Gloves should always be worn when handling clinical specimens, body fluids, and tissues from humans and animals. 1. SPECIMEN COLLECTION GUIDE 6 Gloves should always be worn when collecting and handling blood and body fluid specimens. Plan for serial testing after the initial facility-wide testing to facilitate. Which of the following items is used to keep a specimen container from spilling during storage or transporting? Refrigerated specimens should be delivered to the lab as soon as possible, and may be rejected if not received within 24 hours of collection. This document describes considerations for performing facility-wide testing among nursing home residents and HCP. Waste, including sharps should be disposed of safely and appropriately. 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. Gloves must be changed between each patient, washing hands immediately after removing gloves. Because one cannot predict which patients will be more likely to bleed during phlebotomy procedures than the average, we believe that gloves must always be worn when performing vena punctures. Biohazard transport bag. Unobserved Collection: Allow the donor to enter and maintain privacy within the stall or partitioned area. Figure A–4 Site selection. The person who obtains the specimen should ensure: • The container is appropriate for the purpose. - melanin or homogentisic acid, levodopa, methyldopa. • After working a specimen with known or potential pathogens, immediately remove your gloves. The individual must be able to correctly self-swab and place the swab in transport media or sterile transport device and seal. For patients who develop a productive cough, sputum can be collected and tested when available for SARS-CoV-2. After specimen collection is completed, all protective materials worn by the specimen collector (gloves, mask, gown, etc.) Laboratories that can quickly process large numbers of tests with rapid reporting of results (e.g., within 48 hours) should be selected for facility-wide testing intended to inform infection prevention initiatives to prevent and limit transmission. First names may be used with the permission of the patient. 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. HCP who are handling specimens, but are not directly involved in collection (e.g., self-collection) and not working within 6 feet of the individual being tested, should follow, Surfaces within 6 feet of where specimen collection was performed should be cleaned and disinfected using an Environmental Protection Agency-registered disinfectant from, Terminal cleaning and disinfection of all surfaces and equipment in the specimen collection area should take place at the end of each day. PPE use can be minimized through self-collection while HCP remain at least 6 feet away of the individual being swabbed. 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. Patient Testing Specimen Handling Follow Universal Precautions when handling specimens. Face Shield Disposable Gloves Gloves must be changed … Equipment. Hands should be washed before putting on gloves, after removal of gloves and in between each patient collection. 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). Gloves must not be contaminated with urine, vaginal discharge, or other body fluids that may contain blood. Consider having each person bring their own prefilled specimen bag containing a swab and labeled sterile viral transport media container into the testing area from the check-in area. If immediate transportation is not possible, it is important to consult local guidelines about storage of specimens. Collecting an MSU After testing dispose of the test strip, throat swab, and extraction tube following proper laboratory practices. To prevent needlestick injuries, the use of safety needles is required. A single pair of gloves and a gown should also be worn for specimen collection or if contact with contaminated surfaces is anticipated. After swabbing center of wound site, grasp collection tube by holding it w/paper towel. Normal: pale yellow, yellow, dark yellow, and amber. Write. An OSHA approved TB respirator must be worn for known or suspected cases of TB. 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 … If an infection control assessment has not already been performed, include an evaluation of IPC practices while conducting facility-wide testing. Gloves should be changed and hand hygiene performed between each person being swabbed. 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. Gloves should be worn while obtaining and testing the specimen. After swabbing center of wound site, grasp collection tube by holding it w/paper towel. Gloves must be removed when contaminated by splashing 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. 7 COVID-19 Additional Precautions Staff involved in patient assessment should immediately initiate their own PPE. SPECIMEN 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 . •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. Nursing homes should maintain records of HCP and residents who have positive tests; those records can facilitate reporting aggregate data into the. How should a routine urine specimen be collected from an ambulatory patient? - bacterial infections, including urinary tract infection by, Pseudomonas species and intestinal tract infections resulting in increased urinary. 