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RADIOMETER FLEX ABL90, Руководство по обучению операторов

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Index

1. 

What 

is 

what 

        4

2. 

Syringe samples – preanalytical errors 

 

 

 

 

5-6

3. 

Syringe samples – how to measure a patient sample 

 

 

7-9

4. 

Capillary samples – preanalytical errors    

 

 

 

10-11

5.  

Capillary samples – how to measure a patient sample 

  

 

12-14

6. 

Consumables 

 

        15

7. 

Changing 

consumables 

 

      16-18

8. 

Troubleshooting 

 

       19

9. 

General 

information 

 

       20

10. 

 

Key 

Operator 

Training      

  21

11. 

Replacements   

      22-23

12. 

Clean 

the 

analyzer 

 

       24

13. 

Troubleshooting 

and 

guide 

 

      25

14. 

Quality 

control 

and 

calibrations 

 

     26-28

15. 

Theoretical aspects of the blood gas analyzer 

  

 

 

29-30

16 

Parameters 

  

       31

17. 

Limitations of the measuring system 

 

 

 

 

32-34

18. 

Analyzer 

setup        35

3

3 of 36

EXT-VEND-MAN-0023-1 Owner:Julie Monnox Approved:27 Mar 2019

Содержание FLEX ABL90

Страница 1: ...Operator Training Guide ABL90 FLEX analyzer 1 of 36 EXT VEND MAN 0023 1 Owner Julie Monnox Approved 27 Mar 2019...

Страница 2: ...and photos serving as trigger points for the trainer In addition there are suggestions as to when a task should be demonstrated by the trainer and when it should be performed hands on by the operator...

Страница 3: ...s 15 7 Changing consumables 16 18 8 Troubleshooting 19 9 General information 20 10 Key Operator Training 21 11 Replacements 22 23 12 Clean the analyzer 24 13 Troubleshooting and guide 25 14 Quality co...

Страница 4: ...ment behind the door Self cleaning inlet aspirates the sample in 5 seconds Automatic sample mixing for safePICO syringes mixing takes 7 seconds Integrated barcode reader Fully operational on battery a...

Страница 5: ...3 Appropriate preheparinized sampler with dry electrolyte balanced heparin Heparin is the only anticoagulant recommended by Radiometer Slows the clotting process If applicable explain about the diffe...

Страница 6: ...me of blood Too much blood increased risk of clotting Too little blood possible heparin binding effect may cause lower Ca2 value Flush solutions used in A lines must be removed from the sample site to...

Страница 7: ...r will display current activity The analyzer can only measure samples when the screen shows Ready Training method First demonstrate how a sample is measured in real time speed before doing a slow step...

Страница 8: ...s Key words LIFT ALIGN PUSH HOLD REMOVE CLOSE LIFT Lift the inlet to the syringe position until the green light appears ALIGN Align sampler with inlet gasket If available select mode PUSH Push the sam...

Страница 9: ...nges Review printout 6 Documentation and reporting of results Patient results log Result retrieval Filtering results if required Trend facility if required Acid base chart 7 About ranges and critical...

Страница 10: ...lant recommended by Radiometer Slows the clotting process If applicable explain about the different types of heparin Dry balanced non balanced Dry electrolyte balanced heparin Na K Ca2 is preferable I...

Страница 11: ...e full length of the capillary tube or mix manually by inverting the capillary tube 20 times 7 Analyze quickly If not analyzed quickly the sample will continue to metabolize causing the following pO2...

Страница 12: ...and attach the ABL90 FLEX Clot Catcher Hold the capillary tube by the clot catcher for better control Ensure that the clot catcher is placed at the opposite the end compared to the mixing wire Traini...

Страница 13: ...OLD REMOVE CLOSE LIFT Lift the inlet to the Capillary position until the green light appears PUSH Push the capillary tube onto the inlet applying pressure to depress the inlet gasket HOLD Hold the cap...

Страница 14: ...es Review printout 7 Documentation and reporting of results Patient results log Result retrieval Filtering results if required Trend facility if required Acid base chart 8 About ranges and critical li...

