COVID SAMPLE COLLECTION & DOCUMENTATION.pptx

It's a simple & easy presentation describe about Covid-19 sample collection procedure with the documentation steps. The slides are specially developed which implemented in world's largest refugee camp healthcare context (Rohingya) situated in Bangladesh, Cox's Bazar. Presentation is designed in the way to represent more graphical and practical guidance ,instead of less theoretical discussions.

1. COVID SAMPLE COLLECTION & DOCUMENTATION Presented By: JEWEL DAS GUPTHA

2. Paperwork DOCUMETATION Most Vital & Serious

3. Filling up the IEDCR Form

4. Unique Case ID Number have to be given for each New or Contact Patient in Ascending Order. ID: CXB384-0001 ID: CXB384-0002 ID: CXB384-0003 Use P revious sample ID Number for follow up patient diagnosis. Use P revious sample ID Number for follow up patient diagnosis. Mention FDMN or Host at top of the right corner Must fill up Camp, Block, FCN & Majhi Name for FDMN Patient & Current address or Working Organization details for Host Patient . Must Fill up the Mobile number for Host Patient & also for FDMN (If have) Fill up the Father’s Name or Caregiver name. Must fill up Confirm Case ID for Contact Patient Must Fill up the Mobile number for Host Patient & also for FDMN (If have) Must fill up Confirm Case ID for Contact Patient

5. Register Book ID Patient Name Age Sex Majhi Symptom Onset Collection Date 5+ <5 CXB384-0001 Jewel Das Gupta 30 Male Sukkor 31/05/2021 CXB3845602 Junan Chakma 72 Male Karim Ullah 31/05/2021

6. Filling up the Lab Log Form

7. SAMPLE COLLECTION Tricky in Every Step VTM Labeling Collection Storage

8. VTM (Viral Transport Medium) Contains Disposable Sampler Vial with individually wrapped Sterile Oropharyngeal & Nasopharyngeal Swab Stick Disposable Sampler Vial contains Phenol Solution which have antifungal & antibacterial property. VTM (Viral Transport Medium) Contains Disposable Sampler Vial with individually wrapped Sterile Oropharyngeal & Nasopharyngeal Swab Stick

9. Dispose VTM (Viral Transport Medium) - If expired - If Disposable sampler phenol solution turns Red to Yellow or pale.

10. As per IEDCR form ID: CXB384-_______ Patient Name & Age Use Permanent Marker and Label the Disposable sampler Vial same as Per IEDCR form - Label Patient Name & Age

11. Collection Techniques

12. Oropharyngeal Swabbing Ask the patient to open the Oral cavity as much as possible . First examine Patient Oral Cavity & If Patient Oral Pallet or Oropharynx can not be seen ask him to Stick out the tongue. If patient mouth full of betel nut ask him to wash his mouth thoroughly before collection . In case of unfavorable oral cavity conformation, a Tongue Depressor can be used for better exposure specially for Pediatric patient . While inserting the swab stick, avoid contact with the tongue, teeth, cheeks or side palate . After reaching the Oropharynx , Rub the swab on the Posterior wall means Oral palate for 5-10 seconds . Try to avoid touching the Epiglottis for prevent gagging.

13. Nasopharyngeal Swabbing Make sure that the patient is seated comfortably and sit at back straight fully , with the head tilted slightly backward as much as possible . Before inserting the stick Check the nasal nostrils use of examination light if there any N asal polyp or Obstruction. Gently insert the swab into the nostril about 2-3 cm depth for adult and 1 cm for pediatric patient, Lying down to the wall of nasal floor. In this way, the swab is expected to the between the septum and the inferior turbinate, as far as the nasopharynx . In case of resistance during the passage, try to Slightly correct the direction of the swab without forcing its pass. Once the nasopharyngeal posterior wall is reached, gently rotate the swab for 5 to 10  seconds to ensure optimal absorption of pharyngeal secretions. Finally , withdraw the swab upward direction and make sure not to touch the stick touching olfactory cleft.

14. Storage Refrigerator : Put the VTM Vial along with zipper bag in Vertical Position Cold Box : Put the sample vertically and Exactly middle in the position of Cold Box without touching the surface of ice pack . Check temperature logger Device at 2-8 degree Celsius before sending the sample via Cold box or storage in Refrigerator, .

15. Temperature Logger Device

16. What to Cross Check? Check given ID number same as IEDCR form, Register or Lab Log form Labeled in VTM Disposable Sampler Vial - Make sure Screw Lid of the Vial and Zip Lock Bag Closed Tightly. - Always check VTM Expiration and Color of Vial Solution Before Collection. Some Important Notes After Nasophayrygeal sample collection if patient nostrils starts bleeding just Tilt backward head of the patient and advise to take rest for 5-10 mins . After 5-10 mins if patient nostrils not became stop bleeding give nasal Peg & Immediately refer him for clinical management. - Collect only Nasopharygeal Swab from Death Patient.

17. No Cross Checked means Not Done Yet