Clinitek Status Key Trainer Training

Transcription

1 Clinitek Status Key Trainer Training

2 Learning Objectives Essential criteria for assessment: Present for training session Practical Assessment 1 supervised test Show knowledge and understanding of: Urine dipping technique Entering data Changing the paper Maintenance Trouble shooting Understand own continuous development responsibilities to maintain competency.

3 What information about the body can we obtain from urine?

4 Parts of the body urinalysis can give us information about include: Kidney Liver Urinary Tract Infection Blood Carbohydrate metabolism Nutrition Muscles

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6 Sample Collection First voided morning urine is best for routine analysis as it is the most concentrated. If possible, void directly into a clean, dry container/bedpan. It is best to test samples immediately. If this is not possible the test must be completed within 4 hours providing the samples are stored in clean plastic containers. When disposable cardboard containers are used samples must be analysed immediately as containers may leach contaminants into the sample providing incorrect results.

7 Strips & Cassettes

8 Storage Strips and cassettes are to be stored in a cool, dry place away from any potential contaminants such as: Sunlight Strong vapours Heat Moisture

9 Potential sources of error are: Stale specimen, Poor technique, Improper recording, Unclean containers, Incorrect storage, No routine Quality Control or Interfering substances. To combat these Biochemistry POCT ask that ward staff do not do any of the following: Touch the test pads. Leave cap off the strips for prolonged periods of time. Remove the desiccant packet from containers. Take out more strips than required for each patient. Use out of date strips.

10 How to analyse a sample

11 Multistix Technique Completely immerse the reagent strip into the urine. As you withdraw the sample run the edge against the rim of container to remove any excess urine. Holding strip horizontally blot the edge on a tissue. Do not draw the strip across the tissue as this may damage the pads and give incorrect results. Please try not to bend the strips whilst sampling. A bend in the strip may cause it to get lodged inside the analyser and prevent it from working.

12 Clinitest hcg Technique Fill the mini-pipette enough so that the lower of the two bulbs is filled with urine. Transfer the urine from the mini-pipette into the well of the cartridge ensuring the well is full before beginning sample analysis.

13 Status Ready 11:36AM 07/09/09 Instrument Set Up Recall Results Cassette Test Strip Test

14 Operator ID Last Operator: Enter New Operator ID

15 Enter Operator ID 1 23 x A B C D E F G H I J K L M N O P Q R S T U V W X Y Z. _ - Enter

16 Patient Information Recall Patient Last Operator: Enter New Patient

17 Select Patient SHEPPARD, ANDREW SMITH-MOORHOUSE, RUPERT COLEMAN, ROB. New Patient Select

18 Prepare Test Multistix 8 SG Adjust test table insert for strip tests Touch START to begin Help? START

19 Trouble shooting & Maintenance

20 The majority of the trouble shooting and maintenance is carried out by Biochemistry POCT, but there are a couple of things you can do to help us out.

21 Cleaning the table

22 Cleaning the table It is recommended that you clean the test table at least once a week by putting it under a running tap ensuring that the whole table is wet. Using a tissue thoroughly dry the table ensuring you don t touch the white section with your bare hands As this may throw off calibrations. The test table should be wiped with a dry tissue between each Patient. Check that the calibration strip on the instrument is clean EVERY day. If not, clean with a soft cloth ensuring that you do not scratch it.

23 Changing the paper roll

24 Changing the paper roll From the back of the analyser lift the white lid up and lower the grey lid down. Under the white lid there is a grey lever which needs turning upwards through 90. With the lever released pull the roll out from the grey section.

25 Changing the paper roll The ink is only on one side of the paper, not in the printer, and installing the paper incorrectly will result in nothing being printed. To check which side of the paper the ink is on scratch it with your fingernail. If grey marks are left behind then you ve scratched the side with the ink and this side needs to be facing the front of the analyser. Drop the new roll into the grey section of the analyser and with the loose end follow the back of the analyser and push the paper through the slot at the top. After flicking the lever back down feed the paper through the slot in the white lid and close everything back up.

26 Ordering details Paper rolls for the urine machines are to be ordered by Individual wards an can be ordered by ringing Protech Medical Ltd on The part number is PT 58/29. The strips are ordered through Pharmacy.

27 Contacting Biochemsitry POCT For any other problems regarding the Clinitek Status please contact Biochemistry POCT on: Ext Rob Coleman Andy Sheppard Rupert Smith-Moorhouse Lindsey Riley

28 Quality Control Biochemistry POCT will run all QC and EQA schemes and ward staff are not expected to carry this out for themselves. QC is run on a 3 weekly rotation, this consists of a Positive and Negative solution being run through the analyser. EQA is run on a 2 monthly basis and consists of a single sample being run through the analyser.

29 Auditing Once every 2 months (at the same time as EQA) your analyser will be audited for the following criteria: Patient ID being correctly input Strips being in date Analysers settings being correct (time, date, strips etc) General cleanliness Associated paperwork present (SOP, Flowchart etc) Training records kept up to date A copy of the audit will be sent to matron and ward sister so they are aware of how the ward is doing.

30 Key Trainer Responsibilities Your responsibilities as key trainers are to: Ensure that every member of ward staff who needs to use the analyser is trained to do so. Maintain an up-to-date record of all staff that have been trained on your ward. Ensure that all training is logged on ESR.

31 Teaching Resources All the information you may need (including this presentation) can be found on the trust website alongside the Standard Operating Procedure. On the website highlight Clinical Info and then click POCT User Guides