Calculated:
Reportable
Reference Range
Test
Units
Range
(arterial)
(venous)
Hemoglobin/Hb
g/dL
5.1 – 25.5
12 – 17
12 – 17
g/L
51 – 255
120 – 170
120 – 170
mmol/L
3.2 –15.8
7 – 11
7 – 11
TCO
2
mmol/L (mEq/L)
5-50
23 – 27
24 – 29
(for all cartridges but
the CHEM8+ only)
HCO
3
mmol/L (mEq/L)
1.0 – 85.0
22 – 26
23 – 28
BE
mmol/L (mEq/L)
(-30) – (+30)
(-2) – (+3)
(-2) – (+3)
Anion Gap/AnGap
mmol/L (mEq/L)
(-10) – (+99)
10 – 20
10 – 20
sO
2
%
N/A
95 – 98
7. Insert the simulator into the cartridge port.
8. View results on handheld’s screen.
9. If PASS is displayed, continue to use the handheld.
10. If FAIL is displayed for the external simulator, reinsert the simulator.
If FAIL is displayed a second time, do not use the handheld and contact your
Support Services representative.
Thermal Probes Check
See System Manual for this quality assurance procedure that is performed every six
months.
Cartridge
n
Immediately check temperature strip enclosed with each shipment of cartridges.
Follow the instructions on the card.
n
Verify the integrity of cartridges included in every shipment, upon receipt, by
analyzing two levels of appropriate controls (see table below) along with a
representative sample of each new lot and by comparing the results to the expected
values published in the Value Assignment Sheets.* Any analyzer that has passed the
Electronic Simulator test may be used in the verification.
*
This is not a manufacturer's system instruction. It is a suggestion to comply with
regulatory requirements that may pertain to your laboratory.
Test Flags and Operator Action
n
***: Results that are not reportable due to sensor errors or interfering substances.
Draw a fresh sample and repeat test. If results are flagged again, send sample to the
lab.
n
< , > and < >: Results that are below or above the reportable range or dependant on
results that are outside the reportable range. Send sample to the lab if necessary.
n
↑
and
↓
: Results that are above or below the action range. Follow facility procedure
for samples with critical values.
8
13
Quality Assurance
Handheld
Electronic Simulator
Perform an electronic check on each handheld in use once a day with either the internal or
external Electronic Simulator or as needed for regulatory compliance.
The internal simulator check is initiated, every 24 hours or according to a customized schedule,
when a cartridge is inserted into the cartridge port. If the internal simulator result is PASS, the
cartridge test proceeds and the simulator results are stored. If FAIL is displayed for the
internal simulator, reinsert the cartridge or use an external simulator. The external simulator
check is performed as follows:
1. Turn the handheld on.
2. Press to access the Administration Menu.
3. Press for Quality Tests.
4. Press for Simulator.
5. Scan or enter Operator ID.
6. Enter the Simulator ID (serial number).
3
4
MENU