Страница 15: ...e the trainee s understanding of how to change consumables point out and explain the following details on the consumables Reference sensor Do not shake the sensor cassette There is no need to mix the...

Страница 16: ...er must unwind from below Let some paper extend out of the printer Close the cover and tell that the cover must click to be correctly in place Point to the analyzer screen and complete the procedure T...

Страница 17: ...in the pump tube Lift the new solution pack out of its box as shown and place it on an even surface Now let the trainee try to get the solution pack out of the box Let the trainee pull the red pin out...

Страница 18: ...be confirmed at the analyzer to advance the video guidance so press Action Completed Let the trainee do all of the following steps Pull the foil off the new sensor cassette pack Unscrew the lid and li...

Страница 19: ...ellow If applicable explain about the following points Remaining test cycles Sensor cassette icon the number adjacent to the icon shows the number of tests that are left Solution pack icon the number...

Страница 20: ...device according to local guidelines Compliance Infection control Always comply with hospital guidelines regarding collection handling and disposal of blood Password expiration if applicable discuss...

Страница 21: ...erator training guides to ensure consistent messaging across training sessions Training check lists for signing off on training sessions Other training material Blood Gas Handbook Blood Gas Preanalyti...

Страница 22: ...35 46 F Solution pack storage temperature 2 25 C 35 77 F Always ensure stock rotation Replacements Replacement intervals for consumables and inlet connector gasket The recommended replacement interval...

Страница 23: ...emaining tests The sensor cassette was not removed from an analyzer during a long term shutdown procedure This data can be seen in the sensor cassette status screen Can a Solution Pack be used again A...

Страница 24: ...NG Risk of infection Make sure you do not prick or scratch yourself on the inlet probe Stress the inlet probe must not be bent replace it if it is To clean the analyzer exterior Prerequisite A lint fr...

Страница 25: ...o get out of Operator Action Needed mode 1 Follow the text and video instructions on the screen To get out of Troubleshooting needed mode 1 Follow the text and video instructions on the screen To get...

Страница 26: ...on contained in the solution pack to do built in QC measurements These QC solutions are automatically registered in slots A B and C when a solution pack is installed Note The solution in slot A is S90...

Страница 27: ...nutes 6 8 hours Every 30 minutes 8 12 hours Every hour 12 24 hours Every 2 hours A status calibration of all parameters except the oximetry parameters is done before every patient QC and sensitivity c...

Страница 28: ...corrective actions A comprehensive evaluation ensures that specifications are met and that calibration and QC are correct If rejected the calibration QC is automatically repeated All actions are logg...

Страница 29: ...ometry Light passes through a cuvette containing a hemolyzed blood sample The specific wavelengths absorbed and their intensity generate an absorption spectrum used to calculate oximetry parameters Th...

Страница 30: ...te The electrical signal from each sensor is measured by proprietary analog electronics contained within the analyzer unit The sensors are located on sensor boards in the sensor cassette Top sensor bo...

Страница 31: ...er is physically capable of measuring Reportable range is the range of results from a testing system or method over which the analytical performance is claimed The default reportable ranges stated in...

Страница 32: ...the measuring system Limitations of the measuring system Please use the latest version of the ABL90 FLEX Instructions for use Specification chapter 32 of 36 EXT VEND MAN 0023 1 Owner Julie Monnox App...

Страница 33: ...r anonymous operators For further instructions on how to manage operators please refer to the latest version of ABL90 FLEX Instructions for use under Setup Setup and Data backup For further instructio...

Страница 34: ...Notes 34 of 36 EXT VEND MAN 0023 1 Owner Julie Monnox Approved 27 Mar 2019...

Страница 35: ...Notes 35 of 36 EXT VEND MAN 0023 1 Owner Julie Monnox Approved 27 Mar 2019...

Страница 36: ...www radiometer com Radiometer Medical ApS 2700 Br nsh j Denmark 2014 All Rights Reserved 939 725 201406A 36 of 36 EXT VEND MAN 0023 1 Owner Julie Monnox Approved 27 Mar 2019...

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