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. Venipuncture arm/hand. Specimens should be shipped with refrigerant to maintain 2°–8°C to the designated LRN laboratory. Wash hands 13. Gloves should be worn when handling human samples. Face shields should be used when there is a potential risk of aerosols or splashing of biological material. Needles must not be recapped, purposely bent, cut, broken, or otherwise manipulated by hand. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. The number of people present during specimen collection should be limited to only those essential for care and procedure support. Face Shield Disposable Gloves Gloves must be changed … Freshly voided urine: faint aromatic odor. Waste, including sharps should be disposed of safely and appropriately. II. 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. 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). Back to top. PLAY. Gloves are to be worn during all phlebotomies and changed between collections. PPE (gloves, apron, and safety glasses) should be worn when cleaning up a spilled sample from someone else, and all cuts, abrasions, etc. Have clean test tube or culture tube on clean paper towel. Specimen collection: 1. Match. 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. gloves, gown and surgical mask. Health departments should develop a systematic method to receive testing results from laboratories and nursing homes. For 3 days prior to and during the collection period Vitamin C and red meats should be avoided. 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. Hands should be washed before putting on gloves, after removal of gloves and in between each patient collection. 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. Always wear gloves when handling specimens. Needles should be disposed of in an appropriate sharps container. Introducing Textbook Solutions. Wash hands immediately after removing gloves. Specimen collection from suspected cases of smallpox should be conducted by personnel who have been successfully vaccinated against smallpox within the past 3 years. 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. URINALYSIS SPECIMEN COLLECTION • Gloves should be worn at all times when in contact with the specimen. Clean disposable gloves are recommended for all specimen collections. A specimen is a sample of body fluid, e.g. Unobserved Collection: Allow the donor to enter and maintain privacy within the stall or partitioned area. This document is intended for health departments and nursing homes conducting viral testing for current infection, such as reverse-transcriptase polymerase chain reaction (RT-PCR). Infection Control Precautions and Hand Hygiene are important when collecting specimens. phenol derivatives, and metronidazole (Flagyl). consist of chemical-impregnated absorbent pads attached to a plastic strip. If a nursing home identifies positive residents and is unable to cohort, health departments and nursing homes should decide whether it is feasible to move residents to another designated facility. A nursing assistant needs to collect a urine sample from her patient. Capillary puncture of the heel. 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). SPECIMEN COLLECTION . Testing should be carried out in a way that protects confidentiality to the extent possible and is consistent with applicable laws and regulations. For specimen collection, when should gloves be worn? The facility point of contact should be trained on how to collect and submit such data to ensure consistency across nursing homes. Handle all specimens as if they are capable of transmitting disease. Specimen Collection Techniques: Wound Specimen:|Clean the site w/ sterile water or aline prior to wound specimen 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 . Double-gloving (as well as aprons, face masks, and eye protection) is recommended for known infectious cases or for bloody specimens. When employers become aware of cases, the Recordkeeping and Reporting Occupational Injuries and Illness standard (. Figure A–5 Venipuncture needle placement at insertion. 1. Testing should not supersede implementation of. These specimens should be handled as if they are positive for hepatitis B virus, human immunodeficiency virus (HIV), or any other blood borne pathogen. Specimens should be transported in a Those swabbed should have a face mask or cloth cover in place for source control throughout the process, only removing it during swabbing. Using a specimen pan. Gloves are to be worn during all phlebotomies and changed between collections. The heel-stick is always the preferred method for collection of the newborn screening. Ideally, one laboratory should be selected to process specimens from both HCP and residents to facilitate data collection and analysis. gloves and aprons) should always be worn when collecting/handling blood, body fluids and tissue specimens/samples. Gravity. An outdoor location, weather permitting, where other individuals will not come near the specimen collection activity. Back to top. Gloves should be worn at all times when in contact with the specimen. Test. SPECIM EN COLLECTION. The heel-stick is always the preferred method for collection of the newborn screening. Gloves must be worn when collecting specimens. urine, faeces. on his or her hands. Testing lower respiratory tract specimens is also an option. 