Standardized procedure for broad-based testing for SARS-CoV-2 in congregate settings: Considerations for health departments and healthcare providers


Temperature check and consent form
2–3 people working in parallel
Gloves, facemask if >6 feet away from person being tested2


  • Instruct the individual to sanitize hands and offer a facemask or cloth face covering (if not already wearing one and there are no contraindications)

  • Check and record temperature on interview form or electronic record

  • Add date, location, and other details to interview form

  • Hand consent and interview form to participant





Registration, consent form, and test kit labeling
2–3 teams of 2 people (registrar and labeler); roles can be combined if fewer staff and/or individuals to be tested
Gloves, facemask if >6 feet away from person being tested2


  • Collect signed consent forms

  • Enter first and last name (with spelling), date of birth, and contact phone number or email address onto documents and/or electronic record

  • Write date, first and last name, date of birth, specimen type (e.g., NP, NS, OP) on label

  • Attach sticker label to the specimen collection vial

  • Hand bag with specimen vial to participant and direct participant to interview station

  • Clean and disinfect clipboards and pens between participants





Interview and symptom screening
5-6 people
Gloves, facemask if >6 feet away from person being tested2


  • Complete the form or electronic record with the participant following the script

  • Keep the form and direct the participant to testing station

  • Clean and disinfect participant side of table following each interview





Guide
1–2 people
Gloves, facemask if >6 feet away from person being tested2
Help direct participants between stations


Floater
1 person
Gloves, facemask if >6 feet away from person being tested2
Troubleshoot issues that arise for any of the stations


Testing
2-3 teams of 3 people each




Bagger
3 people
Gloves, facemask if >6 feet away from person being tested2


  • Stand just outside the testing station.

  • Receive bag with vial from participant; verify name and date of birth.

  • Remove specimen transport bag and hand vial and swab to snipper.

  • After specimen has been collected, hold specimen transport bag open for snipper to drop vial into the bag, ensuring the vial touches only the inside of the bag.

  • Holding the outside of the bag, double check that the vial is closed tightly

  • Seal the bag, removing as much excess air as possible


• Store vial and bag in cooler with frozen ice packs



  • Note: Specimens should be transferred from small coolers to refrigeration unit frequently to maintain temperature control





Swabber
3 people
Gown, respirator,3 eye protection,4 gloves
(after every participant, remove gloves, sanitize hands, and apply new gloves)


  • Hand tissue to participant and instruct them to blow their nose and deposit in biohazard (red) waste

  • Provide instructions and explain testing procedure

  • Take swab from snipper and collect specimen

  • Insert swab with specimen into vial

  • Instruct participant to sanitize hands and check out





Snipper
3 people
(if using a breakable swab, then 2-person teams are sufficient, i.e., combine snipper and swabber roles)
Gown, respirator,3 eye protection,4 gloves
(after every 4-5 participants, remove gloves, sanitize hands, and apply new gloves)


  • Take vial and swab from bagger and hand swab to swabber.

  • Cut swab after specimen has been collected

  • Replace the vial lid and ensure lid is sealed tightly

  • Drop vial into specimen transport bag held open by bagger

  • Clean scissors with alcohol wipe, leave scissor blades open to air dry

  • Clean space between tests





Specimen transporter
1 person (can be combined with floater if fewer staff and/or individuals to be tested)
Gloves, facemask if >6 feet away from person being tested2


  • Periodic collection of bagged specimens from testing stations to on-site refrigeration if available or larger cooler. Temperature control should be monitored.





Check out
1-2 people
Gloves, facemask if >6 feet away from person being tested2


  • Provide instructions on follow-up and how to get results




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