اسئلة حول محلل ABL80 FLEX CO-OX

Patient Information Input

• The operator can enter patient information, or scan a barcode.
• Input fields include: accession number (up to 12 characters), patient ID (up to 20 characters), last name (up to 20 characters), first name (up to 20 characters), department (up to 20 characters), department (patient) (up to 20 characters), and room number (up to 20 characters).

Barcode Scanning

• The operator can scan barcodes to enter patient information.
• To activate the scanner, highlight the field and press the "Scan" button.
• Place the barcode in front of the barcode scanner until the scan completes.

Additional Input Fields (ABL80 FLEX CO-OX)

• Input fields specific to the ABL80 FLEX CO-OX analyzer are listed.
• Additional fields like gender, date of birth, patient temperature, weight, birth weight, gestational age, height, FO2 (inhalation), liter flow, SO2(measurement), ctHb(measurement), and barometric pressure are available in the ABL80 FLEX CO-OX version.
• The characteristics of each input field (e.g., character limits) are described.

Sample Site

• The ABL80 FLEX analyzer offers choices for the sample site, including radial, brachial, femoral, arterial line, PA catheter, umbilical cord, finger, heel, and scalp. An alternate list is available for use in the cardiac catheterization lab, and the user should contact their local Radiometer representative for details.

Draw Time

• This input field allows for the recording of draw time with a capacity of up to 20 text characters. The system defaults to the currently logged-in user's name but can be manually edited.

Order Date

• The order date entry fields in the analyzer allow input via numerical values or from the system calendar; the default is set to the current date.

Physician

• The physician input field allows for up to 20 text characters.

Patient Report

• Options for fetal hemoglobin correction and out-of-range suppression are configurable in the ABL80 FLEX CO-OX.

Print Results

• All analyzer models have the option for automatic or manual printing of results. The number of printouts can be adjusted on demand.

Edit Patient Information

• At the end of a sample analysis, if the analyzer displays the Results screen, the user can press the 'pencil' icon to edit the patient information in various fields.
• The user can also edit information later through the data logs recall screen.

Edit from Recall Screen

• The user can edit patient information from the Patient Recall screen by selecting Menu > Data > Logs > Patient.

Fetal hemoglobin correction

• The ABL80 FLEX CO-OX analyzer can be configured to adjust oximetry sample results based on fetal hemoglobin (HbF).

Out-of-range suppression

• The ABL80 FLEX CO-OX is enabled to suppress display of hemoglobin fractions less than zero or more than 100.

Calibration

• This section outlines the calibration concept of the ABL80 FLEX analyzer.
• It describes the blank calibration performed during each System Cycle.
• The calibration frequency is configurable, either every 8 hours, 2 hours, 4 hours, or 24 hours (depending on the analyzer model).
• The method employed involves measuring three solutions with different analyte concentrations to calculate calibration two-point lines per analyte.

Calibration reports

• Calibration results are stored in a System Cycle database log and are accessible by reviewing the System Cycle Recall screen.

tHb calibration

• Calibration of the spectrometer is needed every three months using ctHb Calibration Solution S7770.
• The analyzer has a warning feature for upcoming tHb calibrations.

Standby mode

• Entering Standby mode optimizes the use of calibration solutions by postponing system cycles and/or two-point calibrations until the mode is exited.

• Exiting Standby mode may lead to increased solution consumption if the duration is less than 12 hours.

Calibration Reports

• The calibration results are available in the System Cycle Data logs.
• Accessing these reports is detailed, including steps to locate and review the records.

Quality Management

• Two QC methods, automatic and manual, are available to assess analyzer performance.
• Automatic QC involves measuring multiple quality control material levels for blood gases, electrolytes, and glucose (with additional levels specific to the ABL80 FLEX CO-OX for oximetry parameters).
• Manual QC involves using solutions with predetermined values and covering clinically relevant ranges. A standard quality control procedure is to run one level at the start of the shift.

System Checks

• System checks are performed every 30 minutes, ensuring the analyzer's stability and proper functioning.

Analysis Checks

• An automatic one-point calibration is performed with each sample analysis.

Manual Quality Control

• Radiometer offers various quality control (QC) materials (e.g., QUALICHECK 4+ and QUALICHECK 5+) suitable for use. Quality control should conform to local regulations.
• The steps for handling, storing, and preparing manual QC samples are provided for the analyzers, with recommendations regarding temperature and handling precautions.

Manual QC Measurements

• The steps to perform a manual QC measurement are provided for both the ABL80 FLEX and ABL80 FLEX CO-OX analyzers, including temperature considerations.

Manual QC Results

• The manner of recording manual QC results, with visual indicators for results outside the acceptable range, is explained.
• Troubleshooting procedures for out-of-range results are discussed.

Manual QC Plot

• The steps in retrieving and printing graphs of manual QC results are outlined.

Viewing/Reviewing QC Results

• The procedures for reviewing, printing, or downloading manual QC statistical data are explained.

RiliBÄK Ranges

• The use of Radiometer's RiliBÄK ranges, which can augment the automated QC testing when activated by Radiometer, is discussed.

Data Logs

• Data logs store a record of all sample analysis, calibrations, and QC measurements.
• General information, logs overview, upload options, download steps, and data maintenance are described.

Download

• The steps to download data from the analyzer and view the files are explained.

WDC Upload

• The procedure for uploading WDC reports to the Radiometer QA Portal is outlined.

Schedule WDC upload

• The steps to schedule automatic uploads of WDC reports from the analyzer to the Radiometer QA Portal are detailed.

Data Maintenance

• Describes the database compression procedure and scheduling options.

System Information

• Detailed steps to access and review information about the analyzer's configuration and status.

Utilities

• This section describes actions such as installing sensor cassettes, solution packs, software upgrades, and the eject CD procedure.

Settings

• Configuring various parameters like patient ranges, manual QC, and system cycles.
• Various setup procedures for calibrating, units, communications, and security measures.

Setting- Data Communications

• Configuring network settings, connections to RADIANCE/AQURE, HIS/LIS, QA Portal and remote support options.
• This feature allows the user to customize a variety of software options.

System Status

• Setting thresholds to warn users when certain actions are needed. The steps to access and review the threshold values for a traffic light color are explained.

Correlation

• The mathematical method for adjusting results based on a reference analyzer.
• Various correlation modes (e.g., Blood, Hemodilution, Other fluids) in ABL80 FLEX are described
• Input values for each correlation mode.

Reports - Input Fields

• Describes the input fields that can be included in patient reports, including fields like accession number, patient ID, last name, first name, date of birth, gender, room number, department and department (patient), weight, height, gestational age, birth weight, draw time, drawn by, order date, physician, patient temperature, and other fields.
• Explaining how to configure a particular layout and define different types of layouts including 2-column layouts, and providing the different steps.

Troubleshooting

• This chapter offers various troubleshooting steps for specific errors reported during the analyzer's operation. It covers issues arising from system components, quality control, and the CO-oximeter.