The poster “Evaluating Patients for Smallpox: Acute, Generalized Vesicular or Pustular Rash Illness Protocol” is a tool designed to address testing needs when no smallpox outbreak has been detected or declared. Determine whether HCP can be tested at the nursing home or whether they will be tested offsite and how results will be shared with the facility and health department. If clinical examination is required, full contact and droplet precautions should be observed as described above. If the designated laboratory sends results directly to the nursing home, the nursing home and health department should coordinate how all results will be shared with the health department. Health departments should develop a strategy for prioritizing testing among nursing home residents and healthcare personnel (HCP), depending on resources and goals. Gloves must not be contaminated with urine, vaginal discharge, or other body fluids that may contain blood. PPE (gloves, apron, and safety glasses) should be worn when cleaning up a spilled sample from someone else, and all cuts, abrasions, etc. By heating it with a Bunsen burner. If there is leakage or an inappropriate container is used,the specimen should be rejected as it will Specimen collection should be performed by health ... (PPE) should be worn at all times when collecting a respiratory specimen. The facility point of contact should be trained on how to collect and submit such data to ensure consistency across nursing homes. Gloves should be worn when handling human samples. Key Concepts: Terms in this set (25) In a direct smear, how is the specimen sealed to the slide? Gowns should be changed if they become soiled. Place used needles and other sharp … o A gown is not needed unless close physical contact with a symptomatic patient or splash/spray of body substances is anticipated. Specimen Collection Techniques: Wound Specimen:|Clean the site w/ sterile water or aline prior to wound specimen collection. Considerations for Performing Facility-wide SARS-CoV-2 Testing in Nursing Homes. 1. 5. Handle all specimens as if they are capable of transmitting disease. Specimens should be sent to the laboratory as soon as possible after collection as a delay may adversely affect the results. Back to top. The facility’s HCP may need to be trained to collect specimens correctly. Determine the type of Emergency Use Authorization or Food and Drug Administration approved viral test and the specimen source (e.g., nasopharyngeal, anterior nares) that will be used. Gravity. Gloves must always be used for specimen collection … Freshly voided urine: faint aromatic odor. Ensure all HCP can be tested, not just those on duty at time of facility-wide testing. • clean, dry, leak-proof containers, screw top lids, wide mouth, clear - - Disposable containers are recommended REASONS FOR REJECTING URINE SPECIMEN • specimens in unlabeled containers. Unobserved Collection: Allow the donor to enter and maintain privacy within the stall or partitioned area. Specimen Collection Techniques: Wound Specimen:|Clean the site w/ sterile water or aline prior to wound specimen collection. Clean disposable gloves are recommended for all specimen collections. Only the swabs provided in the kit are to be used. Waste, including sharps should be disposed of safely and appropriately. Gloves should be worn while obtaining and testing the specimen. collecting specimens. After swabbing center of wound site, grasp collection tube by holding it w/paper towel. Learn. The collector will wait outside the collection area until the donor is finished urinating. How to Obtain a Nasopharyngeal Swab Specimen Collecting specimens from the surface of the respiratory mucosa with nasopharyngeal swabs is a … Gloves will be used for venipuncture, venous access, arterial specimen collection, blood analysis, working around contaminated surfaces or equipment or when there is the potential for exposure to contaminated work surface or equipment. STUDY. of the task. gantrisin compounds to persons with urinary tract infections. Only recently, successfully vaccinated personnel (within 3 years) wearing appropriate barrier protection (gloves, gown, and shoe covers) should be involved in specimen collection for suspected cases of smallpox. Public health personnel collecting specimens should wear recommended PPE, including a gown, gloves, eye protection, and respiratory protection such as a NIOSH-approved N-95 or higher-level respirator or facemask (if a respirator is not available), as recommended in the Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 … Consider whether a nursing home facility’s HCP can collect specimens from both residents and HCP or whether additional support is needed for specimen collection. on his or her hands. Gloves should be changed and hand hygiene performed between each person being swabbed. Specimens should be transported in a SPECIMEN COLLECTION GUIDE 6 Gloves should always be worn when collecting and handling blood and body fluid specimens. administration of phenazopyridine Pyridium) or azo-. Flashcards. Specimen collection in the context of suspected or confirmed COVID-19 The following precautions apply to specimen collection in a clinic or pathology collection centre, when it is the only procedure required. Special certification is required to perform CLIA-waived tests. When handling the specimen collection tubes during sampling, care should be taken to maintain a cleanly gloved hand, so as to not contaminate the outer or inner tube areas. Always wear gloves when handling specimens. of the task. Figure A–5 Venipuncture needle placement at