ABL90 FLEX Inservice/training checklist (Surgery/CVOR) 1. Overview Identify components and operational aspects of the analyzer Analyzer components o Screen and traffic light monitoring system o Built-in barcode scanner o Paper o Inlet o Integrated video tutorials o Sensor cassette o Solution pack o Power on/off (no hard shut downs) 2. Sampling Log-on / Log-off (auto log off is 2 mintues) o Review Extended Logon/Logon BC buttons How to measure a patient sample using syringe o Lift handle to the syringe position (middle light illuminates) o Choose test: Full Panel (Default) Or Blood Gas, H&H, Lytes, iCa++ Full Panel includes above and Glu o Scan Patient ID use HAR/Supply charge label o Push syringe onto inlet gasket (spring loaded) The probe extends into the syringe and the blood is automatically aspirated. o Remove syringe and lower handle (do not allow handle to drop down) Pre-analytical error reduction o Correct PID o Sample Integrity Room Air contamination Air bubbles Mixing / heparin Hemolysis Must use a Radiometer syringe o Sample volume Minimum 1 mL Cannot use a dry syringe 3. Results Will Print o If they didn’t print then you didn’t enter the required information. Enter info o Interface-- result will go to HIS if network cord if plugged into a live network jack. Training barcode for patient ID: 4. QC / quality management system What to review o QC lockout If parameter yellow/red no patients results reported o Traffic light colors o Screen o Printout Performing manual controls (external) will be reviewed during annual competencies. What’s different? o Must use an adaptor o Must enter temperature 5. Routine replacements (call Lab) Routinely view traffic light status or system information to verify o Patient tests remaining o Expiration dates for sensor cassette and solution pack o If yellow light is because of a consumable call lab Replace as needed o Printer paper Lab will monitor via Radiance just like the ABL80 6. Troubleshooting What to look for on the screen/printouts including: Traffic light, messages, any “error” or “?” messages and “arrows” o See below messages for more information o Results with ?’s are invalid. If instrument says “Manual Back Flush” call lab o Means there is a clot in the system that couldn’t be cleared Automatic corrective and system checks are done by the instrument to try fix itself. If it can’t fix itself call lab. Marking "?" Explanation Error in the last quality control measurement or calibration, or because of sample problems Parameter value is outside the reportable range. "….." A parameter cannot be calculated or exceeds the numerical limit of the analyzer Date:_________________________________ Operator Name:________________________ Lab ID: _______________________________ Trainer:_______________________________
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