Page 112 - COVID-19 Inpatient Training Resources
P. 112

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

               POCT for St. Joseph’s Health Centre:


               Table 3:  POCT that COULD be performed for PUI
               POC           Test         Locations    Additional Comments     Consideration for PUIs
               Analyzer      Performed
                                                                               Dedicate meters on the unit for duration of
                                          Inpatient                            isolation.
               Statstrip                  units, clinics   Meters carried to patient   Inform POCT lab coordinator.
               Meter         Glucose      both on and   bedside                Adhere to PPE for PUI. Disinfect the
                                          off-site                             equipment once isolation is lifted. Dispose
                                                                               waste in biohazard bag/ sharps bin.
                                                       No Lab backup test
                                                       available               Adhere to PPE for PUI
                                                                               Quarantined the equipment after use until
                                                       Blood syringe brought to
                             Activated                                         disinfected either by Lab POCT coordinator
               Hemochron                  ICU          instrument on cart or
                             Clotting Time                                     Or another person trained by lab on how to
                                                       bench. Instruments may   disinfect. Dispose waste in biohazard bag/
                                                       be moved around from    sharps bin.
                                                       room to room.
                                                                               Dedicate equipment in patient’s room for
                                                                               duration of isolation.
               StatStrip     Fetal Scalp   1 FBC       Meters carried to patient   Inform POCT lab coordinator.
               Lactate       Lactate                   bedside                 Adhere to PPE for PUI. Disinfect the
                                                                               equipment once isolation is lifted. Dispose
                                                                               waste in biohazard bag/ sharps bin.
                                                       No Lab backup test
                                                       available
                                                       pH test to see if the fluid
                             Amniotic fluid   FBC and
               Manual test                             is amniotic fluid or not.
                             test         Family Med
                                                       The test involves a swab
                                                       that is applied to the
                                                       fluid.
                                                       Certain drugs tests are
                                                       NOT available in lab    Adhere to PPE for PUI.
                                                       Includes an 8-panel     Perform the procedure in dedicated room.
                                                       screen test-Cocaine,    Disinfect the area after testing. Dispose
                                                       Amphetamine, EDDP,      waste in biohazard bag/ sharps bin.
                                                       Oxycodone,
                             Urine drugs of  Family Med   Benzodiazepines,
               Manual test
                             abuse        Clinic       Buprenorphine, Morphine
                                                       and Fentanyl +THC strip.
                                                       SJHC lab can
                                                       screen/confirm UDA
                                                       tests EXCEPT- EDDP,
                                                       Buprenorphine and
                                                       Fentanyl.

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