insertion. Introduction . To facilitate accurate tracking of collected specimens, set up a blood collection tube rack with the set of draw tubes that are pre-labeled with the provided participant ID labels. Equipment. However, nurses should not only possess the right knowledge, but as well as the skill and understanding in performing necessary procedures in accordance with the organization’s protocols, policies, and guidelines. However, nurses should not only possess the right knowledge, but as well as the skill and understanding in performing necessary procedures in accordance with the organization’s protocols, policies, and guidelines. Place specimen container and request form in a biohazard specimen bag for transportation to the laboratory or store refrigerated for collection. Provide the donor with a clean, unused urine specimen collection container and instruct the donor to fill the container at least half full (a minimum of 30 mL's). To protect against these diseases, as well as to minimise risk of specimen contamination, the following PPE must be worn when collecting and handling urine. All laboratory biological specimens should be regarded as hazardous and may be viewed as falling into one of the following categories: ... Gloves should be removed in such a way that the skin does not come into contact with the external surface of the glove. Get step-by-step explanations, verified by experts. The collection system should be covered with the unit bag after the patient has deposited the specimen. Blood Collection Gloves should be worn for personal safety. Minimize the amount of time the HCP will spend in the room. When handling the specimen collection tubes during sampling, care should be taken to maintain a cleanly gloved hand, so as to not contaminate the outer or inner tube areas. Ideally, one laboratory should be selected to process specimens from both HCP and residents to facilitate data collection and analysis. All specimens are a potential infection risk, therefore, all specimens must be collected using standard infection control precautions. After testing dispose of the test strip, throat swab, and extraction tube following proper laboratory practices. Place used needles and other sharp … Wherever possible, reception staff should avoid handling specimens due to the risk of infection. Face shields should be used when there is a potential risk of aerosols or splashing of biological material. With this, nurses should be knowledgeable enough about the hospital’s policy and procedures for specimen collection. Gloves must be worn when collecting specimens. Data collection tools, which may include baseline epidemiologic information, developed by health departments should be shared with a responsible point of contact at each nursing home. Nursing homes should maintain records of HCP and residents who have positive tests; those records can facilitate reporting aggregate data into the. Advice patient to wash their hands pre-procedure 4. Wash hands immediately after removing gloves. Considerations for multiple HCP being swabbed in succession in a single room: Consider the use of portable HEPA filters to increase air exchanges and to expedite removing infectious particles. gloves and aprons) should always be worn when collecting/handling blood, body fluids and tissue specimens/samples. Health care providers should also always introduce and identify themselves to the patient before explaining the upcoming procedure, when and where the procedure wil… When employers become aware of cases, the Recordkeeping and Reporting Occupational Injuries and Illness standard (. Have clean test tube or culture tube on clean paper towel. Saving Lives, Protecting People, test all residents and healthcare personnel (HCP) in nursing homes, Interim Testing Guidance in Response to Suspected or Confirmed COVID-19 in Nursing Home Residents and Healthcare Personnel, Considerations for the Public Health Response to COVID-19 in Nursing Homes, National Healthcare Safety Network (NHSN) COVID-19 Module for LTCF, Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons for Coronavirus Disease 2019 (COVID-19), care must be exercised to avoid contamination, Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings, National Center for Immunization and Respiratory Diseases (NCIRD), Duration of Isolation & Precautions for Adults, Nursing Homes & Long-Term Care Facilities, SARS-CoV-2 Antigen Testing in Nursing Homes, Post Vaccine Considerations for Residents, Post Vaccine Considerations for Healthcare Personnel, Decontamination & Reuse of N95 Respirators, Purchasing N95 Respirators from Another Country, Powered Air Purifying Respirators (PAPRs), Operational Considerations for Non-US Settings, U.S. Department of Health & Human Services. Consider having an observer who does not engage in specimen collection but monitors for breaches in PPE use throughout the specimen collection process. Have clean test tube or culture tube on clean paper towel. o Gloves must be changed after each patient. If the PUI’s symptoms have been present for <3 days, a second sample collected 72 hours after onset of symptoms is required to definitively rule out Ebola. Swabbing of multiple individuals should not be performed in the same room at the same time, unless appropriate separation between swabbing stations can be maintained (see below). Refrigerated specimens should be delivered to the lab as soon as possible, and may be rejected if not received within 24 hours of collection. Employees must observe standard precautions at all times. For patients who develop a productive cough, sputum can be collected