5 Nanosonics AuditPro Mobile Application

The Nanosonics AuditPro Mobile Application is pre-installed into the Mobile Scanning Device when delivered and the device is only able to run this application.

The application performs:

• Registration of the Mobile Scanning Device to the healthcare Facility
• Background transfer of trophon2 data to the Nanosonics AuditPro Cloud database.
• Logging of patient procedures and transfer of the data to the Nanosonics AuditPro Cloud database.
• Removal of procedure logs from internal storage of the Mobile Scanning Device after the logs have been synced
• Android and mobile application update management to ensure ongoing device and application management

The application includes support for:

• guidance through the correct clinical infection control decision making and logging of medical procedures
• warning of possible issues, including synchronization
• warning of unsynced logs
• notification of upcoming system updates

5.1 Home Pages

The Facility Administrator Home page is shown in Figure 27.

The Home page is made up of the following elements:

1. Department Name
2. Menu
3. Notifications
4. Logging a Patient Procedure

Figure 27 Mobile Application Home Page

 

5.2 Department Name

The Department Name is associated with procedures logged by the Mobile Scanning Device. Setting Department Name is highly recommended as the procedures can be sorted in AuditPro Cloud Application by Departments.

The Department Name can be assigned and modified. The below options are applicable:

• Access ‘Mobile Scanning Device’ details page in AuditPro Cloud Application. See Figure 74.
• Tap ‘Departments’ in Settings from the Menu of Mobile Application. See 5.5.2
• Select a ‘Procedure Department’ before you submit a patient procedure with Mobile Application. See Figure 35-2.

It is not mandatory to assign or select a department to a Mobile Scanning Device. If no department is assigned, your facility name will be displayed.

 

5.3 Logging Patient Procedures

Logging procedures is the main function of the Nanosonics AuditPro Mobile Application and is performed by clinical staff at point of care. A general overview of procedure logging is given in Workflow Overview.

5.3.1 Log Procedure in the Mobile Application

Access the Log a procedure function

1. Unlock your Mobile Scanning Device to see the Home screen shown in Figure 28-1.
(Unlock and Reset Mobile Scanning Device PIN for instructions to unlock the device.)

If the Mobile Application Home screen is not showing, tap the Return key on the bottom left of the device (see Figure 4 Front View ⑥), until you see the Home screen in Figure 28-1.

1) Tap the AuditPro icon to launch the Nanosonics AuditPro Mobile Application as seen in Figure 28-2.

Figure 28: Mobile Application Home screens

2. Tap Log a procedure on your screen.

Note the following whilst using the application:

•  If there are procedures awaiting synchronization, a message will be displayed on the screen as shown in Figure 28-3. This can occur if there is an issue with the Wi-Fi connection.
•  You can continue to log patient procedures offline. The procedures will be stored on the Mobile Scanning Device and automatically uploaded to the Nanosonics AuditPro database once the network is restored. Contact your IT department to resolve any networking issues.
•  To go back to the previous screen, tap the left arrow on the top left of the screen or the Return key on the device.
•  At any time, click X on the top right of the screen to abort the logging procedure.

Log a procedure

Reprocessing options are enabled based on the region of your facility. Ensure the probe has been appropriately reprocessed before starting the procedure.

3. Select a probe reprocessing, see Figure 29-1.

1) Low/Intermediate Level Disinfected (LLD/ ILD)
2) High Level Disinfected (HLD)
3) Sterilized (You have an option to provide a sterilization reference ID of up to 32 characters, see Figure 29-2)

Figure 29: Probe Preparation and Spaulding Classification screens

To determine the hygiene status of the probe, please consult your Facility’s internal standard operational procedures or Facility Administrator for instructions on how you can identify the hygiene status.

 

If you are unsure how a probe has been previously reprocessed, it is recommended to reprocess the probe again to ensure you meet compliance requirements and reduce patient cross-contamination risk.

 

4. Select a procedure Spaulding Classification, see Figure 29-3.

1) Non-Critical
2) Semi-Critical
3) Critical (If an HLD/Critical combination is selected, you will be asked if a sterile sheath has been used, see Figure 29-4.

