Page 111 - COVID-19 Inpatient Training Resources
P. 111

April 24, 2020
               Version 4.0
               Prepared by: Dr. Larissa Matukas (Medical Microbiologist and Head of Microbiology Lab)

               POCT for St. Michael’s Hospital:

               Table 1:  POCT that COULD be performed for PUI
               POC          Test           Locations   Additional Comments    Consideration for PUIs
               Analyzer     Performed
               Statstrip    Glucose        Throughout   Meters carried to patient   Dedicate meters on the unit for duration of
               Meter                       all inpatient   bedside            isolation.
                                           units and                          Adhere to PPE for PUI. Disinfect the
                                           clinics both                       equipment once isolation is lifted.
                                           on and off-                        Dispose waste in biohazard bag/ sharps bin.
                                           site
               Hemochron    Activated      ICU         This test is only      Adhere to PPE for PUI.
                            Clotting Time              available via point of
                                                       care test              Quarantine the equipment after use until
                                                       Blood syringe brought to   disinfected either by Lab POCT coordinator
                                                       instrument on cart or   Or another person trained by lab on how to
                                                       bench. Instruments may   disinfect.
                                                       be moved around from   Dispose waste in biohazard bag/ sharps bin.
                                                       room to room
               Nova         Fetal Scalp    15 CN       Not fully implemented.   Dedicate equipment in patient’s room for
               Lactate      Lactate                    Monitor is used for one   duration of isolation
               Meter                                   patient at a time      Adhere to PPE for PUI. Disinfect the
                                                                              equipment once isolation is lifted. Dispose
                                                                              waste in biohazard bag/ sharps bin.

               Table 2: POCT that should be AVOIDED for PUI/ positive patients
               POC          Test           Locations   Additional Comments     Consideration for PUIs
               Analyzer     Performed
               GEM4000      Blood Gases,   CVOR,       Instruments placed on   Do not perform
                            Electrolytes,   CVICU,     carts
                            Glucose,       TNICU, PFL   Blood syringe brought to   Hand deliver specimens to core lab, label as
                            Lactate,                   instrument             STAT and COVID-19
                            Hematocrit,                Carts can be moved
                            Co-oximetry                between CVOR’s
               Clinitek     Macroscopic    16CN,       Majority of instruments   Do not perform
               Status       Urinalysis     15CN,       located in soiled utility
                                           14CC, 8CS,   rooms                 Hand deliver specimens to core lab, label as
                                           7CN, 7CS,   Urine specimens brought   STAT and COVID-19
                                           ED, all     to instrument
                                           Family
                                           Health
                                           Clinics, Ped
                                           and Gyn, Tx
                                           at 61Q
               Hemocue      Hemoglobin     OR          Small portable         Do not perform
                                                       instruments can be
                                                       moved from room to     Hand deliver specimens to core lab, label as
                                                       room                   STAT and COVID-19
               GEM OPL      Co-oximetry    Cath Lab    Fixed location in soiled   Do not perform
                                                       utility room
                                                       Specimen brought to    Hand deliver specimens to core lab, label as
                                                       instrument             STAT and COVID-19
               DCA          HbA1c          61Q         Instrument kept in one   Do not perform
               Vantage                     Diabetes    location
                                           Clinic      Specimen brought to    Hand deliver specimens to core lab, label as
                                                       instrument             STAT and COVID-19

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