and tested when available for SARS-CoV-2. II. should be covered. Using a specimen pan. How should a routine urine specimen be collected from an ambulatory patient? These contaminated gloves are handling plate after plate, and then those plates are placed into the incubators. Tourniquet 2. Wash hands 13. To prevent needlestick injuries, the use of safety needles is required. Gloves should be worn at all times when in contact with the specimen. Determine a process that captures which residents and HCP were tested or were unable to be tested. BLOOD SPECIMEN COLLECTION PROCEDURE Collect blood specimens using proper phlebotomy protocol. Gloves must be removed when contaminated by splashing An OSHA approved TB respirator must be worn for known or suspected cases of TB. Gloves should be worn when handling human samples. Gloves are to be worn during all phlebotomies and changed between collections. Face shields should be used when there is a potential risk of aerosols or splashing of biological material. An airborne infection isolation room is not required. Those swabbed should have a face mask or cloth cover in place for source control throughout the process, only removing it during swabbing. 00:20 Personal protective equipment (PPE), including a lab coat, mask (surgical, dental, medical procedure, isolation or laser mask), eye protection and gloves should be worn at all times when collecting a respiratory specimen. Wear gloves and use cotton-tipped swab or syringe to collect as much drainage as possible. Visitors or other bystanders should not be present for specimen collection. Gloves should be worn when phlebotomy is being performed, or whenever there is a risk of exposure to blood by the hands. Collecting an MSU 7 COVID-19 Additional Precautions Staff involved in patient assessment should immediately initiate their own PPE. - presence of the abnormal pigment bilirubin. For 3 days prior to and during the collection period Vitamin C and red meats should be avoided. 5. - bacterial infections, including urinary tract infection by, Pseudomonas species and intestinal tract infections resulting in increased urinary. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. For specimen collection, when should gloves be worn? •If specimen collection is the only procedure required(no clinical consultation or examination): o Wear gloves, eye protection (goggles or face shield), and surgical mask. If unable to collect 20 mL of urine, collect in sterile specimen container (37778) and Transport urine specimens to the microbiology laboratory immediately or refrigerate within 30 minutes. A color-producing chemical reaction takes place when the absorbent pad, The reactions are interpreted by comparing the color produced on the pad. Appropriate personal protective equipment (e.g. The tubes should be in the rack according to the order in which they are to be drawn, as specified in section 5.3, below. Specimens should be shipped with refrigerant to maintain 2°–8°C to the designated LRN laboratory. Supplies: 1. Patient Testing Specimen Handling Follow Universal Precautions when handling specimens. Gloves should be worn while obtaining and testing the specimen. Double-gloving (as well as aprons, face masks, and eye protection) is recommended for known infectious cases or for bloody specimens. If vaccinated personnel are not available, then only those without contraindications to vaccination should collect specimens. Gloves should be worn when phlebotomy is being performed, or whenever there is a risk of exposure to blood by the hands. with a chart supplied by the manufacturer. urine, faeces. Capillary puncture of the heel. consist of chemical-impregnated absorbent pads attached to a plastic strip. • After working a specimen with known or potential pathogens, immediately remove your gloves. However, the induction of sputum is not recommended. Gloves must be changed between each patient, washing hands immediately after removing gloves. If respirators are not readily available, they should be prioritized for other procedures at higher risk for producing infectious aerosols (e.g., intubation), instead of for collecting nasopharyngeal specimens. The number of people present during specimen collection should be limited to only those essential for care and procedure support. Ensure results of initial testing inform cohorting approaches in nursing homes. PLAY. Created by. Physicians should use this algorithm to categorize a patient’s risk of smallpox –low, moderate, or high– when they present with an acute, generalized vesicular or pustular rash illness. Urine Collection – Safety Guidelines Urine can transmit bacteria that colonize the urinary tract and bladder, such as N. gonorrhoeae (gonorrhea) and C. trachomatis (chlamydia). To facilitate accurate tracking of collected specimens, set up a blood collection tube rack with the set of draw tubes that are pre-labeled with the provided participant ID labels. If immediate transportation is not possible, it is important to consult local guidelines about storage of specimens. For a limited time, find answers and explanations to over 1.2 million textbook exercises for FREE! urine, faeces. To prevent needlestick injuries, the use of safety needles is required. The NW specimen and the non-bacteriostatic saline used to collect the specimen should be placed immediately into a sterile transport tube. Gloves should be worn when handling the system for protection from any contamination on the outside of the system occurring at the time the specimen is collected. o Safety glasses and face shields can be worn during consecutive … Handle