5. If the probe reprocessing method selected in the previous step conflicts with the reprocessing method advised by the Spaulding Classification, you will be prompted to the warning message. There are three possible scenarios for an incorrect probe preparation resulting in three possible incorrect probe preparation screens, as shown in Figure 30:

1) Low or Intermediate Level Disinfection of probe used in a Semi-Critical procedure, Figure 30-1.
2) Low or Intermediate Level Disinfection of probe used in a Critical procedure, Figure 30-2.
3) High Level Disinfection of probe used in a Critical procedure, without a sterile sheath, Figure 30-3.

(a) US & Canada – refer to CDC Guidelines for advice regarding the use of sterile sheaths.
(b) All other regions – consult with your local guidelines and manufacturer’s instructions for use of sterile sheaths.

•   Go Back to correct the probe preparation or Spaulding Classification if you have made an error.

Figure 30: Spaulding Classification warnings

6. If you are proceeding regardless of the warning in Figure 30, you will be prompted to enter your employee details. Choose Enter Text or Scan Operator Card as your input option. See Figure 31.

1) Enter Text
    Enter employee details using the onscreen keyboard. The field with asterisked title is mandatory. See Figure 31-1.
2) Scan Operator Card
    Tap your trophon2 AcuTrace Operator Card at the back of the Mobile Scanning Device to capture information. See Figure 31-2.

Add a comment to explain the details of non-conformance for this procedure. See Figure 31-3.

To continue, you must accept the Terms and Conditions and Privacy Policy, accessible also on this screen.

Figure 31: Provide Employee Details

 

7. Enter a Patient Procedure ID, see Figure 32. (Maximum 32 characters)

1) Scan Barcode
    Press one of the Scan buttons on the Mobile Scanning Device (see Figure 4 Side Views) to scan the Patient Procedure ID barcode.
2) Scan Text (Use this method if a barcode is not available)
    Tap Scan Text with Camera and follow the instructions on screen to scan with OCR.

•   This method can be used to scan text from a printed label or computer screen.
•   Ensure only the Patient Procedure ID is captured in the camera frame (no other lines, text, or mouse cursor).
•   Text recognition quality may be impacted by unneeded image captured inside the camera frame, light, shadow, and focus. Please review the Patient Procedure ID (read by the OCR) and manual edit value if required.

If patient procedure IDs used in your facility follow a consistent pattern of characters, contact Nanosonics Customer Service to discuss a customized solution, that improves accuracy of the text scan by checking expected characters and provision of a validation message.

3) Enter Text - Enter text using the onscreen keyboard.

 

Figure 32: Patient Procedure ID input

8. Scan trophon2 AcuTrace Medical Instrument Tag - Follow the instructions on-screen to scan the Medical Instrument Tag (Figure 33-1,2) A green tick will appear once scan is complete. If the AcuTrace tag does not scan, consult the advice on-screen, see Figure 33-3,4.

9. Procedure Date and Time, see Figure 34.

1) For immediate procedure logging, use the current date and time.
2) For delayed procedure logging, manually adjust to match the actual date and time when the procedure was conducted.

Figure 33: Scan trophon Medical Instrument Tag Page

 

Figure 34: Procedure Date and Time Page

 

10. Review Details then submit procedure, see Figure 35-1.
      You may modify the Procedure Department section by tapping a setting icon next to the Procedure Department.
      Select the correct Department from the drop-down menu shown in Figure 35-2.
      Once the data has been successfully submitted to the Nanosonics AuditPro Cloud database, the following screen in Figure 35-3 will be displayed.

If a linked trophon2 device is connected to the network, HLD cycles are synced to the Nanosonics AuditPro database every five minutes. Patient procedures are synced to the Nanosonics AuditPro database immediately after logging. Linking cycles to patient procedures is then performed in the Cloud database.

Figure 35: Review and Submission screens

 

5.4 Notifications

Notifications will be displayed if certain errors occur. These may require action by the user or an Administrator. See Table 2 for a list of notifications and suggested resolutions.

