Dimension® Integrated Chemistry Systems IMT Pump Alignment and Calibration

Continue Button Continue Continue Continue Continue IMT OLT HOOD05162003280869 | Effective Date: 11-Jul-2022 ? Dimension® Integrated Systems IMT Pump Alignment and Calibration Online Training This online training will provide an overview of the features and functionality of the IMT pump and IMT calibration across Dimension® EXL™ 200 Integrated Chemistry System, Dimension® EXL™ with LM Integrated Chemistry System, Dimension® RxL Max® Integrated Chemistry System, and Dimension® Xpand® Plus Integrated Chemistry System. Explain how the alignment of the IMT pump affects sample positioning 1 4 3 2 5 Identify acceptable IMT calibration results Describe how the IMT system performs an automatic pump alignment Locate the IMT status box and explain the meaning of different states of the IMT system Explain the impact of failed calibration on the calculated slope result Welcome audio: DimensionIMTCalibrationslide0_welcome.mp3 script: Welcome to Dimension integrated systems IMT pump alignment and calibration online training. This online training will provide an overview of the features and functionality of the IMT pump and IMT calibration across different Dimension integrated systems. ? IMT Sample Positioning Performing an IMT pump alignment ensures accurate sample positioning across the QuikLYTE® Multisensor. Positioning can be affected by: IMT pump tubing wearing over time (replaced monthly) Protein buildup from serum and plasma Pinched or leaking tubing Impeded salt bridge flow IMT Sample Positioning image: thm_EXLIMTPump640.jpg audio file name: DimensionIMTCalibrationslide1.2audio.mp3 script: The IMT Pump alignment ensures correct placement of the patient or standard sample in the QuikLYTE® multisensor for measurement. Sample position can be affected by worn IMT pump tubing, protein buildup, pinched or leaking tubing, or restricted salt bridge flow. ? Automatic Pump Alignment A pump alignment is performed to compensate for any variation in system tubing volumes and pumping efficiency. Before every 2-point calibration, the IMT system uses Standard A to perform an automatic pump alignment and then stores a pump rate on the Pump/Alignment screen. The IMT pump pulls Standard A from the reagent bag and pumps small increments until the liquid is detected by the sensor, resulting in the pump rate number. Tips Automatic Pump Alignment image: DimensionIMTAutomaticPumpAlignment.png audio file name: DimensionIMTCalibrationslide1.3audio.mp3 script: Automatic pump alignment is performed using Standard A before every 2 point calibration. The IMT system uses Standard A to perform an automatic pump alignment and then stores a pump rate which can be seen on this screen. The IMT pump pulls Standard A from the reagent bag and pumps small increments until the liquid is detected by the sensor as properly placed, resulting in the pump rate number. Click the tips button to learn more about automatic pump alignment. Tips To access the Fluids Prime/Pump Alignment screen, select: F4: SYSTEM PREP F3: IMT F3: ALIGN/PRIME If the liquid segment is not detected during automatic pump alignment, an IMT FAILED TO AUTOALIGN error is displayed. The IMT system automatically performs a 2-point calibration every 2 hours to maintain precision and accuracy. Select the tab arrows to learn more about IMT Calibration. IMT Calibration Calibration Schedule IMT System Status Box IMT Calibration Results If Calibration Fails IMT Calibration Overview ? IMT Calibration base layer: audio file names:DimensionIMTCalibrationslide1.4.0.0_audio.mp3 script: IMT calibration is performed automatically every 2 hours. The IMT instrument status area displays IMT OK or IMT Not Calibrated indicating the acceptable or unacceptable calibration. Select the tab arrows to learn more about IMT calibration. IMT calibration overview layer: image:IMTCalOverview.png audio: DimensionIMTCalibrationslide1.4.0.1audio.mp3 script: To calibrate the IMT system, select: F4: SYSTEM PREP, F3: IMT, F2: CALIBRATION, F1: CALIBRATE. After the calibration is completed, and if all assays pass calibration, the system displays an IMT OK message in the IMT status box which can be seen on this screen. calibration schedule layer: audio: DimensionIMTCalibrationslide1.4.2audio.mp3 