fill Guide If a barcoded primary tube has sufficient sample height, load it directly into a segment position for processing. ? Assessing Sample Volumes Audio Notes: dimension_systems_sampleprocessing_olt_02.mp3 The Tube Fill Guide is used to determine sufficient sample height in primary tubes before processing. Seven and ten mL tubes are held against the side without the spacer and 5 mL tubes are held against the side with the spacer. Sufficient sample height is displayed in green on the Tube Fill Guide. Sample Containers Hover over the numbered markers on the left to learn more about the types of sample containers on the Dimension® System. Then select the tabs below to learn more about using Sample Cups and SSCs. Sample Cups Dimension® System Sample Cups with lids Unstoppered 5-mL, 7-mL and 10 mL primary sample tubes-barcoded or non-barcoded SSCs Dimension® System Small Sample Containers (SSCs) Using Sample Cups Using SSCs ? Sample Containers Audio Notes: Base Layer: dimension_systems_sampleprocessing_olt_03.mp3 A variety of sample containers can be used on the Dimension® System. These include barcoded and non-barcoded primary tubes, sample cups, and small sample containers (SSCs). Using Sample Cups Layer: dimension_systems_sampleprocessing_olt_03a.mp3 A Dimension® System sample cup is used for any sample less than 1 milliliter. Transfer the sample into the sample cup, close the lid firmly, and load into a teal or beige adapter. Select the X in the upper right corner to continue. Using SSCs Layer: dimension_systems_sampleprocessing_olt_03b.mp3 A Dimension® System SSC is used for barcoded primary tube samples with insufficient height and greater than 1 milliliter of sample. Sample is pipetted into the SSC which is inserted into the top of the tube and loaded into an SSC designated segment with the barcode visible. Select the X in the upper right corner to continue. Using SSCs A Dimension® Small Sample Container (SSC) holds 1 mL of sample including a 30 uL dead volume (50 µL for Dimension® RxL Max® Integrated Chemistry System). Use an SSC to set up samples for processing if both of the following situations apply: The sample level height on a barcoded primary tube is insufficient AND There is at least 1 mL of sample available To process a sample in an SSC: Pipette 1.0 mL of sample into the SSC Load the SSC into the top of the original barcoded tube Load the barcoded tube into an SSC designated segment for processing with the barcode label visible through the segment opening Select the X in the upper right corner to continue. ? Using Sample Cups Using Sample Cups A Dimension® Sample Cup holds 1.5 mL of sample, including a 30 µL dead volume (50 µL for Dimension® RxL Max® Integrated Chemistry System). Use a sample cup to set up samples for processing in any of the following situations: If the sample height on a primary (barcoded or non-barcoded) tube is insufficient and the sample volume is less than 1 mL Sample in any type of container with less than 1 mL To transfer a sample to a sample cup: Pipette sample into the sample cup and firmly close the lid Load the sample cup into a teal or beige adapter in a segment Push the sample cup completely down into the adapter Tip: Ensure there are no air bubbles when transferring samples to sample cups or SSCs. Select the X in the upper right corner to continue. ? Segments and Adapters Ten position segments and color-coded adapters hold sample containers to facilitate the loading process. 10-mL tubes are loaded directly into a segment. 5-mL and 7-mL tubes, and sample cups use specified adapters: Teal adapters hold 5-mL tubes or sample cups Beige adapters hold 7-mL tubes or sample cups Up to six segments can be loaded onto the sample wheel for processing. Grooves in the segments align over the black pins in the sample wheel. ? Segments and Adapters Audio Notes: dimension_systems_sampleprocessing_olt_04.mp3 Segments have 10 positions that hold a variety of sample containers. Teal adapters may hold 5 milliliter tubes or sample cups and beige adapters hold 7 milliliter tubes or sample cups. No adapter is necessary for 10 milliliter tubes. Up to 6 segments can be loaded into the sample area aligning the black pins with the grooves in the segment. Using SSC Segments To transfer a sample to an SSC, load it into the top of a primary tube. The instrument reads the barcode information to process the sample. Designate an orange or yellow segment designed for SSC use and configure it in the system software. From the Operating Menu select: F6: SYSTEM CONFIG F4: COMPUTER Select the numbered steps below to learn more about configuring a segment for SSC use. 1 1 1 2 2 2 3 3 3 4 4 4 ? Using SSC Segments Audio Notes: dimension_systems_sampleprocessing_olt_05.mp3 Base Layer: The Dimension® System can be configured to allow the instrument to read the barcode information from a tube in a designated SSC segment and process the sample. During installation, the sample probe maximum depth alignment is performed for optimal sample aspiration. Designate an orange or yellow segment designated for SSC use and configure it in the system software. This is defined in F6: SYSTEM CONFIGURATION and F4: COMPUTER. F7: STORE 4 Select F7: STORE to save the SSC designated segment. Select the X in the upper right corner to continue. ? F5: ADD SEGS 3 Select F5: ADD SEGS. A prompt will appear in the highlighted message area. Type the letter of the designated segment(s), and then select Enter. Select the numbered steps below to continue. ? Move the cursor to the SSC field. Select the numbered steps below to continue. SSC field 2 ? SSC ID (mm) field Move the cursor to the SSC ID (mm) field, and then type 8 (the inside diameter in millimeters of the SSC). Select the numbered steps below to continue. 