 

5.4.1 Sync Overview

The Sync Overview page indicates procedure errors and trophon2 sync issues. It can be accessed from MenuSettingsSync Overview or alternatively, tap the warning icon on the Home screen. (Figure 36-1)

On the Procedure tab, pending sync procedures will be listed on the page. Tap the arrow icon to expand the procedure details. (See Figure 36-2)

Figure 36: Warning icon & Sync Overview screens

 

Table 2: Notifications on Mobile Scanning Device

Notification Issue and Resolution
Unexpected Error – No Wi-Fi detected

Problem: If the Mobile Scanning Device is not connected to a Wi-Fi network, you will be provided an option to navigate to Wi-Fi setting screen. See Connecting to a Wi-Fi Network.

Solution: Connect the Mobile Scanning Device to the Wi-Fi network. If Wi-Fi is not working, consult your IT department.
Mobile device unable to connect to Wi-Fi router

Problem: The Mobile Scanning Device cannot connect to the Wi-Fi router.

Solution: Contact your IT department to resolve Wi-Fi connectivity issues.
500 – Please check if the device is connected to the internet.

Problem: Connection issue due to slow internet connectivity or the linked trophon2 device is not online.

Solution: Contact your IT department to check network speed. The minimum uploading speed required is 18MBps (90Mbps).

Additionally, ensure the linked trophon2 device is connected to the same network as the Mobile Scanning Device, and the Mobile Scanning Device can access internet.

For further assistance, contact Nanosonics Customer Service at www.nanosonics.com/auditpro-customer-service-page
403 – Device certificate issue.

Problem: Wrong certificate or no certificate issued to the Mobile Scanning Device. See SSL Certificate Renewal

Solution: Contact Nanosonics Customer Service at www.nanosonics.com/auditpro-customer-service-page

Security Update Required

Problem: The Security Certificate has updated; installation needs to be completed.

Solution: Follow the instructions on screen to accept the updated SSL Certificate: See SSL Certificate Renewal

408 – Please check your trophon2 connectivity. Contact your IT department to resolve the issue.

Problem: Connectivity issues between trophon2 device and Mobile Scanning Device.

Solution: Check that the trophon2 device is linked to the correct Mobile Scanning Device. See Register New trophon2 and Device Linking.

Verify the connected trophon2 device is configured correctly and network parameters are correct. See trophon2 Setup

For further assistance please contact Nanosonics Customer Service at www.nanosonics.com/auditpro-customer-service-page

# procedure logs awaiting sync

Problem: The Mobile Scanning Device is not connected to Wi-Fi or connected Wi-Fi does not have internet connectivity and hence procedures cannot sync to the Cloud Application.

Solution:Ensure the device is connected to Wi-Fi with internet access. See Connecting to a Wi-Fi Network.

trophon2 has not been synced for # hours

Problem: The trophon2 device has not synced with the Mobile Scanning Device.

Solution: Verify the trophon2 device is powered on and connected to the network and check that:

(1) Cable or wireless bridge connection is functioning correctly.
(2) IP address setting is correct. See Setting trophon2 IP Address.
(3) Both the Mobile Scanning Device and trophon2 are connected with the same subnet. See Networking your Medical Facility.
(4) The Mobile Scanning Device is connected to the correct Wi-Fi. See  Connecting to a Wi-Fi Network.

trophon2 time is # days # hours # minutes out of sync. Please correct date and time in trophon2.

Problem: trophon2 device time is different from the linked Mobile Scanning Device. The tolerance is 5 minutes.

Solution:Verify trophon2 date, time and timezone of the trophon2 device. See Checking the Time and Date.

Error setting device date and time

Problem: This error occurs if the Mobile Scanning Device is not configured properly. See Initial Registration, set date and time.

Solution: Contact Nanosonics Customer Service at www.nanosonics.com/auditpro-customer-service-page

Mobile Device (Serial #) is already registered.

Problem: The Mobile Scanning Device is already registered with a Facility in the Cloud Application.

Solution: Mobile Scanning Devices cannot be transferred to any Facilities other than the one to which it was initially registered. For further information contact Nanosonics Customer Service at www.nanosonics.com/auditpro-customer-service-page

Invalid facility QR code

Problem: Error will occur if a QR code other than an AuditPro QR code is scanned during the registration in the Cloud Application, or from Settings/Register New Mobile Scanning Device.

