an insight into middlemore hospital’s experience …an insight into middlemore hospital’s...
TRANSCRIPT
![Page 1: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/1.jpg)
An insight into Middlemore Hospital’s experience with the Roche
C8100 Track System
![Page 2: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/2.jpg)
![Page 3: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/3.jpg)
1. The C8100 Front End
2. C8100 Track
3. C8000 - Line 1 and Line 2
4. Haematology XN Line
5. Coagulation Stago
6. P701 Fridge
![Page 4: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/4.jpg)
CENTRIFUGEX2
INPUT BUFFER
DESTOPPER
OUTPUT BUFFER
ADD ON BUFFER
RESTOPPER
SAMPLE CHECK MODULE
![Page 5: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/5.jpg)
BARCODE LABELLER
ALIQUOT MODULE
![Page 6: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/6.jpg)
Connects all the analytical instruments from chemistry and haematology to the c8100.
Transport Junction Lines (TLJ) - The transport junction lines are responsible for carrying the single tube holders along this belt system.
Reformatter - Transfers racks of samples off the C8100 onto an analytical instrument.
![Page 7: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/7.jpg)
ISE – C702 – C502 –E602 – E602
Two duplicate lines.
Connected to the c8100 track via a corresponding reformatter.
ISE MODULE CHEMISTRY
C702 +C502
IMMUNOASSAY E602 X2
![Page 8: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/8.jpg)
Full blood Counts!
XN1,XN2, XN3SLIDE MAKERS
REFORMATTER
![Page 9: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/9.jpg)
![Page 10: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/10.jpg)
Completed primary samples are sent here for a seven day storage.
Test adds are also retrieved from here using a remote test add system.
![Page 11: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/11.jpg)
![Page 12: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/12.jpg)
1. Doctor requests an electronic order.
2. Order is created with a lab number.
3. Prints lab form with tube labels.
4. Blood collected and labelled.
5. Form barcode scanned – tests loaded.
6. Samples go on c8100 Input Buffer.
![Page 13: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/13.jpg)
ACU –Centrifuge
SCM – Check volume and take picture
DSP – Remove the cap
TLJ –Transport line junction
BRF – Bi directional reformatter
C8000
E602 – Sample for TNT
ISE – Sample for Potassium
C702 – Sample for the serum
indices
Results go to IT3000.
Non-critical results means it will auto
validate.
Critical results will be checked by a validator.
RSF – New cap on.
AOB – Stored for 2 hours at
room temperature.
Fridge –Storage for disposal or waiting for next task.
![Page 14: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/14.jpg)
1. Our TAT’s had taken a slight decline.
2. Belt breakage’s
3. Presenting or re-presenting samples back onto the
system post breakdown – would cause more breakdowns.
4. Labels on primary tubes not adhering adequately, which
would lead to sample spillages.
5. Separating sample types when loading into the IPB tray –
eg. Heparin Gels and EDTA tubes had to be put in a
different IPB tray – which decreases efficiency.
6. Urgent aliquots not being frozen.
![Page 15: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/15.jpg)
84
86
88
90
92
94
96
98
100
Old Lab - May 2016 New Lab - Nov 2016 New Lab - Sep 2018
Month
Percentage of TNT tests completed within 60
minutes vs Month
Perc
enta
ge
![Page 16: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/16.jpg)
84
86
88
90
92
94
96
98
100
Old Lab - May 2016 New Lab - Nov 2016 New Lab - Sep 2018
Month
Percentage of Potassium Tests Completed with
60 Minutes vs Month
Perc
enta
ge
![Page 17: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/17.jpg)
SODIUMSODIUM
POTASSIUM
CHLORIDE
IT3000
(Middleware)
CHLORIDE
POTASSIUM
CLINICAL PORTAL FOR THE
CLINICIAN
![Page 18: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/18.jpg)
Before
Normal
10 minutes
After
STAT
3 minutes
![Page 19: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/19.jpg)
18
Minute
Assay
9
Minute
Assay
![Page 20: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/20.jpg)
No separate aliquots
No carry over issue
Release result as G10000
![Page 21: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/21.jpg)
MANUAL CENTRIFUGATION MANUAL FRONT LOADING
![Page 22: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/22.jpg)
Secondary workflow configuration which isolates the
c8100 front end to continue performing its pre-
analytical tasks.
As long as nothing is broken on the c8100 front end we
can implement this configuration.
Spun, picture taken, volume checked.
Aliquots still made and sent to the output buffer
Samples are tracked.
![Page 23: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/23.jpg)
Loading the completed samples directly into the fridge comes with a few minor issues.
Test adds will not always go directly to the analytical instrument.
Higher probability the fridge may crash. This means stopping, starting and troubleshooting.
A sample maybe loaded into the fridge which requires an aliquot, which have to be retrieved manually and actioned.
Add On Buffer overload.
![Page 24: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/24.jpg)
• In this tray we can load any sample and it will go directly to the fridge.
• Any outstanding tests will be completed on the way.
• Any aliquots will be made if missed.
• Load with caps on or off.
• No AOB overload causing a back log of samples.
![Page 25: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/25.jpg)
Aliquot’s to be urgently
frozen - the software
will play a tune to alert
staff.
All hardware issues are
logged, continually
monitored and
communicated. Increases
understanding of
hardware knowledge and
reduces breakdown time.
Fully customised our
fridge retrieval workflow
to ensure all our test
adds smoothly come out
of the fridge including
aliquots.
Investigated which
labels adhere the
best to prevent
breakdowns.
Created rules in IT3000
to deliver samples to the
Output Buffer which
have critical results to
be double checked.
![Page 26: An insight into Middlemore Hospital’s experience …An insight into Middlemore Hospital’s experience with the Roche C8100 Track System 1. The C8100 Front End 2. C8100 Track 3](https://reader034.vdocuments.mx/reader034/viewer/2022042320/5f0963df7e708231d4269bb7/html5/thumbnails/26.jpg)
The End.