script: When does the IMT system calibrate? Automatically every two hours using Standard A and Standard B to perform a two-point calibration. During a condition cycle and dilution check. After changing certain IMT consumables After performing an IMT automatic pump alignment, after a manual calibration request, and after the Quiklyte Integrated multisensor is replaced. calibration results layer image: DimensionSystems_IMTCalibrationResults.png audio: DimensionIMTCalibrationslide1.4.1_audio.mp3 script: You can review calibration result statistics on the IMT Calibration screen and the IMT Calibration Report printout. IMT calibration results must meet the following system specifications for a successful calibration. Electrolyte slope specifications must be within range. Sodium and potassium should be between 53 and 65. Chloride should be between negative 55 and negative 40. The air detect value must be greater than or equal to 0.65, and at least two times the liquid detect value. And the liquid detect value must be less than or equal to 0.6. if calibration fails layer: image: DimensionIMTIMTNotCalib.png audio: DimensionIMTCalibrationslide1.4.5_audio.mp3 script: If “IMT NOT CALIBRATED” appears in the IMT System Status box following an IMT calibration, the following occurs: The IMT calibration report printout will not display the slope, but will have asterisks in the slope field for the uncalibrated assay. The IMT Calibration screen will display the slope reading with asterisks to the left of the reading. IMT Calibration Overview To calibrate the IMT system, select: F4: SYSTEM PREP F3: IMT F2: CALIBRATION F1: CALIBRATE After the calibration is completed, and if all assays (Na, K, Cl) passed calibration, the system displays an IMT OK message in the IMT status box. Note: Select the X in the top right corner to return to the course IMT Calibration Schedule The IMT system automatically performs a two-point calibration: Every two hours After a condition cycle and dilution check After you prime Standard A, Standard B, Salt Bridge Solution or Flush After you replace Standard A, Standard B, Salt Bridge Solution or Flush After a manual calibration request After you replace the QuikLYTE® Integrated Multisensor Note: Select the X in the top right corner to return to the course IMT Calibration Results Electrolyte slope specifications must be within ranges. These ranges never change: Na and K = 53 to 65 Cl = -55 to -40 The air detect value must be greater than or equal to 0.65 and at least 2 times the liquid detect value The liquid detect value must be less than or equal to 0.6 Note: Select the X in the top right corner to return to the course If Calibration Fails If IMT NOT CALIB appears in the IMT System Status box following an IMT calibration, the following occurs: The IMT calibration report printout will not display the slope. Asterisks appear in the slope field for the uncalibrated assay. The IMT Calibration screen displays the slope reading with asterisks to the left of the reading. Note: Select the X in the top right corner to return to the course ? Course Review Congratulations. You have completed the Dimension System IMT Pump Alignment and Calibration course. Select the numbered buttons below to review the material before proceeding to the final assessment. Locate the IMT status box and explain the meaning of different states of the IMT system Identify when the IMT system performs an automatic pump alignment Explain how the alignment of the IMT pump affects sample positioning 1 1 1 3 3 3 2 2 2 4 4 4 5 5 5 Identify acceptable IMT calibration results Explain the impact of failed calibration on the calculated slope result Course Review image objective 1: thm_EXLIMTStandardsandFlushfromFront640.jpg image objective 2: MaxIMTPump_640x480.jpg images objective 3 in descending order: DimensionIMTstatusbox_IMTOK.jpg, DimensionIMTSystemStatusBox_IMTPaused.jpg, DimensionIMTSystemStatusBox_IMTCalibrating.jpg, DimensionIMTSystemStatusBox_sodiumredbox.jpg, DimensionIMTSystemStatusBox_calciumyellowbox.jpg, DimensionIMTSystemStatusBox_IMTNotCalibredbox.jpg, DimensionIMTSystemStatusBox_IMTNotConfig.jpg Failed IMT Calibration Results If IMT NOT CALIB appears in the IMT System Status box following an IMT calibration, the following occurs: The IMT calibration report printout will not display the slope and asterisks appear in the slope field for the uncalibrated method. The IMT Calibration screen displays the slope reading with asterisks to the left of the reading. IMT Calibration Results Electrolyte slope specifications must be within specific ranges. These ranges never change: Na and K = 53 to 65 Cl = -55 to -40 The air detect value must be greater than or equal to 0.65 and at least 2 times the liquid detect value. The liquid detect value must be less than or equal to 0.6. Table with 2 columns and 8 rows IMT Status Explanation of Status The IMT system is turned on, calibrated, and ready to process IMT tests. The IMT system is paused and no action will occur until the operator presses a function key on the screen. The IMT system is running a calibration. 1 or more sensors in the QuikLYTE® Multisensor cartridge failed to calibrate. Test has been overridden on the IMT Calibration screen. The IMT system is not calibrated. You cannot process IMT tests. The IMT system has not been configured. You cannot process IMT tests. IMT Status Box IMT Calibration Schedule The IMT system automatically performs a two-point calibration: Every two hours After a condition cycle and dilution check After you prime Standard A, Standard B, Salt Bridge Solution or Flush After you replace Standard A, Standard B, Salt Bridge Solution or Flush After a manual calibration request After you replace the QuikLYTE® Integrated Multisensor IMT Pump Alignment Performing an IMT pump alignment ensures accurate sample positioning across the QuikLYTE® Multisensor. Sample positioning can be affected by IMT pump tubing wearing over time (replaced monthly), protein buildup from serum and plasma, pinched or leaking tubing, or impeded salt bridge flow. Disclaimer Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment 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. You may repeat the assessment as many times as needed. Start ? Assessment Select the applicable image. ? Which IMT status will be shown if 1 or more sensors in the QuikLYTE® Multisensor cartridge fail to calibrate? Question 1 of 5 Pick One Incorrect This IMT status will not be shown if calibration has failed. Incorrect This status means the test has been overridden on the IMT Calibration screen. Correct Select the best answer. ? Question 2 of 5 When is an automatic pump alignment performed by the system? Every two hours Before every calibration Only during weekly maintenance After the system is shut down and restarted Multiple Choice Incorrect An automatic pump alignment is not exclusive to weekly maintenance tasks. Incorrect This would not prompt an automatic pump alignment from the system. Incorrect Incorrect The IMT system calibrates automatically every 2 hours using Standard A and Standard B to perform a 2-point calibration. Select the best answer. ? Question 3 of 5 IMT sample positioning can be affected by: Protein buildup from serum and plasma The temperature of the room Potassium bridge flow Newly replaced tubing Multiple Choice Incorrect Sample positioning will not be affected by newly replaced tubing. Incorrect Sample positioning can be affected by salt bridge flow. Correct The temperature of the room does not directly affect sample positioning. Incorrect Select the best answer to complete the statement. ? Question 4 of 5 For the IMT system to successfully calibrate, the slope of Na and K must be within the range of ________. -55 to -40 -55 to -40 -55 to -40 -55 to -40 -55 to -40 55 to 65 55 to 65 55 to 65 55 to 65 55 to 65 63 to 75 63 to 75 63 to 75 63 to 75 63 to 75 53 to 65 53 to 65 53 to 65 53 to 65 53 to 65 Fill in Blank Correct Incorrect This range does not include all acceptable slope results. Incorrect This range does not include all acceptable slope results. Correct This is the required slope range for Cl-. Select the best answer to complete the statement. ? Question 5 of 5 If IMT NOT CALIB appears in the system status box following an IMT calibration, the IMT calibration report printout will not display the __________. Asterisks will appear in the associated field for the uncalibrated method. Slope Slope Slope Slope Slope Air detect value Air detect value Air detect value Air detect value Air detect value Liquid detect value Liquid detect value Liquid detect value Liquid detect value Liquid detect value Electrolyte values Electrolyte values Electrolyte values Electrolyte values Electrolyte values Fill in Blank Incorrect Electrolyte values for Standard A and Standard B will be shown on the IMT calibration report. Incorrect The air detect value will be shown on the IMT calibration report. Incorrect The liquid detect value will be shown on the IMT calibration report. 