1 ? Entering Sample Data Before sample processing, the instrument requires specific information: Patient demographics Test specifics The analyzer can retrieve the information one of three ways: Directly from a barcoded tube Manual Query from host Manual Order Entry Manual Query can be used to enter sample information when the Laboratory Information System is operational. An asterisk (*) in front of the sample number on the Enter Sample Data screen will trigger the analyzer to query the host (LIS) to obtain patient and test information. If the system does not have an active LIS, the order must be entered manually into the Enter Sample Data screen. Select the tab arrows to learn more about the topics on the tabs. Manual Query Manual Order Entry Store Sample Information ? Entering Sample Data Audio Notes: dimension_systems_sampleprocessing_olt_06.mp3 Base Layer: With an LIS, patient demographics and test specifics can be retrieved directly from the barcode or through the manual query feature. The Enter Sample Data screen is used to enter patient information manually. Select the tab arrows to learn more about how the analyzer retrieves information needed to process samples. Manual Query To use Manual Query, begin at the Operating Menu and Select F1: ENTER DATA to access the Enter Sample Data screen. Hover over the markers on the right to learn more about entering the specific data on the screen. All fields will populate with patient and test information after the data is entered. Select the X in the upper-right corner to continue. Enter Segment Position Example: A1 Sample No. field Enter “*” followed by sample number. Example: *123456 Note: Please refer to the Sample Processing Section in the Dimension® System Operator’s Guide for more information about sample numbers. ? Entering QC Data Process QC using the following options: Manually in the Enter Sample Data screen QC Recall, a shortcut that eliminates re-entry of QC sample information on the Enter Sample Data screen A defined QC Panel with an SSC in a barcoded tube Select the outlined section of the screen to learn more about using Manual Order Entry for QC and QC Recall. ? Entering QC Data Audio Notes: dimension_systems_sampleprocessing_olt_09.mp3 Daily QC can be ordered in the Enter Sample Data screen by entering information manually or by using QC Recall. QC also can be processed in an SSC in a barcoded tube using a defined QC panel. Manual Order Entry for QC and QC Recall Enter segment position Enter QC Name To use the QC Recall feature, enter a unique QC identifier in the Patient Name field beginning with the letters “QC”. Enter Lot Number Select appropriate Test keys Change the mode (F7) to sample cup Note: The mode should match the sample container used. For example, do not choose the sample cup mode if the QC sample is in an SSC. Change fluid (F8) to the correct QC fluid Change priority (F4) to QC To use Manual Order Entry for QC in sample cups, from the Operating Menu, select F1: ENTER DATA. Select the markers on the left to learn more about entering the specific data on the screen. Note: All fields will be populated with QC and test information automatically if using the QC Recall feature. QC Recall requires the data to be manually ordered at least once previously. Select the X in the upper right corner to continue. ? Knowledge Check You have just learned about preparing samples using different types of containers. Select Start to test your knowledge of the presented content. Start ? Knowledge Check Select the best answer. ? Question 1 of 5 What is the most efficient way to order QC manually? Use QC recall Use Manual Query Manually enter in the sample data screen Multiple Choice Incorrect The most efficient way to order QC manually is to use QC Recall. The Patient Name field must begin with the letters “QC” to use QC Recall. Incorrect The most efficient way to order QC manually is to use QC Recall. The Patient Name field must begin with the letters “QC” to use QC Recall. Correct Select the best answer. ? Question 2 of 5 What do you do when you receive a non-barcoded miscellaneous container with insufficient sample less than 1 mL? Move sample to a primary tube and load directly into a segment position for processing Move sample to a primary tube and load directly into a segment position for processing Pipette sample into SSC; load into the top of a tube and load into an SSC designated segment Move sample to sample cup; load into adaptor and segment and order manually Multiple Choice Incorrect Insufficient sample less than 1mL is not processed in an SSC. Move the sample to a sample cup, load it into an adaptor and segment and order manually. Incorrect Correct Insufficient sample less than 1 mL cannot be processed in a primary tube. Move the sample to a sample cup, load it into an adaptor and segment and order manually. Select the best answer. ? Question 3 of 5 What do you do when you receive a 10-mL barcoded tube with sufficient sample? Load the tube directly into the segment with no adaptor Put 1 mL of sample into an SSC; place the SSC into barcoded tube; place in designated SSC segment Move to sample cup; load into adaptor and segment and order manually Multiple Choice Incorrect Sufficient sample does not need to be placed in a sample cup. Load the tube directly into the segment with no adaptor. Incorrect Sufficient sample does not need to be placed in an SSC. Load the tube directly into the segment with no adaptor. Correct Select the best answer. ? Question 4 of 5 What do you do when you receive a non-barcoded 