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Work Area Manager Testing What are my options?
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Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Apr 01, 2020

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Page 1: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Work Area Manager Testing

What are my options?

Page 2: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

IntroductionHopefully you would not go on a long road trip without making a list of things to check before you get on the road. Most likely you would check your tire pressure, oil, gas, spare tire, and so forth, directions to where you are going along, a paper or electronic map in case there are detours, clothes, and of course snacks and refreshments. In other words, you would have a plan. The same is true for testing.

Page 3: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

StrategizeThink about what you want to test, (example reflex messages, rule changes)

Do you really need to use an instrument or can you achieve the desired outcome with the emulator or can you just use WAM?Come up with a plan� Do you need an electronic order and what needs to be in the order?

� If patient demographics are a consideration make sure the electronic order contains needed information. � If testing delta values a medical record number and at least two orders will be needed. (To avoid complications use new

orders)� If you need the results in the LIS then you need an order to come into WAM. � Before you send results to WAM you want to make sure the order has been received in WAM � ***Testing unregistered rules is an exception.� List the test cases you need and goal (ex: above limit, at limit, below limit.)� Document your testing� As you test each case document the Sample ID, Medical Record #, mark each case as pass/fail� Check audit log when testing rules to make sure the rule you are testing is the rule that executed.

Page 4: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Order and Result SourcesOrders:

LIS (results can go back to the LIS)Enter in WAM (results will not be released to LIS)

Results:EmulatorInstrumentManually Enter

Page 5: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Instrument FlagsABN WBC Flags FWA01 WBC ABN Scattergram

ABN WBC Flags FWA02 Neutropenia

ABN WBC Flags FWA03 Neutrophilia

ABN WBC Flags FWA04 Lymphopenia

ABN WBC Flags FWA05 Lymphocytosis

ABN WBC Flags FWA06 Leukocytosis

ABN WBC Flags FWA07 Monocytosis

ABN WBC Flags FWA08 Eosinophilia

ABN WBC Flags FWA09 Basophilia

ABN WBC Flags FWA10 Leukocytopenia

ABN WBC Flags FWA11 NRBC ABN Scattergram

ABN WBC Flags FWA12 NRBC Present

ABN WBC Flags FWA13 IG Present

Suspect WBC FWS01 Blast?

Suspect WBC FWS02 Immature Grans

Suspect WBC FWS03 Left shift?

Suspect WBC FWS04 NRBC?

Suspect WBC FWS05 Atypical lymphs

Suspect WBC FWS06 RBC Lyse Resistance?

Suspect WBC FWS07 ABN Lympho_L Blasts?

FWS09 Blast/Abn Lympho?

ABN lympho?

ABN RBC Flags FRA01RBC ABN

Distribution

ABN RBC Flags FRA02Dimorphic

population

ABN RBC Flags FRA03 Anisocytosis

ABN RBC Flags FRA04 Microcytosis

ABN RBC Flags FRA05 Macrocytosis

ABN RBC Flags FRA06 Hypochomia

ABN RBC Flags FRA07 Anemia

ABN RBC Flags FRA08 Erythrocytosis

ABN RBC Flags FRA09RET ABN

Scattergram

ABN RBC Flags FRA10 Reticulocytosis

Suspect RBC FRS01RBC

Agglutination?

Suspect RBC FRS02Turbidity-HGB

Inter?

Suspect RBC FRS03 Iron deficiency?

Suspect RBC FRS04 HGB Defect?

Suspect RBC FRS05 Fragments?

PLT ABN FPA01 PLT ABN dist.

PLT ABN FPA02 Thrombocytopenia

PLT ABN FPA03 Thrombocytosis

PLT ABN FPA04PLT ABN

Scattergram

PLT Suspect FPS01 PLT Clumps?

PLT Suspect FPS02 PLT Clumps (s)?

XEPOSD POS. DIFF

XEPOSM POS MORPH

XEPOSC POS COUNT

QFLAG QFLAG

XEERRFXE FUNCTION

ERROR

XEERRR RESULT ERROR

SMEAR1 1 Slide Tower 1

SMEAR2 2 Slides Tower 1

SMEAR3 1 slide Tower 2

SMEAR4 2 Slides Tower 2

SMEAR5 1 Slide any Tower

SMEAR6 2 Slides any Tower

Page 6: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Emulator Testing Sample Info

Page 7: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

These drop down and check boxes under

Analysis Info let you choose different options

to duplicate analyzer behavior.

Page 8: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN
Page 9: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Send a query to WAM before sending the results

Page 10: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Analysis Result Tab

Page 11: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Flags

Page 12: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Connecting Emulator to WAM

Page 13: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Click Send

Page 14: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

IP and Port Display

Page 15: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Need or want to send a rerun? Make sure the SID is the same, change values as needed and press send

Hint:

*If your results look like they went through but you don’t see them in WAM, check the unregistered in case the bar code length is different.**It’s a good idea to make at least one value different from the first run so you can tell them apart. It helps when evaluating your results.*

Page 16: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Testing with the analyzer?Do you have separate ports setup in TEST? If not we can set them up for you.

***Most of the time this will work quite well but if you receive a tcp/ip port is closed message, please call us to restart the interface.***

Page 17: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

WAM – Rule Tester

Page 18: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

The Opalert and Flag boxes provide us with great information

Page 19: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN
Page 20: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Patch Testing

You need to follow your full workflow when testing.If there are multiple sites with even slightly different workflows or rules, those sites need to test also.More testing is better than less testing.If you see a change that pertains to you in the product notice add that too.

Page 21: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

This ant tested really well in Test

This ant did the minimum testing in Test

And is humming along in Production

And has gotten himself in a jam in Production

Don’t be so antsy to get testing over with that you end up in a bad situation in Production.

Page 22: Work Area Manager Testing Cathy Donahue · ABN WBC Flags FWA07 Monocytosis ABN WBC Flags FWA08 Eosinophilia ... Suspect WBC FWS07 ABN Lympho_L Blasts? FWS09 Blast/Abn Lympho? ABN

Here’s to a well planned, successful testing that gets you

where you want to be!!!