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 System IMT Pump Alignment and Calibration 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 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 Timeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon add subtitles 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 Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide IMT System Status Box ? IMT Status Box The IMT System Status box indicates the processing status of the IMT system. Select the numbered steps below to learn more about different IMT Status Box states and their meanings. Select the X in the top right corner of this screen to return to IMT Calibration Overview. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 7 7 7 IMT Status Box image: audio file name: DimensionIMTCalibrationslide3.1.0audio.mp3 script: The IMT system status box in the instrument status area of your screen indicates the processing status of the IMT system. Select the numbered steps below to learn more about different IMT Status Box states and their meanings. Select the X in the top right corner of this screen to return to IMT Calibration Overview. IMT OK layer: audio: DimensionIMTCalibrationslide3.1.1audio.mp3 script: This indicates that the IMT system is turned on, calibrated, and ready to process IMT tests. IMT paused layer: audio: DimensionIMTCalibrationslide3.1.2audio.mp3 script: IMT Paused (blue box) indicates that all IMT system activity has been paused and the IMT system is waiting for a command. No action will occur until the operator presses a function key on the screen IMT calibrating layer: audio: DimensionIMTCalibrationslide3.1.3audio.mp3 script: IMT Calibrating (yellow box) indicates the IMT system is running a calibration.IMT Calibrating (yellow box) indicates the IMT system is running a calibration. small red box layer: audio: DimensionIMTCalibrationslide3.1.4audio.mp3 script: If you see Sodium, Potassium or Chloride in a small red box, this means one or more sensors in the QuikLYTE multisensor cartridge failed to calibrate. small yellow box layer: audio: DimensionIMTCalibrationslide3.1.5audio.mp3 script: If you see Sodium, Potassium or Chloride in a small yellow box, this indicates that the test has been overridden on the iMT Calibration Screen. IMT NOT CALIB layer: audio: DimensionIMTCalibrationslide3.1.6_audio.mp3 script: If IMT Not Calibrated appears in a red box, you cannot process IMT tests because the system is not calibrated.If IMT Not Calibrated appears in a red box, you cannot process IMT tests because the system is not calibrated. IMT NOT CONFIG layer: audio: DimensionIMTCalibrationslide3.1.7_audio.mp3 script: You also cannot process IMT tests if you see IMT Not Configured in a yellow box. This indicates that the IMT system has not been configured. IMT Not Config (Yellow Box) The IMT system has not been configured. You cannot process IMT tests. 7 Note: Select the X at the top of the page to return back to the course. IMT Not Calib (Red Box) The IMT system is not calibrated. You cannot process IMT tests. 6 Na, K, or Cl (Small Yellow Box) Test has been overridden on the IMT Calibration screen. 5 Na, K, or Cl (Small Red Box) 1 or more sensors in the QuikLYTE® Multisensor cartridge failed to calibrate. 4 IMT Calibrating (Yellow Box) The IMT system is running a calibration. 3 IMT Paused (Blue Box) All activity in the IMT system has been paused. The IMT system will not move, prime, or calibrate unless the function key is pressed or the screen is closed. 2 IMT OK (Green Box) The IMT system is turned on, calibrated, and ready to process IMT tests. 1 IMT status review Question Bank 1 HOOD05162003280869 | Effective Date: 11-JUL-2022 1 IMT OLT 1.1 Welcome 1.2 IMT Sample Positioning 1.3 Automatic Pump Alignment 1.4 IMT Calibration 1.5 Course Review 1.6 Disclaimer 1.7 Assessment