5-mL tube with sufficient sample? Load the tube directly into the segment with no adaptor Load into a teal adaptor in segment and order manually, changing mode to primary tube Load sample directly into a segment position with a beige adaptor Multiple Choice Incorrect Load into a teal adaptor in segment and order manually, changing mode to primary tube Correct Correct Load into a teal adaptor in segment and order manually, changing mode to primary tube Select the best answer. ? Question 5 of 5 What do you do when you receive a STAT non-barcoded primary tube and LIS host is operational? If the primary tube has sufficient sample height, load it into a segment position for processing Use Manual Order Entry Use Manual Query Multiple Choice Incorrect Correct Use Manual Query Correct Use Manual Query Knowledge Check Completion Review Retry Retry Continue Continue ? You have just completed the Knowledge Check. Select Review to assess how your responses compare to the correct answers. Select Retry to test your knowledge again or select Continue to advance through the course. Knowledge Check Completion ? Sample Processing Technologies IMT HM Photometric/ turbidimetric in cuvettes LOCI® Module* The Dimension® System provides chemistry analyses by using: Integrated Multisensor Technology (IMT) Heterogeneous Immunoassay Module (HM) Photometric and turbidimetric testing Luminescent Oxygen Channeling Assay (LOCI®) Module* *Note: LOCI® Module is available on the Dimension® EXL™ 200 Integrated Chemistry System and Dimension® EXL™ with LM Integrated Chemistry System only. Select the numbered markers on the right to identify each technology. Note: Images are applicable to Dimension® EXL™ 200 Integrated Chemistry System and Dimension® EXL™ with LM Integrated Chemistry System only. Sample Processing Technologies Audio Notes: dimension_systems_sampleprocessing_olt_10.mp3 The Dimension® System provides chemistry analysis by using the Integrated Multisensor Technology (IMT), the Heterogeneous Immunoassay Module (HM) and photometric and turbidimetric testing. The added benefit of the Dimension® EXL™ 200 Integrated Chemistry System and the Dimension® EXL™ with LM Integrated Chemistry System is the LOCI® module, which processes high sensitivity assays quickly. Sample Processing Steps In this section, you will learn about processing samples. For additional information on the analyzer components, refer to the Dimension® System Overview online training. Select the numbered steps below to learn more about sample processing steps. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 7 7 7 8 8 8 ? Sample Processing Steps Audio Notes: dimension_systems_sampleprocessing_olt_11.mp3 (includes base slide and all slide layers) In this section, you will learn about processing samples. For additional information on the analyzer components, refer to the Dimension® System Overview online training. dimension_systems_sampleprocessing_olt_11a.mp3 1 Loading Samples: When loading segments, make sure the segment is completely seated in position and that the grooves fit over the pins in the sample area. dimension_systems_sampleprocessing_olt_11b.mp3 2 Processing Samples: Once samples are loaded, select the RUN key to begin processing. dimension_systems_sampleprocessing_olt_11c.mp3 3 Scanning Segments and Barcoded Tubes: The sample area wheel scans the segment and barcoded tubes. dimension_systems_sampleprocessing_olt_11d.mp3 4 Checking for System Needs 1: The yellow NEEDS CHECK icon informs the operator the system is checking the onboard inventory to ensure there are sufficient reagents to complete the ordered tests. Also, the system checks to ensure all calibration, QC, and other supplies are current. dimension_systems_sampleprocessing_olt_11e.mp3 5 Checking for System Needs 2: If the red CHECK NEEDS icon appears, select Alt+N to display required needs. dimension_systems_sampleprocessing_olt_11f.mp3 6 Checking for System Needs 3: At this time the analyzer has the necessary supplies. Since the icon has disappeared, everything the analyzer needs is present, and can begin processing. dimension_systems_sampleprocessing_olt_11g.mp3 7 Segment Status Area: The barcode information read from the loaded segment will appear on the touchscreen, in the segment status area. The red color alerts the operator that the analyzer is currently processing samples in that segment. dimension_systems_sampleprocessing_olt_11h.mp3 8 Level Sensing: Next, the system will level sense the sample and begin to process. Level Sensing 8 Sample processing begins after the photometric sample probe* performs level sensing. * Level sensing for the Dimension® RxL Max® System is performed by the IMT sample probe. Select the X in the upper right corner to continue. Segment Status Area 7 The barcode information read from the loaded segment will appear on the touchscreen in the segment status area. The red color indicates that the analyzer is currently processing samples in that segment. Select the numbered steps below to continue. Since the icon has disappeared, everything the analyzer needs is present, and can begin processing. Select the numbered steps below to continue. Checking for System Needs 6 Checking for System Needs If the red CHECK NEEDS icon appears, select Alt+N to display the needs that are required. Select the numbered steps below to continue. 