Emergency Preparedness

Appendix H.5 – HID

Kern Medical Emergency Preparedness

Ebola Real-Time RT-PCR (Sendout)

o Performed in-house:

Complete Blood Count (CBC) Basic Metabolic Panel (BMP)

Liver Function Test (LFT) UA w/o microscopic (UA) Arterial Blood Gas Critical Care Panel (ABG) BionaxNOW Malaria Kit BD Directigen EZ Influenza A+B

 Specimen Collection:

 General Guidelines o NO SPECIMENS ARE TO BE SENT DIRECTLY TO THE

LABORATORY FOR ANY SUSPECTED OR CONFIRMED EVD PATIENTS. o Specimen collections for patients suspected of EVD or HID infections will be only performed by designated Physician or Nursing personnel inside of the designated EBV patient room in the Direct Observation Unit. o Contact and Droplet precautions are to be utilized, and specimen collection personnel are to adhere to Ebola/HID PPE requirements. o No specimen collections for suspected EVD patients will be performed by Laboratory phlebotomy staff. o Designated laboratory personnel will bring the required transport supplies directly to the designated EVP patient room in DOU (room 2436). o All phlebotomy procedures will be followed as usual, including donning of PPE, patient identification and phlebotomy, and then removal of PPE. There should always be a second health care provider available to assist the staff member collecting specimens. o Limit the use of sharps, and use only plastic vacutainer tubes for all blood specimens. o Following specimen collection and prior to labeling, liberally disinfect all sample tubes and containers with a hospital approved disinfectant (e.g. CaviCide or PDI Super Sani-Cloth Germicidal Disposable wipes). Remove any blood residues from outside of tubes. o All specimens must be properly labeled with patient name, MRN, DOB, date and time of collection and ID of the person collecting the samples. o Completed manual requisitions for tests to be performed should be given to Lab testing personnel prior to specimen transport. Requisitions should be completed by physician or nursing personnel who are not directly attending to EVD patient to avoid possible contamination of requisition paperwork.

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