Cios Flow System Safety Online Training

Continue Untitled Scene Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Cios Flow System Safety Online Training This training covers system safety topics for your mobile C-arm. Describe the function of the emergency stop button Remember what to be aware of when moving the system 1 4 3 2 5 Recognize safety labels Describe the lock radiation release function Describe how to protect patients and colleagues from radiation Welcome [mob_carm_olt_safety_en_1-1.mp3] Welcome to the System Safety Online Training. This training covers system safety topics for your mobile C-arm. We will introduce the meaning of the most important safety labels, discuss what you should be aware of to avoid collisions when moving the system, talk about when and how to use the emergency stop button and the locking radiation release function, and we will explain which measures can be taken to protect patients and colleagues from radiation. Let’s start with our first topic! Navigation Hints Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 3 rows Not all slides contain audio. Some slides invite you to read for yourself or watch a video. All slides show a ? button in the lower-right corner. Select the ? button to get a quick guide through the navigation elements. Some slides show an X button in the upper right corner. Select the X button to return to the overview slide and not miss any information provided. Enjoy the course! ? ? Navigation Hints ? Safety Labels Guidance Labels help you to align system components. Warning labels show areas of possible collision. Select the orange callouts to familiarize yourself with the meaning of the labels. A full list of the labels is available in your operator manual. Safety Labels [mob_carm_olt_safety_en_1-2.mp3] The labels on your mobile C-arm system provide information and guide to areas of potential danger. There are two kind of labels: Guidance Labels help you to align system components. Warning labels show areas of possible collision. Select the orange callouts to familiarize yourself with the meaning of the labels. A full list of the labels is available in your operator manual. System Base (Chassis) Operation on incline warning Avoid inclined surfaces greater than 5° Hand crush hazard Indicates a crushing hazard point Caution! Read operator manual Further information can be found in the operator manual Power label C-arm Travel Frame Equipotential bonding Foot crush Potential danger of crushing in this area Foot switch connector Indicates the connection point for the foot switch Horizontal Support Arm Arrow and scale label To assist with the alignment of the components Hand crush hazard Indicates a crushing hazard point Single Tank Radiation warning Danger of hot surface High voltage No stepping No sitting Flat Detector ? Moving the System Transport the System Move the System into the OR Position the C-arm System for an Examination For more tips, select the tab arrows. Ground Do not use the system on inclined surfaces where accidental movements could occur. Risk of Collision Only move the system and components when the potential for collisions can be visually observed. Handles Always use the handles during transport and positioning. Brakes Apply the brakes after positioning to avoid unintentional movements. Moving the System [mob_carm_olt_safety_en_1-3.mp3] As the operator, you must take care to avoid collisions when moving the mobile C-arm system. The monitor trolley and mobile C-arm are positioned manually. The height of the C-arm can be adjusted via motor control. Please note that there are no system mechanisms to prevent collisions. Only move the system and components when the potential for collisions can be visually observed. Always use the handles during transport and positioning. Apply the brakes after positioning to avoid unintentional movements. Do not use the system on inclined surfaces where accidental movements could occur. For more tips, select the tab arrows below! Position the C-arm System for an Examination Use the system only if the patient and other persons can be observed during movements. Take care when positioning the C-arm with surgical drapes. Apply the brakes after adjusting the C-arm position. Move the System into the OR Ensure that the path of movement is free from obstructions. Although the wheels are fitted with cable deflectors, it is best to avoid cables on the ground. ​Do not position the system on inclined surfaces greater than 5 degrees. Transport the System Orbital Position Check that the orbital position is set to 0°. Angulation Check that the C-arm angulation is set to 0°. Horizontal Support Arm Check that horizontal support arm is moved all the way back. Power Cable Check that the power cable is secure on the handle of the monitor trolley. Vertical Lift Lower the C-arm vertical lift to the lowest position. Foot Switch Check that the foot switch is secure at the back of the main unit. Select the orange markers to learn what you should be aware of when transporting the system. ? Emergency Stop Button When activated: Motorized movements are blocked immediately