5 Checking for System Needs 4 The yellow NEEDS CHECK icon appears while the instrument ensures there is sufficient inventory and that calibration, QC and certain consumables are current. Select the numbered steps below to continue. Scanning Segments and Barcoded Tubes 3 The sample area wheel scans the segment and barcoded tubes. Select the numbered steps below to continue. Select the Run key on the touchscreen to begin processing. You also may use the Run key on the keyboard. Select the numbered steps below to continue. Processing Samples 2 Loading Samples 5-, 7-, and 10-mL tubes are in the segment. Remember: When loading segments make sure the grooves in the segment fit over the black pins in the sample area. Select the numbered steps below to continue. 1 Sample Processing Screens Viewing Sample Status Viewing STAT Status QC and Calibration Alerts Help Icon In this section, you will learn about the Dimension® System software screens that provide additional information during sample processing. Select the tab arrows to learn more about the sample processing screens. ? Sample Alert Key Sample Processing Screens Audio Notes: dimension_systems_sampleprocessing_olt_12.mp3 Base Layer: Now that you have learned how to assess and prepare samples, let’s now look at how samples are processed. dimension_systems_sampleprocessing_olt_12a.mp3 Layer 1: As samples are processed, individual test results are available immediately by accessing F8: TEST RESULTS on the Sample Status Screen. Select the X in the upper right corner to continue. dimension_systems_sampleprocessing_olt_12b.mp3 Layer 2: Selecting the STAT Status key displays the remaining time for completion of STAT sample testing. Select the X in the upper right corner to continue. dimension_systems_sampleprocessing_olt_12c.mp3 Layer 3: If the analyzer needs to re-run a sample, the Sample Alert key provides the reason for re-running and completion time to result. Samples can be running for panic auto rerun, reflex testing, auto dilution and process error. Select the X in the upper right corner to continue. dimension_systems_sampleprocessing_olt_12d.mp3 Layer 4: QC and Calibration Alerts indicate when QC and calibrations need to be run or re-run. Select the X in the upper right corner to continue. dimension_systems_sampleprocessing_olt_12e.mp3 Layer 5: Select the HELP icon to access information about a screen. Select the X in the upper right corner to continue. Help Icon Screen information can be accessed by selecting the HELP icon on the touchscreen. You also can use the HELP key on the keyboard. Select the X in the upper right corner to continue. QC and Calib Alerts indicate when QC and calibrations need to be run or re-run. ? QC and Calibration Alerts indicate when QC and calibrations need to be run or re-run. Select the X in the upper-right corner to continue. QC and Calibration Alerts ? Sample Alert Key The Sample Alert key displays the reason for re-running and completion time to result. Samples can be running for: Panic auto rerun Reflex testing Auto dilution Process error Select the X in the upper-right corner to continue. ? Viewing STAT Status Selecting the STAT Status key displays the remaining time for completion of STAT sample testing. It also displays completed STAT tests and STAT tests requested that have not run. Select the X in the upper-right corner to continue. ? Viewing Sample Status As samples are processed, individual test results are available immediately by accessing F8: TEST RESULTS on the Sample Status screen. Select the X in the upper-right corner to continue. ? Sample and Segment Monitoring There are several ways to determine the status of samples and segments for monitoring sample processing, and the length of time to finish processing the loaded samples. Hover over the colored callouts on the left to learn more about sample and segment monitoring. ? Sample and Segment Monitoring Audio Notes: dimension_systems_sampleprocessing_olt_13.mp3 Monitoring sample processing allows you to determine the status of samples and segments and the length of time to finish processing the loaded samples. STAT Status Displays the STAT requests that are in process and the time remaining until the result will be available. It also displays completed STAT tests and STAT tests requested that have not run. Sample Alert Displays the rerun status of sample requests that encountered exceptions while processing. F8: SEGMENT STATUS or Alt+S & HELP Screen Displays the status of segments and what is being processed or has been processed in each segment position. Use this screen to verify that all tube barcodes have been read. Different color lettering of each sample represents the status of that sample. The F8 HELP screen displays a list of Sample Status letters and colors Table with 3 columns and 7 rows B Begun (yellow) D Done (pink) E Entered (white) N No Data (red) R Ready (green) r Reported (light blue) P Printed (blue) F5: PROCESS CONTROL Displays the Estimated Process time to complete all samples. F2: SAMPLE STATUS Use this screen when trying to locate a patient that has already been processed or when you want to edit a sample already processing but not completed. Results can be viewed from this screen. Monitoring Sample Processing The Instrument, Operating Conditions and Segment Status areas of the Operating Menu provide information while processing samples. Select CTRL+Help to access information about these screens. Select the tab arrows to learn more about monitoring the analyzer during sample processing. Identify Processing Status box Identify Photometric Sampler Status box Identify Segment Status area boxes Identify Operating Conditions Status area icons ? Monitoring Sample Processing Audio Notes: dimension_systems_sampleprocessing_olt_14.mp3 To monitor the instrument during sample processing, use the information in the Instrument Operating Conditions and Segment Status areas of the Operating Menu. Select the X in the upper right corner to