SmartSimulator Workbook - Routine Examination for ICU Patients VF10

SIEMENS Healthineers SmartSimulator workbook Routine examination for ICU patients MOBILETT Elara Max VF10 smartsimulator.siemens-healthineers.com/ - SIEMENS Healthineers Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthineers AG, 2024 Effective Date: 09 Jan 2024 | QR700004093 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 Table of contents Foreword 3 Disclaimer 4 Routine examination for ICU patients 5 Scheduler 6 Examination 9 Postprocessing 14 Documentation 18 Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 2 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 Foreword Dear participant, Welcome to the SmartSimulator workbook. This workbook will guide you through your lab sessions with MOBILETT Elara Max in the SmartSimulator. You will have a maximum of 8 hours with your MOBILETT Elara Max SmartSimulator. Make the most of it! Have some fun and explore what it can do. The material in this workbook is based on the syngo FLC platform’s general features. It includes a workflow guide for a routine examination of an intensive care patient with the possibility of adding an additional examination. Good luck and we hope you enjoy your SmartSimulator time! Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 3 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 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 be regarded as a substitute for 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 these Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the latest 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 Healthineers AG 2024 Siemens Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 4 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 Routine examination for ICU patients Before starting this workbook, please complete the following training on PEPconnect: Outside US: MOBILETT Elara Max Software Workflow Video MOBILETT Elara Max – Patient Emergency Registration Video US: MOBILETT Elara Max Turnover Workbook MOBILETT Elara Max Software Workflow Video Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 5 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 Scheduler You would like to register or select a patient in the imaging software of your system. Patient data can be provided by a RIS worklist or a manual registration. Creating an emergency patient is also possible. To register a new patient, you can enter patient data manually if the data is not supplied by the HIS or RIS. Exercise: Manual patient registration 1. Under the Patient tab card, click on the icon Create new study. Patient Settings Service 1 + 2. Enter the following demographic data of the patient into the data fields. All bold fields are mandatory. Apart from the mandatory fields, also put in the first name. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 6 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 o Last Name: Doe o First Name: John o Patient ID: DJ_12041995 o Date of Birth: December 4, 1995 (mm/dd/yyyy) o Sex: Male 3. Click OK. The OK button is available once you have entered all mandatory data. Data Entry Dialog PATIENT STUDY Last Name Accession No. First Name Request ID iption Age 2 ID Patient ID iment Date of Birth D M Y Sex Male Female INSTITUTION Other Ward Operator 1 Referring Phy 3 Phys Emergency Examination Preregister OK Cancel The patient is now listed under the Preregistered patients list. 4. Double-click on the patient to access the Exam Manager. 5. In the left column of the Exam Manager, expand the body region CHEST by selecting the + icon. 6. Add the exam Chest 1 View to the Assigned Exams (right column) by selecting the exam, so that it is marked in blue. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 7 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 7. Select the Add button in the middle. 8. Click on Examination. Exam Manager Patient: smith Available Exams / Organ Programs Assigned Exams / Organ Programs ABDOMEN ANKLE CHEST Chest 1 View Chest in lying position ELDOW EXTREMITY Add FOOT HAND Replace KNEE PELVIS SHOULDER Exams Favorites Organ Prog. Details Patient ID 13579 Study Description: Scheduled Procedure Step: Home Examination Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 8 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 Examination The patient John Doe has now been registered with the Chest 1 View examination. In this scenario, after the registration, you have already moved the system to the ICU room. You have centered the X-ray tube to the wireless detector under the patient’s chest in a supine position. Proper collimation to the chest has been applied, and lead protection has been provided to the patient as well. Exercise: Chest AP John Doe is a larger patient, which means you might have to adjust the exposure parameters to acquire a good clinical image. In addition, follow the ALARA principle (As Low As Reasonably Achievable), and seek to reduce the radiation dose to only the amount necessary. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 9 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 1. In the Examination tab card, check that the OGP X Chest a.p.,lying position is selected. On the actual Mobilett Elara Max system, the first assigned OGP is automatically selected and the exposure parameters are loaded. In the SmartSimulator however, you must first select the organ program after opening the examination. 2. Select the OGP Chest a.p., lying position in the top-right corner of the Examination tab card. Doe, John DJ_12041995 O O X Chest a.p ., lying position 3. Keep the default kV and mAs. 4. Release X-ray by pressing Ctrl+F8 on your keyboard. The simulated chest image is now displayed. