Page 113 - COVID-19 Inpatient Training Resources
P. 113

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

               Table 4: POCT that should be AVOIDED for PUI/ positive patients
               POC           Test         Locations    Additional Comments            Consideration for PUIs
               Analyzer      Performed
               GEM3000       Blood Gases,   ICU        Instrument in separate room    Do not perform
                             Electrolytes              blood syringe brought to       Hand deliver specimens to core
                                                       instrument                     lab, label as STAT and COVID-19
               Clinitek      Macroscopic   3 ED        Majority of instruments located in   Do not perform
               Status        Urinalysis   3 FBC        soiled utility rooms. Urine    Hand deliver specimens to core
                                          2 Fam med    specimens brought to instrument   lab, label as STAT and COVID-19
                                          1 ACC
               Hemocue       Hemoglobin   2 OR         Small portable instruments can be   Dedicate equipment for the
                                                       moved from room to room        patient in the OR during
                                          1 Pulm                                      isolation Disinfect once
                                          function Lab                                surgery/procedure is complete

                                                                                      For pulmonary function lab -Do
                                                                                      not perform. Hand deliver
                                                                                      specimens to core lab, label as
                                                                                      STAT and COVID-19
               Coaguchek     INR          2 ACC        Small portable instruments can be   Do not perform
               XS PRO                     1 OR         moved from room to room        Hand deliver specimens to core
                                                       Usually used in 1 room in ACC.   lab, label as STAT and COVID-19
               Manual test   Urine HCG    Diagnostic   Consider blood HCG as          Do not perform
                                          Imaging      alternative test               Hand deliver specimens to core
                                          Family                                      lab, label as STAT and COVID-19
                                          Medicine
                                          Clinic
               Manual test   Rapid Strep   Just for Kids   Request throat culture as   Do not perform
                             test         Clinic       alternative test               Hand deliver specimens to core
                                                                                      lab, label as STAT and COVID-19


               References:

               1.  https://www.canada.ca/en/public-health/services/laboratory-biosafety-biosecurity/biosafety-directives-
                   advisories-notifications/novel-coronavirus-january-27.html
                   accessed February 18, 2020
               2.  https://www.who.int/docs/default-source/coronaviruse/laboratory-biosafety-novel-coronavirus-version-
                   1-1.pdf?sfvrsn=912a9847_2
                   accessed February 18, 2020
               3.  https://www.canada.ca/en/public-health/services/canadian-biosafety-standards-guidelines.html
                   accessed March 6, 2020

















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