continue. ? Select the X in the upper right corner to continue. Identify Operating Conditions Status Area Icons This area of the screen displays icons that depict instrument operating conditions. Select Ctrl+Help to display the meaning of the icon or refer to the Dimension® System Operators Guide. Select the X in the upper right corner to continue. ? Identify Segment Status Area Boxes The boxes in the segment status area indicate the status of each of the six segment positions of the segment wheel the last time the wheel was scanned. Select the X in the upper right corner to continue. ? Identify Photometric Sampler Status Box Select Ctrl+Help to display the information box describing the meaning of the photometric sampler status icons. Select the table on the right for a larger view of the icons. ? Identify Processing Status Box Select Ctrl+Help to display the information box describing the meaning of the processing status icons. Select the table on the right for a larger view of the icons. ? Interpreting Test Reports A test result could contain a reference range indicator next to the result. Results with reference range indicators are reportable. There are four reference range indicators: HI, LO, lp (low panic) and hp (high panic). Test results with a test report message in the Reference Range column may be reportable or non-reportable. Note: Refer to the Dimension® Systems Operator's Guide for an explanation of the reference range indicators and test report messages. Hover over the colored callouts on the left to learn more about interpreting test reports. ? Interpreting Test Reports Audio Notes: dimension_systems_sampleprocessing_olt_15.mp3 Test reports may include reference range indicators and test report messages. The four reference range indicators are high, low, lp (low panic), and hp (high panic). Test results with a test report message in the Reference Range column of the report may be reportable or non-reportable. Refer to the Sample Reports section of the Dimension® Systems Operator's Guide for an explanation of Reference Range Indicators and Test Report Messages. Test Report Message Test Report Message Reference Range Indicators Test Results Patient Information ? Clot Check in Action* The clot check system utilizes the clot check pressure transducer board to check for clots. This action occurs during sample aspiration. The instrument performs an automatic clot check error recovery when a clot is detected. The remaining sample is dispensed into the drain port located in the back of the IMT sample port. The system verifies that the clot has been cleared, performs a bleach and wash sequence, rinse, and then returns to sampling. Select the tab arrows to learn more about the clot check system. *Only available for Dimension® EXL™ 200 Integrated Chemistry System and Dimension® EXL with LM™ Integrated Chemistry System. See the clot check in action Clot check test report messages Clot check error messages Clot Check in Action Audio Notes: dimension_systems_sampleprocessing_olt_16.mp3 Video ID 19850 Clot Check in Action During sample aspiration, the analyzer checks for clots in the sample. If the analyzer encounters a sample containing a clot, an error message displays and the photometric sampler automatically dispenses the clot into the clot check drain located on the IMT port. Clot Check Test Report Messages Table with 4 columns and 1 rows TEST ------- MG CA BUN GLUC RESULT ----------- 21.4 HI REF INTERVAL -------------- assay range ClotCheck Err Aborted Test Aborted Test UNITS --------- mg/dl ClotCheckErr A test result with a “ClotCheckErr” test report message will not include a numerical result Successfully Completed Test Result Any successfully completed test results from the sample cup will be displayed. Aborted Test Any tests that have not yet aspirated sample from the same sample cup will be aborted and have an “Aborted Test” message associated with them. Select the markers to the right to learn more about clot check test report messages. Then select the X in the upper right corner to continue. ? Clot Check Error Messages The analyzer displays the error Clot Check Error - sample aborted. Select the X in the upper right corner to continue. ? Clot Check in Action The sample is dispensed into the clot check drain when the clot check system detects a clot. Select the X in the upper right corner to continue. ? Interpret printed test reports Enter, load and process patient and QC samples Identify sample containers and how segments and adapters are used Assess sample height and volumes for appropriate processing Course Review Congratulations. You have completed the Dimension® Integrated Chemistry System Sample Processing Online Training. Select the objectives listed below to review the material before proceeding to the final assessment. 1 1 1 2 2 2 4 4 4 ? 