Solution: Ensure to scan only a valid AuditPro QR code. See Initial Registration, QR Code.

AcuTrace is disabled, please enable it in trophon2.

Problem: AcuTrace is disabled on the trophon2 device. Probe, operator, disinfection information will not be available in the Cloud Application.

Solution:Enable AcuTrace on the trophon2 device. See AcuTrace Settings for instructions.

AcuTrace Tag / Card did not scan

Problem: This error occurs when the AcuTrace Medical Instrument Tag / Card does not scan.

Solution: Try scanning the Tag / Card again, and if the problem persists, investigate the following causes:

(1) the Medical Instrument Tag / Card may not be programmed in the trophon2 device. See [2] for instructions to program the tag.
(2) The Medical Instrument Tag / Card may be damaged and will require replacement.

Authentication Failed – Invalid NFC data

Problem: This error will occur if a RFID card other than a trophon AcuTrace Medical Instrument Tag is scanned

Solution:Ensure to scan only trophon AcuTrace Medical Instrument Tags.

413 – For further assistance please contact Nanosonics Customer Service.

Problem: API payload size issue.

Solution: Contact Nanosonics Customer Service at www.nanosonics.com/auditpro-customer-service-page

Please input a valid Employee name to continue (1-150 characters)

Problem: If you choose a probe reprocessing and Spaulding Classification that triggers a non-compliant warning, you will be prompted to enter your Employee name.

Solution: If your selections are in error, go back to correct the erroneous selection. If not in error, enter your Employee name. See Log Procedure in the Mobile Application, enter Employee details.

Please input a valid Accession#/Patient Procedure ID to continue (1-32 characters)

Problem: You will be prompted to input the Patient Procedure ID if you choose to Enter Text as your input option.

Solution: Ensure to enter a valid identifier. See Log Procedure in the Mobile Application, enter Patient ID.

 

5.5 Application Menu

Mobile Application Menu navigation enables the user to access the functions shown in Figure 37-2.

To view Mobile Application Menu:

1. Tap Menu on the top left of the initial Procedure Logging screen. See Figure 37-1.
2. The screen will show as Figure 37-2

Figure 37: Mobile Application Menu screens

 

5.5.1 View Logs

Provides the most recent 72-hours logs of patient procedure details. Note that the feature is only available when your Mobile Scanning Device is connected to the facility network. See Figure 38-1.

The procedures can be tracked here if they are performed by:

1) the Mobile Scanning Device being used
2) other Mobile Scanning Devices registered under the same department
3) the Mobile Scanning Devices that are not assigned to any departments

 

The information is downloaded from the Cloud Application. Press Refresh button to get the most recent updates.

Press the dropdown list to see the details of the procedures. Users can delete the procedures logged by the Mobile Scanning Device being used. See Figure 38-2.

Figure 38: View Logs

 

5.5.2 Settings

Table 3 below describes each feature:

 

Table 3: Mobile Application Settings

Menu Effects

Sync Overview

Provides an overview of all outstanding synchronization logs for procedures and trophon2 logs.

Departments

There is an option to select the procedure Department. Select the correct Department from the drop-down list. The list is populated from Departments set up in the AuditPro Cloud Application. Once changed, the department name shown on the home page and in the AuditPro Cloud app will be simultaneously updated.

Dark Mode

Sets a dark background. This is recommended in dimly lit clinical settings.

 

5.5.3 General Information

General Information navigation includes the information about the software version, security patch and the serial number of the Mobile Scanning Device.

 

5.5.4 Troubleshooting

Use this function to check network connection and response from the trophon2 device. Entering an IP address assigned to the trophon2 device can return results of trophon2 network connection status. Contact your local IT for assistance if any errors listed. See Figure 39

Figure 39: Troubleshooting

 

5.6 SSL Certificate Renewal

During the device life, the SSL certificate may require a renewal.

Once the SSL Certificate has updated, a banner will appear on the Home screen, see Figure 40-1.
Tap this banner to follow the instructions on screen to accept the updated SSL Certificate, see Figure 40-2,3.

Figure 40: SSL Certificate renewal

 

 

Next: 6 Nanosonics AuditPro Cloud Application