Radiation is interrupted Radiation can still be released manually Brakes can be actuated manually Unlock only after the danger has clearly been eliminated. Emergency Stop Button [mob_carm_olt_safety_en_1-4.mp3] Press the emergency stop button if an error occurs with the radiation release during an examination, or if there is a problem with the motorized movements. The emergency stop button is located on the chassis of the C-arm system and on the optional remote control unit. When activated, motorized movements are blocked immediately, and radiation is interrupted. Please note: If the emergency stop button has been pressed, radiation can still be released manually and the brakes can be actuated manually. All other system functions are unaffected by the activation of the emergency stop button. Unlock the button only after the danger has clearly been eliminated. To unlock the emergency stop button, gently turn it clockwise so that is pops out. ? Radiation Lock To prevent unintentional radiation release with the hand and foot switch, your mobile C-arm has a lock-out option for radiation release. Lock/Unlock Radiation Passcode Configuration (Optional) Enter a Passcode Select the tab arrows for more information. Radiation Lock Enter a Passcode When you have configured a passcode, please enter the passcode on your system when selecting the Locked/Unlocked Radiation button. Passcode Configuration (Optional) If the option is available at your system, you can secure the radiation lock with a password. That way, only authorized persons can set exposure parameters and release radiation. Settings Select Settings to open the User Settings. Radiation Release Passcode Double-click this menu. If the menu is not available, the passcode must be configured by Siemens Healthineers Service. Radiation Release Passcode Then, configure the passcode. When setting the passcode for the first time, the old passcode will be the default passcode 0000. If you forgot the passcode, please call Siemens Healthineers Service to reset the code. Lock/Unlock Radiation When you lock radiation, the button changes to this button. Press this button to unlock radiation. When you unlock radiation, the button changes to this button. Press this button to lock radiation. Press the button on the PREPARATION task card to lock and unlock the exposure parameter setting and radiation release. ? Radiation Protection Protect the Patient If possible, ensure the best possible protection of the patient during fluoroscopy and acquisitions in the vicinity of their reproductive organs. Use, for example, gonadal shields, ovarian shields, and lead rubber covers. Protect Yourself Wear protective clothing in the control area. It is recommended to wear lead vests, lead jackets, X-ray protection goggles, sternum protection, and protective gloves. Protect Yourself When possible, move away from the areas surrounding the system where scatter radiation is present. Control Unit Click here to learn more about what you can do at the control unit to reduce radiation during the examination. Anti-scatter Grid Select the orange callout for more information about the anti-scatter grid. Tube-skin Distance Set the tube-skin distance as high as can be justified for the respective examination. Radiation Display and Indicator Select the orange callout for more information about radiation display and indicator. Radiation Protection [mob_carm_olt_safety_en_1-7.mp3] In alignment with the ALARA principle, As Low as Reasonably Achievable, you should take measures during the examination. Select the orange markers and rectangles to learn more how to help reducing radiation dose to the patient and personnel. Radiation Display and Radiation Indicator Radiation Display During X-ray release, the radiation indicator is illuminated. If there is a failure with the radiation display, please notify Siemens Healthineers Customer Service. Radiation Indicator The radiation indicator on the control unit lights up during the X-ray release along with the radiation display. If there is a failure with the radiation display or radiation indicator, please notify Siemens Healthineers Customer Service. Anti-scatter Grid Anti-scatter Grid Remove the anti-scatter grid for children (depends on age and size of the child) if the image quality is sufficient without it. Please note: The grid should always be removed for pediatric patients less than 7 years old. Control Unit Fluoroscopy Field/Field of View Remove all radiopaque parts from the fluoroscopy field or field of view, if possible. Collimate the Image Keep the radiation field as small as possible without reducing the active measurement field. ? Operating Areas Surrounding the System X-ray Tube at the Top X-ray Tube Horizontally Please consider the scatter radiation values in each operating area. Please refer to your operator manual for more information. Operating Areas Surrounding the System [mob_carm_olt_safety_en_1-8.mp3] Examinations may be performed in the illustrated operating areas of your mobile C-arm. The scatter radiation values in the operating areas vary depending on the system position, for example, if