1 1 2 2 3 3 3 4 4 Course Review Interpret printed test reports Interpret printed test reports A test result on the printed test report may appear with a test report message and/or a reference range indicator. Depending on the specific test report message, the test results may or may not be reportable. Reference the Sample Reports in the Dimension® System Operator’s Guide for further details on understanding the test report messages and reference range indicators. Clot check in action* The instrument will perform an automatic clot check error recovery when a clot is detected. The remaining sample will be dispensed in drain port located in the back of the IMT sample port. The system will verify that the clot has been cleared, perform a bleach wash sequence, rinse, and then return to sampling. * Available for the Dimension® EXL™ 200 Integrated Chemistry System and Dimension® EXL™ with LM Integrated Chemistry System only. Select the X in the upper right corner to continue. ? Monitor Segment and Sample Status Monitor the status of segments and samples and the time for processing using: · STAT Status · Sample Alert · F2: SAMPLE STATUS · F5: PROCESS CONTROL · F8: SEGMENT STATUS (same as Alt+S) Monitor Sample Processing To monitor the instrument while processing samples, use the following: · Processing Status box · Photometric Sampler Status box · Segment Status area · Operating Conditions Status area icons Process and monitor patient and QC samples Enter Patient and QC data If processing samples in barcoded tubes, the barcode readers will read the barcode and the host is queried to obtain patient data. If processing non-barcoded tubes, manually query patient data from the LIS. Use the Enter Data screen to manually enter patient and QC data or use defined QC panels in barcoded tubes. Manually download patient information from an LIS using Manual Query When processing non-barcoded samples or unreadable barcodes, download patient order information using the Manual Query feature in the Enter Sample Data screen if the instrument is configured to an LIS. Enter an asterisk followed by the sample ID in the Sample No. field. The fields on the Enter Data screen automatically fill in with the patient data from the LIS. Respond to System Needs If the red CHECK NEEDS icon appears in the Operating Conditions Status area, System Needs are required. To respond to System Needs, press Alt+N to view the System Needs screen. Select the X in the upper right corner to continue. ? Identify sample containers and how segments and adapters are used Load 10-mL primary tubes directly into a segment. Use teal adapters for 5-mL primary tubes, and beige adapters for 7-mL primary tubes. Sample cups fit inside teal or beige adapters. Load an SSC into the top of the original barcoded primary tube. This sample may be loaded into a designated SSC segment. To process samples, load segments into the sample wheel, which can hold up to six segments. Configure a segment to use Small Sample Containers (SSCs) To designate a segment for SSC use, select an orange or yellow segment and then use the Sample ID/Computer Menu screen to configure it in the system software. The instrument will process all samples loaded in the dedicated segment as SSCs. The operator does not have to manually enter the sample mode for each SSC sample. Select the X in the upper right corner to continue. ? Assess sample height and volumes for appropriate processing Use the Tube Fill Guide to assess sample volumes in 5-, 7-, and 10-mL primary tubes. Load all tubes with sufficient sample volume directly into a segment. Use an adapter, as applicable. Use SSCs to process barcoded tubes with insufficient sample height and more than 1 mL of sample. Use sample cups to process all tubes with insufficient sample volume less than 1 mL. Select the X in the upper right corner to continue. ? Disclaimer ? Disclaimer Assessment Start ? This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Assessment Select the best answer. ? Question 1 of 10 How would you process a 5 mL barcoded tube with both insufficient height and less than 1 mL of sample? Use a sample cup in an adapter Use a sample cup in an adapter Use a sample cup in an adapter Use an SSC in the barcoded tube in an SSC designated segment Load sample directly into a segment position with a beige adapter Load sample directly into a segment position with a teal adapter Load sample directly into a segment position with a teal adapter Load sample directly into a segment position with a teal adapter Multiple Choice Incorrect Incorrect Incorrect Correct Select the best answer. ? Question 2 of 10 What would be the most efficient way to process a 7 mL barcoded tube with both insufficient height and more than 1 mL of sample? Use an SSC in the barcoded tube in an SSC designated segment Use an SSC in the barcoded tube in an SSC designated segment Use a sample cup in an adaptor Load sample directly into a segment position with a beige adaptor Load sample into a segment position with a teal adaptor Load sample into a segment position with a teal adaptor Load sample into a segment position with a teal adaptor Multiple Choice Incorrect Incorrect Incorrect Correct Select the best answer. ? Question 3 of 10 How would you process a 5 mL barcoded tube with sufficient sample height? Load sample into a segment position with a teal adaptor Load sample into a segment position with a teal adaptor Use an SSC in a barcoded tube in an SSC designated segment Use a sample cup in an adapter Load sample directly into a segment Load sample directly into a segment Load sample directly into a segment Multiple Choice Incorrect Incorrect Incorrect Correct Select the best answer. ? Question 4 of 10 The dead volume in an SSC or a sample cup for Dimension® Systems (excluding the Dimension® RxL Max® Integrated Chemistry System is_____. 