COVID-19 Testing ARC Eastern and Western BOP Rest Hl care
Resident with respiratory symptoms and / or suspected COVID-19 Resident placed in contact isolation as per MOH guidelines
RN to contact Facility GP/NP to screen client (use COVID-19 Community Assessment form)
Client meets clinical criteria and testing authorised by facility GP/NP
FACILITY RN
FACILITY GP / NP
Step 1: Complete Pathlab form (and email Step 1: Determine assessment level required - Tier COVID-19 Community Assessment form to GP) 1 – Virtual, Tier 2 - Simple Assessment or Tier Facility 3RN to contact GP/NP to screen client Full Examination Step 2: Check testing kit available Step 2: Check that facility RN is available to Step 3: Complete COVID-19 test as soon as complete test (Tier 1 or 2) and that testing kit is practically able or arrange GP/NP to complete available Step 3: Complete COVID-19 test at facility if RN not able to do so or if a Tier 3 assessment
Step 4: Arrange Pathlab courier collection of swab or if Pathlab courier not available arrange transport of swab to nearest Pathlab collection point when able to do so
Step 4: GP/NP enter completed COVID-19 data in Halcyon (WBOPPHO) or eReferral (EBPHA)
Step 5: Notify DHB ARC team of delays in testing due to issues with collection of swab
Step 5: Claim Virtual Consultation Tier 1/virtual assessment if Facility RN does the swab, Tier 2 or 3/face-to-face assessment if GP visits the facility and does the swab
If two or more swabs completed for respiratory illness within 72 hours within same facility please notify TTO Clinical Case Advisor – 027 336 9097
Testing completed
Testing not able to be completed
GP/NP or Facility RN to check results on CHIP Resident to remain in isolation until 48 hours after symptoms resolve All positive results will be followed up by Toi Te Ora.
Due to dementia residents BPSD, risk to staff safety (This will be at the discretion of the tester) Inform GP Liaise with TTO Clinical Advisor - 027 336 9097 1 4/6/2020
COVID-19 Testing ARC Eastern and Western BOP ARC COVID-19 Testing Information Please see the attached additional information around COVID-19 testing for BOP ARC residents. It is important that RNs within the facility familiarise themselves with the process and testing instructions, if possible it will be a nurse at the facility who will be completing the test. If there is no RN available to complete the procedure the facility GP/NP will do so. PROCESS for Testing STEP 1: Requirement for COVID-19 test confirmed by facility GP/NP STEP 2: Check testing kit available at facility (testing swabs and collection bags available to order from the DHB using the PPE order form – max 4 testing kits per facility) Consider transport arrangements for getting swab to Pathlab (see Step 4) STEP 3: ARC COVID-19 testing will be carried out at the ARC facility by facility RN or GP/NP Prior to undertaking the test, please ensure the following: • •
Review the COVID-19 Testing Instruction Sheet (at end of document) Review MOH Personal Protective Equipment (PPE): for staff taking nasopharyngeal/throat swabs available from https://www.health.govt.nz/system/files/documents/pages/hp7353_02__ppe_ipc_poster_nasopharyngeal_testing_v3.pdf
•
Review the BOP DHB PPE donning and removal video: https://vimeo.com/399710678 NB: Additional videos also available on MOH website. • • •
Complete the Pathlab form and label the specimen tube before entering the room You will need a second person ready with gloves holding the bag that you can drop the completed sample into. Please ensure you have sealable rubbish bag for disposal of PPE - this can be placed in general waste once sealed
STEP 4: Arrange transport of swab to nearest Pathlab or Pathlab collection point Using Pathlab Courier service (PATHLAB Courier: 07 5787073 ext 6712) o Weekdays – utilise usual Pathlab courier service if available in your area o Weekends - Please phone request for courier to the laboratory before 11am o If weekend test request occurs out of collection hours it is preferable to wait until the following day for test to be completed to coordinate with courier collection hours.
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COVID-19 Testing ARC Eastern and Western BOP o If it is necessary to complete a swab after hours it will need to be kept in an appropriately allocated fridge until collected as long as the swab outer bag clearly indicates it is a COVID specimen. •
Using own transport: o Please arrange transportation of swab to nearest Pathlab or Pathlab collection point https://www.pathlab.co.nz/locations/ o If nearest collection point closed please arrange transport to Whakatane ED or to Pathlab at Tauranga Hospital or to nearest GP practice (check this GP service is available)
STEP 5: Review and ensure isolation procedures, adequate PPE, staffing plans etc, and await swab result. Ensure resident remains in isolation until 48 hours after symptoms resolve.
APPENDIX 1 PathLab Form COVID-19 lab form ARC (2) 20 May 2020.docx
PPE order form for PPE and Covid-19 Testing kit: Nasopharyngeal swab and red top tube, x1 laboratory bag PPE Order Form (max 4 test kits per facility) PPE Order Form updated 20 May 2020.docx
COVID-19 Community Assessment Form Community COVID_19 assessment form.docx
Any queries or feedback regarding any aspect of this process please contact: Kate O’Dwyer CNS ARC team – kateo@wboppho.org.nz Rosie Winters NP Older Adult – rosie.winters@bopdhb.govt.nz
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COVID-19 Testing ARC Eastern and Western BOP
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