Pre-Procedure COVID testing
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We are looking (in the future) updating our pre-procedure COVID testing.
Current plan to to COVID swab all patients 48-72 hours prior to their surgery day and run a PCR test.
Future plan could be to test at the latest 24 hour but more likely day of for only certain procedures. This would be accomplished by an Antigen test and not PCR.
if you could tell me your organization's current plan and any update you are thinking of this in the future.
My questions are:
Current plan to to COVID swab all patients 48-72 hours prior to their surgery day and run a PCR test.
Future plan could be to test at the latest 24 hour but more likely day of for only certain procedures. This would be accomplished by an Antigen test and not PCR.
if you could tell me your organization's current plan and any update you are thinking of this in the future.
My questions are:
- Antigen or PCR testing
- Does the Lab do the testing, pre-procedure department, clinic?
- Do you use a kit or instrument?
- Patient self swabbing or clinical staff collection?
Thank you. If you want me email me feel free.
Anastasia.Augustine@vmfh.org
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1. Either POC 'Molecular' instrument or PCR for surgery and procedure prep patients.
2. Our clinical labs do 100% testing for surgery/procedure workups.
3. Antigen kit going into place today for 'test to treat' only (back up to #1) so should not be used for surgery/procedure purposes.
All surgery/procedure collections are run on instruments in the lab.
4. No patient self-swabbing.
New to us is antigen testing but it's operationally only for 'test to treat' protocol just going into place. Urgent cares. Symptomatic only. Staff doing intake aren't collecting for surgery/pre-procedure in these Urgent Cares. That's the current plan.
We have 2 levels of of testing based on current %positivity in area This algorithm was designed by Laboratory Management, Infection Prevention, Surgical Services and our Executive Leadership.
< 5% - only patient's being admitted to the hospital are tested - 24 hours before surgery.
Thanks!