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. Flashcards. Collecting an MSU The facility’s HCP may need to be trained to collect specimens correctly. To provide guidance for laboratory workers on collecting, transporting and submitting specimens for Ebola virus testing. Prioritize facilities based on the number of cases in the facility, community prevalence, or number of residents with recent healthcare exposures (e.g., recent hospitalization or receiving outpatient dialysis). It is true that gloves provide only minimal protection from needlesticks, but they provide excellent hand protection from a blood drop on a patient's arm. At regular intervals the correct procedures should be demonstrated by senior laboratory personnel. Specimen Collection Techniques: Wound Specimen:|Clean the site w/ sterile water or aline prior to wound specimen collection. Health departments should develop a strategy for prioritizing testing among nursing home residents and healthcare personnel (HCP), depending on resources and goals. Which of the following is NOT true? jennifertucker. Gloves should be worn when handling human samples. refrigerated or have an appropriate chemical preservative added. Clean disposable gloves are recommended for all specimen collections. 7 COVID-19 Additional Precautions Staff involved in patient assessment should immediately initiate their own PPE. If clinical examination is required, full contact and droplet precautions should be observed as described above. Gloves must always be used for specimen collection … With this, nurses should be knowledgeable enough about the hospital’s policy and procedures for specimen collection. Specimen collection should be performed by health ... (PPE) should be worn at all times when collecting a respiratory specimen. Have clean test tube or culture tube on clean paper towel. Gloves should be worn for personal safety. Explain procedure to patient. These contaminated gloves are handling plate after plate, and then those plates are placed into the incubators. The same gown may be worn for swabbing more than one person provided the HCP collecting the test minimizes contact with the person being swabbed. SUPPLIES Do not touch anything else in the room (e.g., the … For 3 days prior to and during the collection period Vitamin C and red meats should be avoided. Patient Preparation and Specimen Collection: Figure A–1 Site selection. Establish policies to, Determine how testing might be used to inform discontinuation of. Equipment. If a facility is uncertain about their ability to cohort, then the facility should work with local authorities to identify infection prevention and control solutions based on test results. Place used needles and other sharp … 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. By heating it with a Bunsen burner. Delay If there is leakage or an inappropriate container is used,the specimen should be rejected as it will Visitors or other bystanders should not be present for specimen collection. Eyewear, masks, and gowns should also be worn if splashing or spraying is likely. Face shields should be used when there is a potential risk of aerosols or splashing of biological material. 5. URINALYSIS SPECIMEN COLLECTION • Gloves should be worn at all times when in contact with the specimen. Always wear gloves when handling specimens. 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. 3. 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. Specimen collection should only be performed by personnel who have been trained and have demonstrated competency in the procedure to be performed. Ensure patient privacy 3. 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. of the task. should be covered. Get step-by-step explanations, verified by experts. Consider having an observer who does not engage in specimen collection but monitors for breaches in PPE use throughout the specimen collection process. The Bloodborne Pathogens standard states, “Gloves shall be worn when it can be reasonably anticipated that the employee may have hand contact with blood … (and) when performing vascular access procedures.” (The one exception here is when collecting blood at a volunteer donor center, although gloves may be worn there as well.) SPECIM EN COLLECTION. Ensure results of initial testing inform cohorting approaches in nursing homes. Gloves must not be contaminated with urine, vaginal discharge, or other body fluids that may contain blood. Gowns should be changed when there is more than minimal contact with the person or their environment. Tourniquet 2. Appropriate personal protective equipment (e.g. 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. 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. 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. Specimen collection should be performed one at a time in each resident’s room with the door closed. Positive communications should begin by addressing the patient using proper titles such as Ms., Mrs., or Mr.; the use of inappropriate terms of endearment is a common patient complaint. 13.5.1.2. Collection and Handling - Newborn Screening Blood Specimen Collection of Newborn Blood Spot 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. So, if you have phlebotomists on your team, … 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. 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. Arterial arm/hand. Successful encounters with patients begin with a professional, respectful, and compassionate approach. For a limited time, find answers and explanations to over 1.2 million textbook exercises for FREE! 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. 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. A single pair of gloves and a gown should also be worn for specimen collection or if contact with contaminated surfaces is anticipated. 2. o Safety glasses and face shields can be worn during consecutive … Capillary puncture of the finger. 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