the X-ray tube is positioned at the top or horizontally. Please consider the scatter radiation values in each operating area when positioning yourself and other personnel. There are detailed tables available in your operator manual to provide guidance regarding the scatter radiation values in each operating area. ? Dose Monitoring Dose Area Product (DAP) Fluoroscopy Time Dose Area Product (DAP) Export Settings Export Settings Select the orange callout to learn how to export the dose report. Fluoroscopy Time Fluoroscopy Time Select the orange callout to learn more about the fluoroscopy time and fluoro timer. Dose Monitoring [mob_carm_olt_safety_en_1-7] The fluoroscopy time is displayed in the information area on the left monitor and on the control panel. If the optional dose measurement chamber is installed, the cumulative dose area product (DAP) is displayed in the information area on the left monitor. The information is updated with every release of radiation and displays the entire fluoroscopy time since the start of the examination. As an alternative to displaying the cumulative DAP, the air kerma and the cumulative air kerma value can be displayed. At the end of the examination, a dose report is available in DICOM format to send to the network node. For more information, select the orange markers and callouts. Export the Dose Report You can send a DICOM dose report (DICOM SR) and a DICOM SC image report to the network node. To check if the export settings include the dose report, open the Export to button on the left monitor. Export to… Click this button to open the Export to dialog. Export Dose Report as Select the format of the dose report: DICOM dose report: Structured Report (DICOM SR) DICOM SC image: Image with burned-in text To successfully export the Structured Report to a network node, the network node must support DICOM SR. Set as Default If this setting is selected, the dose report will be automatically selected for export to the configured network node. Fluoroscopy Time After 5 minutes of total fluoroscopy time, an audible warning signal sounds. After 10 minutes of uninterrupted fluoroscopy time, radiation is terminated. When pressing the Reset timer button, the audible warning signal is deactivated and the fluoro timer is reset. Please note: The settings for the alarm are country-specific and can be set by Siemens Customer Service in accordance with the applicable regulations. Reset Timer Fluoroscopy Time Entire fluoroscopy time is displayed since the start of the examination ? Course Review Congratulations. You have completed the Cios Flow System Safety course. Select the numbered buttons below to review the material before proceeding to the final assessment. Describe how to protect patients and colleagues from radiation Describe the lock radiation release function Remember what to be aware of when moving the system Recognize safety labels 1 1 2 2 2 4 4 4 5 5 5 3 3 3 Describe the function of the emergency stop button Course Review Describe how to Protect Patients and Colleagues from Radiation Protect the Patient If possible, ensure the best possible protection of the patient during fluoroscopy and acquisitions in the vicinity of their reproductive organs. Use, for example, gonadal shields, ovarian shields, and lead rubber covers. Protect Yourself Wear protective clothing in the control area (e.g. lead vests, lead jackets, X-ray protection goggles, sternum protection). Protect Yourself Please consider the scatter radiation values in each operating area. When possible, move away from the areas surrounding the system where scatter radiation is present. Control Unit Use collimation to keep the radiation field as small as possible without reducing the active measurement field. Remove all radiopaque parts from the fluoroscopy field or field of view , if possible. With the fluoro timer , you can monitor the entire fluoroscopy time since the start of the examination. At the end of the examination, a dose report is available in DICOM format. Anti-scatter Grid Remove the anti-scatter grid if the image quality is sufficient without it. The grid should always be removed for pediatric patients less than 7 years old. Tube-skin Distance Set the tube-skin distance as high as can be justified for the respective examination. Radiation Display During X-ray release, the radiation display is illuminated along with the radiation indicator on the control unit. Describe the Lock Radiation Release Function Press the button on the PREPARATION task card to lock and unlock the exposure parameter setting and radiation release. If the software option passcode requirement is available at your system, the radiation lock can be secured with a passcode. Then, only authorized persons can set exposure parameters and release radiation. The password can be configured in the configuration. Please note Unlock the button only after the danger has clearly been eliminated. Describe the Function of the Emergency Stop Button Press the emergency stop button in the following cases: An error occurs with the radiation release during the examination. There is a problem with the