30 uL 30 uL 30 uL 10 uL 3 uL 50 uL 50 uL 50 uL Multiple Choice Incorrect Incorrect Incorrect Correct Select the best answer. ? Question 5 of 10 To use Manual Query in the Enter Data screen ____. On the Sample No. field, type in an asterisk (*) followed by the sample number On the Sample No. field, type in an asterisk (*) followed by the sample number On the Sample No. field, type in the sample number followed by an asterisk (*) On the Patient Name field, type in the patient name followed by an asterisk (*) On the Sample No. field, type an asterisk (*) followed by the patient name On the Sample No. field, type an asterisk (*) followed by the patient name On the Sample No. field, type an asterisk (*) followed by the patient name Multiple Choice Incorrect Incorrect Correct Select the best answer. ? Question 6 of 10 On the Enter Sample Data screen, use the appropriate Function keys to change: Mode, priority, and fluid Mode, priority, and fluid Mode, fluid and dilution Priority, fluid and dilution Multiple Choice Incorrect Incorrect Correct Select the best answer. ? Question 7 of 10 To display the process time required to complete all samples currently processing, select: F5: PROCESS CONTROL F5: PROCESS CONTROL F2: SAMPLE STATUS F8: SEGMENT STATUS ALT/S ALT/S ALT/S Multiple Choice Incorrect Incorrect Incorrect Correct Select the best answer. ? Question 8 of 10 To obtain help in understanding test report messages and reference range indicators, refer to: Sample Reports in the Dimension® System Operators Guide Sample Reports in the Dimension® System Operators Guide Error Log Technical Solutions Center F2: SAMPLE STATUS F2: SAMPLE STATUS F2: SAMPLE STATUS Multiple Choice Incorrect Incorrect Incorrect Correct Select the best answer. ? Question 9 of 10 The yellow Needs Check icon indicates__________. System is ensuring supplies are sufficient to process a run System is ensuring supplies are sufficient to process a run Reagents are required to process a run System is hydrating reagent cartridges Certain reagents will require replacement soon Certain reagents will require replacement soon Certain reagents will require replacement soon Multiple Choice Incorrect Incorrect Incorrect Correct Select the best answer. ? Question 10 of 10 The red Segment Status box “A” indicates: Segment contains samples that have not completed processing Segment contains samples that have not completed processing Segment has not started to process Segment contains samples that have all completed processing A process error on at least one sample in that segment A process error on at least one sample in that segment A process error on at least one sample in that segment Multiple Choice Incorrect Incorrect Incorrect Correct Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results2.ScorePercent%% %Results2.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the Dimension® Integrated Chemistry System Sample Processing Online Training Completion Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Assessment Start ? This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Assessment Select the best answer. ? Question 1 of 10 How would you process a 5-mL barcoded tube with both insufficient height and less than 1-mL of sample? Use an SSC in the barcoded tube in an SSC designated segment Use an SSC in the barcoded tube in an SSC-designed segment Use a sample cup in an adapter Load sample directly into a segment position with a beige adapter Load sample into a segment position with a teal adapter 52 52 Multiple Choice Incorrect Incorrect Incorrect Correct Use an SSC in the barcoded tube in an SSC-designated segment Use an SSC in the barcoded tube in an SSC-designated segment Use an SSC in the barcoded tube in an SSC-designated segment What would be the most efficient way to process a 7-mL barcoded tube with both insufficient height and more than 1 mL of sample? Question 2 of 10 Select the best answer. Load sample into a segment position with a teal adapter Load sample into a segment position with a teal adapter Load sample into a segment position with a teal adapter Use a sample cup in an adapter Use a sample cup in an adapter Use a sample cup in an adapter Load sample directly into a segment position with a beige adapter Load sample directly into a segment position with a beige adapter Load sample directly into a segment position with a beige adapter ? Multiple Choice Question Incorrect Incorrect Incorrect Correct Use an SSC in a barcoded tube in an SSC designated segment Use an SSC in a barcoded tube in an SSC designated segment Use an SSC in a barcoded tube in an SSC designated segment Use a sample cup in an adapter Use a sample cup in an adapter Use a sample cup in an adapter Load sample directly into a segment position with a beige adapter Load sample directly into a segment position with a beige adapter Load sample directly into a segment position with a beige adapter Load sample into a segment position with a teal adapter Load sample into a segment position with a teal adapter Load sample into a segment position with a teal adapter How would you process a 5-mL barcoded tube with sufficient height? Question 3 of 10 Select the best answer. ? Multiple Choice Question Incorrect Incorrect Incorrect Correct 3 µL 3 µL 3 µL 10 µL 10 µL 10 µL 30 µL 30 µL 30 µL 50 µL 50 µL 50 µL The dead volume in an SSC or a sample cup for Dimension® Systems (excluding the Dimension® RxL Max® Integrated Chemistry System) is ___. Question 4 of 10 Select the best answer. ? Multiple Choice Question Incorrect Incorrect Incorrect Correct On the Sample No. field, type in the sample number followed by an asterisk (*) On the Patient Name field, type in the patient name followed by an asterisk (*) On the Sample No. field, type in an asterisk (*) followed by the sample number On the Sample No. field, type an asterisk (*) followed by the patient name On the Sample No. field, type an asterisk (*) followed by the patient name On the Sample No. field, type an asterisk (*) followed by the patient name To use Manual Query in the Enter Data screen ___. Question 5 of 10 Select the best answer. ? Multiple Choice Question Incorrect Incorrect Incorrect Incorrect Mode, fluid, and dilution Mode, fluid, and dilution Mode, fluid, and dilution Mode, priority, and fluid Mode, priority, and fluid Mode, priority, and