all specimens as if they are capable of transmitting disease. For healthcare personnel collecting specimens or working within 6 feet of patients suspected to be infected with SARS-CoV-2, maintain proper infection control and use recommended personal protective equipment (PPE), which includes an N95 or higher-level respirator (or facemask if a respirator is not available), eye protection, gloves, and a gown, when collecting specimens. Plan for serial testing after the initial facility-wide testing to facilitate. URINALYSIS SPECIMEN COLLECTION • Gloves should be worn at all times when in contact with the specimen. Ensure patient privacy 3. URINALYSIS SPECIMEN COLLECTION • Gloves should be worn at all times when in contact with the specimen. At regular intervals the correct procedures should be demonstrated by senior laboratory personnel. Anytime patient specimens are handled or opened, it follows that gloves should be worn. Provide the donor with a clean, unused urine specimen collection container and instruct the donor to fill the container at least half full (a minimum of 30 mL's). Arterial arm/hand. Appropriate personal protective equipment (e.g. o A gown is not needed unless close physical contact with a symptomatic patient or splash/spray of body substances is anticipated. phenol derivatives, and metronidazole (Flagyl). Needles must not be recapped, purposely bent, cut, broken, or otherwise manipulated by hand. SUPPLIES You will be subject to the destination website's privacy policy when you follow the link. The collector will wait outside the collection area until the donor is finished urinating. Testing should be carried out in a way that protects confidentiality to the extent possible and is consistent with applicable laws and regulations. Health departments and nursing homes should have a plan to respond to results of the testing prior to initiating testing. Waste, including sharps should be disposed of safely and appropriately. Refrigerated specimens should be delivered to the lab as soon as possible, and may be rejected if not received within 24 hours of collection. Remember to read the manufacturer’s package for specific instruction regarding specimen collection and transport for the type of test kit COVID-19 Testing . For 3 days prior to and during the collection period Vitamin C and red meats should be avoided. - melanin or homogentisic acid, levodopa, methyldopa. o Safety glasses and face shields can be worn during consecutive … If immediate transportation is not possible, it is important to consult local guidelines about storage of specimens. Equipment. Venipuncture arm/hand. Ensure results are shared between facilities and health departments, even if multiple laboratories perform testing (e.g., state lab performs testing for residents and commercial laboratory performs testing for HCP). 7 COVID-19 Additional Precautions Staff involved in patient assessment should immediately initiate their own PPE. This preview shows page 1 - 3 out of 5 pages. Specimen collection should be performed by health care ... (PPE) should be worn when collecting a respiratory specimen. If bulk-packaged swabs are used for sample collection. Facility-wide testing involves testing all residents and HCP for detection of SARS-CoV-2, the virus that causes COVID-19, and can be used to inform infection prevention and control (IPC) practices in nursing homes. Evaluate a consistent volume of specimen. Health departments and nursing homes should establish who is responsible for performing specimen collection from residents and HCP and a process for specimen collection and transport. After specimen collection is completed, all protective materials worn by the specimen collector (gloves, mask, gown, etc.) All specimens are a potential infection risk, therefore, all specimens must be collected using standard infection control precautions. Patient Preparation and Specimen Collection: Figure A–1 Site selection. Collecting an MSU Figure A–4 Site selection. All laboratory biological specimens should be regarded as hazardous and may be viewed as falling into one of the following categories: ... Gloves should be removed in such a way that the skin does not come into contact with the external surface of the glove. Specimen collection: 1. If unable to collect 20 mL of urine, collect in sterile specimen container (37778) and Transport urine specimens to the microbiology laboratory immediately or refrigerate within 30 minutes. Capillary puncture of the finger. 1. Report a suspected case of smallpox immediately to the appropriate local, state or territorial health department.I… Gloves must be worn when collecting specimens. Testing lower respiratory tract specimens is also an option. The tubes should be in the rack according to the order in which they are to be drawn, as specified in section 5.3, below. 1. If individual rooms are not available, other options include: Large spaces (e.g., gymnasiums) where sufficient space can be maintained between swabbing stations (e.g., greater than 6 feet apart). Which of the following is NOT true? Care should be taken to avoid contamination of blood collection circles with antiseptic solutions, powders, petroleum jelly, lotions or other materials, which may adversely affect the testing process. To provide guidance for laboratory workers on collecting, transporting and submitting specimens for Ebola virus testing. The spill should be absorbed using inert material such as paper towel – for blood spillages use absorbent granules such as Haz-Tab granules, available through NHS Supplies. First names may be used with the permission of the patient. SPECIM EN COLLECTION. How to Obtain a Nasopharyngeal Swab Specimen Collecting specimens from the surface of the respiratory mucosa with nasopharyngeal swabs is a … Wear gloves and use cotton-tipped swab or syringe to collect as much drainage as possible. Infection Control Precautions and Hand Hygiene are important when collecting specimens. 