motorized movements. When activated, motorized movements are blocked immediately, and radiation is interrupted. When the button is pressed: Radiation can still be released manually. The brakes can be actuated manually. To unlock the emergency stop button, gently turn it clockwise so that is pops out. Remember what to be Aware of when Moving the System As the operator, you must take care to avoid collisions when moving the mobile C-arm system. Please note that there are no system mechanisms to prevent collisions. Ground Do not use the system on inclined surfaces where accidental movements could occur. Do not position the system on inclined surfaces greater than 5 degrees. Avoid cables on the ground. Handles Always use the handles during transport and positioning. Brakes Apply the brakes after positioning to avoid unintentional movements. Risk of Collision Only use and move the system and components when the potential for collisions can be visually observed. Power Cable When transporting the system, check that the power cable is secure on the handle of the monitor trolley. C-arm Bring the C-arm into the transport position when transporting the C-arm. Foot Switch Holder When transporting the system, store the foot switch into the foot switch holder. Recognize Safety Labels The labels on your mobile C-arm system provide information and guide to areas of potential danger. There are two kind of labels: Guidance labels help you to align system components. Warning labels show areas of possible collision. A full list of the labels is available in your operator manual. Guidance Labels Warning Labels 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 2021 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 Look at the label on the right and select the best answer. ? Question 1 of 6 What does the safety label mean? Be careful not to crush your hand on this system part. Grab the C-arm here for transportation. It shows where to lock system movements. Multiple Choice Incorrect This is not the correct meaning of the safety label. Incorrect This is not the correct meaning of the safety label. Incorrect Select the best answer. ? Question 2 of 6 What happens when you press the emergency stop button? Manual and motorized movements are blocked. Radiation cannot be released manually anymore. Radiation is interrupted. Multiple Choice Incorrect Incorrect Radiation can still be released manually. Only when you use the lock radiation release function, you can lock radiation release. Incorrect Only motorized movements are blocked. Manual movements can still be performed. Select the best answer. ? Question 3 of 6 After activation of the emergency stop button, how do you resume normal operation of the system? Turn the emergency stop button clockwise. Push the emergency stop button. Restart the system. Call Siemens Healthineers Service. Multiple Choice Incorrect You do not need Siemens Healthineers Service to deactivate the emergency stop. Incorrect Restarting the system would not deactivate the emergency stop. Incorrect If you push the emergency stop button, the emergency stop will be activated. Incorrect Select the best answer. ? Question 4 of 6 To avoid accidental radiation release, which button do you press on the control unit? 1 2 3 3 2 1 Multiple Choice Incorrect This is not the correct button. Incorrect This is not the correct button. Incorrect Select the best answer. ? Question 5 of 6 When positioning the system for examination, how can you avoid collisions with the patient and the table? The entire system has collision sensors and will automatically avoid collisions. The system has a collision sensor in the flat detector. You must observe all other components to ensure that no collisions occur. The system has a collision sensor in the X-ray tube. You must observe all other components to ensure that no collisions occur. The system has no collision sensors. You should only move the system when you can visually observe the patient and the table. Multiple Choice Correct Incorrect This is not the correct answer. Incorrect This is not the correct answer. Incorrect This is not the correct answer. Select the best answer. ? Question 6 of 6 Where can you monitor the total fluoroscopy time during an examination? Only on the control unit Only on the left monitor of the monitor trolley On both, the control unit and the left monitor The C-arm system does not have a fluoroscopy timer. Multiple Choice Incorrect The C-arm system has a fluoroscopy timer. Incorrect Incorrect This is not the correct answer. Incorrect This is not the correct answer. 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 Cios Flow System Safety Online Training. Completion 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 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 Question Bank 1 HOOD05162003184670 | Effective Date: 19-Apr-2021 1.1 Welcome 1.2 Navigation Hints 1.3 Safety Labels 1.4 Moving the System 1.5 Emergency Stop Button 1.6 Radiation Lock 1.7 Radiation Protection 1.8 Operating Areas Surrounding the System 1.9 Dose Monitoring 1.10 Course Review 1.11 Disclaimer 1.12 Assessment 1.20 Completion