fluid Priority, fluid, dilution Priority, fluid, dilution Priority, fluid, dilution On the Enter Sample Data screen, use the appropriate Function keys to change: Question 6 of 10 Select the best answer. ? Multiple Choice Question Incorrect Correct Incorrect F2: SAMPLE STATUS F8: SEGMENT STATUS ALT/S F5: PROCESS CONTROL ? To display the process time required to complete all samples currently processing, select: Question 7 of 10 Select the best answer. ? Multiple Choice Question Incorrect Incorrect Incorrect Incorrect Error Log Error Log Error Log Sample Reports in the Dimension® System Operator's Guide Sample Reports in the Dimension® System Operator's Guide Sample Reports in the Dimension® System Operator's Guide Technical Solutions Center Technical Solutions Center Technical Solutions Center F2: SAMPLE STATUS F2: SAMPLE STATUS F2: SAMPLE STATUS To obtain help in understanding test report messages and reference range indicators, refer to: Question 8 of 10 Select the best answer. ? Multiple Choice Question Incorrect Correct Incorrect Incorrect Reagents are required to process a run Reagents are required to process a run Reagents are required to process a run System is ensuring supplies are sufficient to process a run System is ensuring supplies are sufficient to process a run System is ensuring supplies are sufficient to process a run System is hydrating reagent cartridges System is hydrating reagent cartridges System is hydrating reagent cartridges Certain reagents will require replacement soon Certain reagents will require replacement soon Certain reagents will require replacement soon The yellow Needs Check icon indicates ______________. Question 9 of 10 Select the best answer. ? Multiple Choice Question Incorrect Incorrect Incorrect Segment has not started to process Segment has not started to process Segment has not started to process Segment contains samples that have all completed processing Segment contains samples that have all completed processing Segment contains samples that have all completed processing A process error on at least one sample in that segment A process error on at least one sample in that segment A process error on at least one sample in that segment Segment contains samples that have not completed processing Segment contains samples that have not completed processing Segment contains samples that have not completed processing The red Segment Status box “A” indicates: Question 10 of 10 Select the best answer. ? Multiple Choice Question Incorrect Incorrect Incorrect Correct Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. You have completed the Dimension® Integrated Chemistry System Sample Processing Online Training ? Completion Manual Order Entry Manual Order Entry To use Manual Order Entry, begin at the Operating Menu and select F1: ENTER DATA. Hover over the colored callouts on the left to learn about the data required for each field. Manual Order Entry dimension_systems_sampleprocessing_olt_07.mp3 To use Manual Order Entry, select F1: ENTER DATA from the operating menu to access the Enter Sample Data screen. Hover over the callouts on the left to learn about the data required for each field, Then select the X in the upper right corner to continue. Dilution Enter a dilution factor if a manual dilution is required. Refer to the Dimension® System Instructions for Use for the proper diluent. To add a dilution factor, select Enter to move the cursor down to the Location field. Then use the right arrow key to move the cursor to the Dilution Factor Field and enter the number. Note that the dilution limit is 1 to 99. The instrument will calculate the final result automatically. Mode, Priority, Fluid Using the appropriate Function Keys, change the following: Mode: (F7: NEXT MODE) Priority: (F4: NEXT PRIORITY) Fluid: (F8: NEXT FLUID) Tests Select the appropriate Tests or Panel keys. Location Enter the Patient Location in the Location field. Sample No. Enter the Sample Number in the Sample No. field. Patient Name Enter the Name in the Patient Name field. Position Enter Segment Position in the Segment Position field. Example: A2 Store Sample Information Store Sample Information After all Patient Order fields are populated, press one of the three keys below to store the sample information. F1: NEW SAMPLE F2: PROCESS SINGLE F3: LOAD LIST Hover over the colored callouts on the left to learn more about storing sample information. Callout Audio Text: dimension_systems_sampleprocessing_olt_08.mp3 After you have entered the required information in the Patient Order fields, next store the sample information using one of three options. Hover over the colored callouts on the screen to learn more about storing sample information. F3: LOAD LIST Select F3: LOAD LIST to store sample information and view the group of samples ready to process. To start processing the group of samples, select F4: RUN. F2: PROCESS SINGLE Select F2: PROCESS SINGLE to store sample information and start processing a single sample. F1: NEW SAMPLE Select F1: NEW SAMPLE to store sample information and display the next available segment position. Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide HOOD0516200389410| Effective Date: 18-Jul-2022 1.1 Welcome 1.2 Assessing Sample Volumes 1.3 Sample Containers 1.4 Segments and Adapters 1.5 Using SSC Segments 1.6 Entering Sample Data 1.7 Entering QC Data 1.8 Knowledge Check 1.15 Sample Processing Technologies 1.16 Sample Processing Steps 1.17 Sample Processing Screens 1.18 Sample and Segment Monitoring 1.19 Monitoring Sample Processing 1.20 Interpreting Test Reports 1.21 Clot Check in Action 1.22 Course Review 1.23 Disclaimer 1.24 Assessment