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 10 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 Doe 03-11-2023 Doe 123456789 2:55:41 PM:0644 123456789 04-12-1994 Patient 28 O X Chest a.p ., lying position Examination Unpaired AP Target none Postprocessing KV 105 + mAs 0.63 Documentation + Tools 92 . AP LAT:Unpaired 50.00 uGy*m2 2268 x 2759 105.0 kV RAD 0.63 mAs H: 0.35 Physical EXI 154 F: 1.50 Clinical EXI 140 WW: 3259 DI 1.5 WC: 2613 x Chest a.p. lying position DV: 2 (Chuset in lying position] o.p. 5. Repeat the image, but in this case, increase the parameters as follows: o kV to 117 o mAs to 0.71 Notice that the DICOM header changes in the bottom-left corner of the image to the new exposure parameters. Since this is only a simulated image, the image impression itself will not change when different exposure parameters are used. You are now finished with the exam workflow of the Chest 1 View. Exercise: Additional examination In our scenario, the physician of the ICU is also asking for an image of the right ankle. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 11 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 1. In order to add another examination to the assigned Exams, select the Favorites icon. Patient 3 4 X Chest a.p ., lying position Examination Unpaired AP 2. From the Favorites list, choose Ankle 2 Views. Favorites Abdomen lying position Ankle 2 Views Chest 1 View Forefoot 2 views Hand 2 views Knee 2 views Pelvis Inlet, Outlet Shoulder Cancel 3. From the OGP list, choose Ankle a.p. R. X Chest a.p ., lying position X Ankle a.p. R V Y Amala Lat L 4. Keep the default KV and mAs values. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 12 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 5. Release X-ray by pressing Ctrl+F8 on your keyboard. The simulated ankle image is now displayed. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 13 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 Postprocessing The Image Postprocessing tab card offers different tools to manage the image. You can rotate the image, change the contrast and brightness windowing, flip the image horizontally or vertically, and crop the image. In this scenario, the exercise will be based on the images as follows: • Chest image: Windowing, set label, and crop • Ankle image: Windowing, flip, set label, add text Exercise: Chest image postprocessing 1. Click on the Postprocessing tab card on the far right side. 2. Use the icons Show Previous/Next image to view the images. 3. You can click on study overview to view all images. Image Tools 2 3 Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 14 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 4. Choose the second Chest image. 5. Click on the Windowing icon, and change the window center and width. Select the icon again to accept the changes. Process. Graphics Rad R R 6. Click on the Label icon in the Graphics tab card, and select L. Then move the mouse to the upper-right corner of the image, and click to set the marker. Process. Graphics Rad XYZ 7. Open the Rad tab card and select on the crop icon. A message appears which tells you that the crop operation will remove the label. Click OK. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 15 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 8. Adjust the image borders. Click the check mark icon. Process. Graphics Rad Auto-cropping Setblack Auto-window Amplification 2.00 Auto as cropped 9. Since you have lost the left label after cropping, repeat step six. Exercise: Ankle image postprocessing 1. Use the icons Show Previous/Next image to view the images. Image Tools 2. Click on the windowing icon in the Processing tab card, and change the window center and width. Click on the icon again to accept the changes. 3. Click on the Label icon in the Graphics tab card, and choose R. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 16 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 Then move the mouse to the middle- right side of the image, and click to set the marker. 4. Click the Annotations icon in the Graphics tab card, and type a.p. in the text field. Then move the mouse to the middle-right side of the image just under the marker. Click once to place the text. Process. Graphics Rad 3 4 5. To close the Annotations tool, select the icon again. Note: To erase the text, click on the eraser icon after marking the text. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 17 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 Documentation On the actual system, the functions of the Documentation tab card are slightly different than on the SmartSimulator. On the actual system On the actual system, the following functions are available: • Mark/unmark images • Delete images • Dual/Quad view • Archive send • Print Below you can see how the documentation tab card looks on the actual MOBILETT Elara Max system: Select Film Send × Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 18 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 On the SmartSimulator On the SmartSimulator, the following functions are available: • Mark/unmark images • Delete images • Dual/Quad view The archive and print function are not available on the SmartSimulator MOBILETT Elara Max. Below you can see how the Documentation tab card looks on the MOBILETT Elara Max SmartSimulator: Select Exercise: Documentation 1. To mark or unmark the images, right- click on the image using your mouse. 2. Try to de-select all images by clicking on the icon Unmark all icon. To select all images, click on the Mark all icon again. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 19 of 20 SmartSimulator workbook | Routine examination for ICU patients Workbook Effective Date: 09 Jan 2024 | QR700004093 3. Press the Delete icon, and then choose the first acquired chest image, by left clicking on the first image. Now, the image is crossed out. Click OK to confirm the deletion. Select 2 3 Note: You cannot delete all the images from the study. However, you can delete the entire case from the examined patient list in the Patient tab card. 4. At the end, press on the Patient tab card to exit from the current case. You have completed all exercises. You can repeat the exercises choosing different exams and different processing on the images. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 20 of 20