Department of Microbiology Quality Manual Section: Microbiology Lab Specimen Management Manual Prepared by: QA Committee Issued by: Laboratory Manager Approved by: Laboratory Director Policy #MI/PLT/03/v05 Page 1 of 5 Subject Title: Gram Stainer M1AUM4 Original Date: April 17, 2008 Revision Date: Annual Review Date: May 31, 2013 OPERATING THE MIDAS III STAINER CONTROLS AND INDICATORS KEY FUNCTION PROGRAM Enter processing steps for a program REVIEW View each successive programmed processing step Push ENTER to view each processing step Push PROGRAM to write over incorrect steps Push ENTER to the end of the program RUN Starts execution of a program STOP Pauses the stainer and raises the tower (Press RUN to continue or 1X, 2X, 3X, Program will stop and the arm will go to the Home Position) ENTER Enters selected processing steps into system memory CLEAR Push PROGRAM button and Program No. then ENTER Press CLEAR to start programming the new sequence To clear an incorrect entry, use “0” or write over the entry ARROW UP/DOWN Used to navigate NUMBER PAD Used to select program numbers and processing steps UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY" are not controlled and should be checked against the document (titled as above) on the server prior to use D:\533562155.doc Department of Microbiology Quality Manual Section: Microbiology Lab Specimen Management Manual Policy #MI/PLT/03/v05 Page 2 of 5 Subject Title: Gram Stainer M1AUM4 UNIT DISPLAY - RUN INFORMATION DISPLAY FUNCTION PROGRAM NUMBER Indicates program currently being run or reviewed. STATION NUMBER Indicates Station currently being run or reviewed. STATION TIME REMAINING (STA is displayed on keyboard) Indicates time remaining in program at Station being used. DIPPING STATUS/ AGITATION Displays DIP for dipping, no dipping (---) (By temperature area) STEP NUMBER Indicates step currently being run or reviewed. TEMP °C Indicates temperature currently being run or reviewed. (Displayed to the right in review area) TOTAL TIME REMAINING Indicates total time remaining in the program. . UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY" are not controlled and should be checked against the document (titled as above) on the server prior to use D:\533562155.doc Department of Microbiology Quality Manual Section: Microbiology Lab Specimen Management Manual Policy #MI/PLT/03/v05 Page 3 of 5 Subject Title: Gram Stainer M1AUM4 DAILY OPERATION AND QUALITY CONTROL 1. Turn on rinse water tap 2. Replace staining solutions (crystal violet must be freshly filtered) 3. Each morning a QC slide of E coli and S aureus is included with the first staining run. QC slides are obtained from the QC bench technologist. 4. At the end of the shift, discard all staining solutions. Rinse and dry stain containers for refilling the next morning. .LOADING AND STAINING SLIDES 1. Lay the slide carrier on its side. Slide up the metal retaining plate on the slide carrier. 2. Load the slides into the carrier with the smear end away from retaining plate. • The slide carrier can hold from 1 to 20 slides in any slots. (Optional 30 slide carrier available) 3. Slide down the retaining plate to hold the slides in the carrier. 4. Mount the slide carrier onto the two rods of the tower arm. Gently and firmly slide the carrier back until the magnetic catch engages. (Caution: Do not move arm left or right or up or down) 5. Turn on the stainer and wait for the unit to initialize. (The On/Off Switch is by the input Power Cord. The On position is indicated by I and the Off position is indicated by O on the switch face.) • The Rinse Station is activated approximately 20 seconds prior to its use and turns off approximately 2 minutes after its use, or at the end of the cycle 5. Press RUN. 6. Press Program Number 1 for all grams except sputum and 2 for sputum, press ENTER. The run will start, the arm will initialize, and the tower will move to the first Station in the sequence. As the slide carrier runs in each Station, the unit will display run information. 7. To pause the run, press STOP. • To continue the run, press RUN. • To cancel the run, press STOP. Wait for tower to go to vertical Home Position and then press STOP 3 additional times in succession to reset the system or anytime the arm is up, push STOP 3 times to reset to the Home Position. 8. An audible beep sounds six times at the completion of the program and the Standby Mode is entered. (Scrolling marquee will appear.) • The Drying Station continues to run approximately 2 minutes after the run has completed. UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY" are not controlled and should be checked against the document (titled as above) on the server prior to use D:\533562155.doc Department of Microbiology Quality Manual Section: Microbiology Lab Specimen Management Manual Policy #MI/PLT/03/v05 Page 4 of 5 Subject Title: Gram Stainer M1AUM4 STAINER SET-UP AND PROGRAMMING The Midas III stainer must be programmed when first installed according to the instructions in this section. It is not necessary to program again, except to change existing processing steps. Even when the stainer is turned off or power is interrupted the programs are stored in memory. Entering a Program 1. Turn power on by using the ON/OFF switch on back of unit by the power cord and wait for the unit to initialize. 2. Press PROG to enter the programming mode. 3. The the Midas III Stainer has 9 available programs numbered 1 through 9. Select a Program Number and press that number on the keypad. • Selected Program Number is displayed. Press ENTER If the Midas III Stainer already has a protocol stored under the selected Program Number, it will display. PRESS CLEAR FOR NEW PROGRAM. Press CLEAR to start programming the new sequence. 4. Enter the Station Number corresponding to the vessel location desired. Stations1 through 6 are available. Press that number on the keypad. Press ENTER • In the far-left Home Position the tower arm is at Station 6. Station 1 is the far right Station. Count to the left to determine the corresponding Station Numbers for programming. Station Numbers are marked on the platform. • Rinse vessel is stationary at Station 5. Drying Station is stationary at Station 6. 5. Enter the required time for the selected Station, 00:01 - 99:59 (min:sec). Press ENTER 6. Using the arrows select agitation or no agitation. 7. If Station 5 is selected, the Midas III Stainer will ask for the flow rate selection after programming the Agitation Mode. Use to select the rinse water flow rate from the choices of 0, 500, 1000, 1500 and 2000ml/min. When desired flow rate is displayed, press ENTER to make the selection. 8. Press ENTER. • The first Station is now programmed. The display is cleared for the next Station. 9. Repeat steps 4 through 7 for each step in the staining sequence. • The programmed sequence can contain up to 29 steps, in any order. 10. After the final step is programmed Press Enter and the unit is displaying a blank step, press STOP to save the program. UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY" are not controlled and should be checked against the document (titled as above) on the server prior to use D:\533562155.doc Department of Microbiology Quality Manual Section: Microbiology Lab Specimen Management Manual Page 5 of 5 Policy #MI/PLT/03/v05 Subject Title: Gram Stainer M1AUM4 MSH STAINING PROGRAM PROTOCOLS Program Number 1 All grams except Sputum Step Number Station Number Time in (minutes : seconds) Agitation Selected 1 1 CRYSTAL VIOLET 01:00 YES 2 5 WATER 00:30 YES 3 2 IODINE 01:00 YES 4 5 WATER 00:30 YES 5 3 DECOLOURIZER 00:15 YES 6 5 WATER 00:30 YES 7 4 SAFRANIN 01:00 YES 8 5 WATER 00:30 YES 9 6 DRY 02:00 @ 45o C Flow Rate (stn 5 only) (ml/min) 1500 1500 1500 1500 Program Number 2 Sputum Same as program 1 except STEP 5 (decolourizer) is 20 seconds UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY" are not controlled and should be checked against the document (titled as above) on the server prior to use D:\533562155.doc