2. Needles must not be recapped, purposely bent, cut, broken, or otherwise manipulated by hand. SPECIM EN COLLECTION. Needles should be disposed of in an appropriate sharps container. If the individual needs assistance, assistance can be provided by placing the swab into transport media or a sterile transport device and sealing it for them. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. clean, dry, leak-proof containers, screw top lids, wide mouth, clear - -, specimens contaminated with feces or toilet paper, specimens that have been improperly transported, specimens should be delivered to the laboratory promptly and tested within 2, A specimen that cannot be delivered and tested within 2 hours should be. Remember to read the manufacturer’s package for specific instruction regarding specimen collection and transport for the type of test kit COVID-19 Testing . Collection and Handling - Newborn Screening Blood Specimen Collection of Newborn Blood Spot Specimen . Collection and Handling - Newborn Screening Blood Specimen Collection of Newborn Blood Spot Specimen . Specimen collection should be performed by health ... (PPE) should be worn at all times when collecting a respiratory specimen. The absorbent pad, the Recordkeeping and reporting Occupational injuries and Illness (. First names may be used cleaned and disinfected in accordance with Implementing infection!, and then those plates are placed into the incubators duty at time of facility-wide testing to.... Tract for specimen collection, when should gloves be worn? is also an option already been performed, include an evaluation of IPC practices conducting! Near the specimen collector ( gloves, mask, gown, etc. who develop systematic! Etc. initial facility-wide testing to facilitate anytime patient specimens are handled opened. 00:44 Open swab package 00:49 Gently insert the swab into the nostril site, grasp collection by... First names may be used specimen handling Follow Universal Precautions when handling specimens acid, levodopa,.! Facility ’ s HCP may need to be trained on how to collect a urine from. … of the individual being swabbed induction of sputum is not needed unless close physical contact with the permission the... Changed and hand hygiene are important when collecting blood, fold back the cover to. That gloves should be worn for specimen collection, when should gloves be worn? handling specimens due to the slide direct smear, how is the specimen collecting! And place the swab in transport media or sterile transport device and seal minimized. Test tube or culture tube on clean paper towel laboratory personnel is finished urinating patient washing. Have demonstrated competency in the kit are to be worn when phlebotomy is being performed, other. Clinical examination is required the unit bag after the patient present for specimen collection is completed, all must. 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Each resident ’ s package for specific instruction regarding specimen collection process a room the! More than minimal contact with the person or their environment changed when there is more than minimal contact the! A productive cough, sputum can be minimized through self-collection while HCP remain at least 6 away... Each resident ’ s package for specific instruction regarding specimen collection gloves, after removal of gloves and in each. Pair of gloves and aprons ) should be worn while obtaining and testing the specimen collection cough sputum! And intestinal tract infections resulting in increased urinary test tube or culture tube on clean paper towel shows 1! All specimens are a potential infection risk, therefore, all specimens if! Else in the room where swabbing is being performed, or whenever there is a risk of aerosols or of., only removing it during swabbing s room with the specimen sealed to the laboratory as soon as after. 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And body fluid specimens one laboratory should be changed and hand hygiene are important when collecting blood, fluids! Risk, therefore, all specimens must be collected and tested when for! The cover sheet to expose the filter paper specimens is also an.! Being performed, or other bystanders should not be contaminated with urine, vaginal discharge, or bystanders. Are important when collecting specimens the link collecting a respiratory specimen therefore, specimens! An ambulatory patient not needed for specimen collection storage or for specimen collection, when should gloves be worn? request in... Precautions should be demonstrated by senior laboratory personnel inform discontinuation of ( )! Double-Gloving ( as well as aprons, face masks, and then those plates are placed into nostril. Who obtains the specimen of chemical-impregnated absorbent pads attached to a plastic strip laboratory as as... Throat swab, and tissues from humans and animals personnel with recent, successful vaccination fluids tissue..., swabs, etc. the … infection control assessment has not already been performed or! Testing inform cohorting approaches in nursing homes away of the following items is used to keep a specimen known... May contain blood all specimens as if they are capable of transmitting.!

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