Lateral Flow Device testing (LFD) in care homes : Webinar pack...Item Slide Welcome - Lateral flow...
Transcript of Lateral Flow Device testing (LFD) in care homes : Webinar pack...Item Slide Welcome - Lateral flow...
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DRAFT | OFFICIAL - SENSITIVE
Test and Protect
Lateral Flow Device testing (LFD) in care homes :
Webinar pack
January 2021
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Contents
Item Slide
Welcome -
Lateral flow Device testing in care homes –
update January 2021 and Key points 3-4
What is a Lateral Flow Device Test (LFD)? 5
Overall service map 5
Testing supply, delivery and support 6
Learning and training resources 7-9
Carrying out LFD tests walkthrough 9-19
Current visiting guidance 20
Q&A, next steps & close 21
Current visiting guidance 22
This session will provide an overview of the Care Home Visitor testing pathway and
a forum to share key questions and any concerns about delivery
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Lateral flow Device testing in care homes – update January 2021
Dec 20 - LFDs introduced for designated visitors – currently
suspended in Level 4 restrictions
Jan 21 - SAGE scientific review – expansion of LFD testing
in care homes due to new COVID variant, recommended:
1. Continue with weekly PCR testing for all staff
2. Twice weekly LFD staff testing
3. Testing of professional visitors to care homes (mostly
through employers) LFDs
4. Outbreak management – testing staff for at least 7
consecutive days
6th Jan 2021 – 10,000 LFDs conducted in Care Homes in
Scotland
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Expanded LFD testing in care homes – Staff testing key points
Twice weekly staff testing (LFDs) - The first LFD test should be done on the
same day as the PCR. If the result is positive the member of staff should self-
isolate and await the PCR result to confirm second test.
Can be carried out by either the care home testing lead or the individual staff
member. (sensitivity decreases slightly when an individual is responsible for the
end to end self-testing process and recording of results but not in a way that
increases the risk substantially.)
Outbreak management – testing staff for at least 7 consecutive days
whole home outbreak management process triggered immediately if a +ve case
in resident or staff. Supervised by HPTs. Use home’s stocks of LFDs to do
simultaneous testing of all staff in addition to PCR. Residents LFD test may be
useful for a first suspected case pending PCR confirmation.
Any staff immediately identified as positive for COVID by LFD test must self-
isolate pending the PCR result. Any residents identified as positive must be
isolated and managed in line with the relevant guidance. Staff who initially test
negative should continue to be tested daily for at least 7 consecutive days
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What is a Lateral Flow Device Test (LFD)?
• A Lateral Flow Device Test (LFD) is a form of rapid testing to identify Covid-19
in individuals
• People undergoing lateral flow testing complete a throat and nasal swab and
insert this into an LFD device, which produces a result in 30 minutes
• The LFDs are small, meaning they are portable and can be distributed across
settings
• LFDs do not rely on labs for testing and offer faster testing for visitors
versus standard PCR testing
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Testing supply, delivery and support
Staff
Take Test
Enter Care
Home
Report
result –
confirmatory
PCR
Devices
and AssistOutcome
Positive
Negative
Dispose of
Used
Device
Used
Device
National
Device
Allocation
National
Distribution
Centre
Sykes
Global
Royal Mail
CourierCare Home
COVID Test
Portal
Booking
System
Devices
Devices
Order
More
Devices
Order
Lateral Flow
Tests
Guidance
Care Home
Address and
Device
Allocation
SG Stock
Prioritisation
& Allocation
LFT Support
and Helpline
NSS testing
portal
Record
result
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Training resources – NES TURAS Assisting care home visitors to test for COVID-19 using a Lateral Flow Device (LFD) | Turas | Learn (nhs.scot)
https://learn.nes.nhs.scot/40860/covid-19-diagnostic-swabbing-for-health-and-social-care-staff/assisting-care-home-visitors-to-test-for-covid-19-using-a-lateral-flow-device-lfd
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Care home visitor COVID-19 LFD testing learning materials
Guidance documentGuide for care-home staff assisting visitors to test for coronavirus using a Lateral Flow Device (LFD)
VideoLateral Flow Device: COVID-19 care home visitor testing
Competency assessmentLateral flow test : competency assessment framework
SlidesetUsing a Lateral Flow Device (LFD) to assist care home visitors test for COVID-19
PosterGuide for care-home staff assisting visitors to test for coronavirus using a Lateral Flow Device (LFD)
Visitor leafletInformation for people visiting care homes in Scotland
https://learn.nes.nhs.scot/40874https://vimeo.com/492239981/41aa04f941https://learn.nes.nhs.scot/41108/covid-19-diagnostic-swabbing-for-health-and-social-care-staff/assisting-care-home-visitors-to-test-for-covid-19-using-a-lateral-flow-device-lfd/care-home-visitor-covid-19-testing-learning-materials/lateral-flow-test-competency-assessment-frameworkhttps://learn.nes.nhs.scot/40873https://learn.nes.nhs.scot/41109https://learn.nes.nhs.scot/40872
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Lateral Flow DeviceCOVID-19 Care Home
staff testing
Using a Lateral Flow Device (LFD) to assist care home staff test for COVID-19
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Overview
Here is a quick checklist for how to use the COVID-19 LFD tests. It is really important that you follow these steps in the correct order.
Prepare the test area and unpack your equipment onto a clean and dry surface
Staff perform swab or self swab (throat then nasal swab) and process the sample and wait 30 minutes
Read the result
Report and record the result
Safely dispose of test equipment
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LFD Test Kit
Foil pouch
Sterilised swab
Extraction tube and cap
Test cartridge (device)
Extraction buffer bottle
Instruction leaflet
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Preparing to perform the test
Place the test cartridge on a clean
flat surface
Hold solution bottle vertically and dispense
6 drops only of test solution into the extraction tube
Place extraction tube in a small clean
container
6drops
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Taking the swab
Rub the fabric tip of the swab against
both tonsils (or where they would have
been). Swab for 10 seconds or 5
rotations
1010
Gently tilt the head back and insert
the swab to 2.5 cms into the nostril
and rotate the swab 10 seconds
seconds seconds
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Performing the test
Swirl the tip of the swab in the solution fluid whilst squeezing the
tube from the outside for ten seconds
Tightly place the cap on the extraction tube
Remove the swab from the extraction
tube and dispose into domestic rubbish bag
10secs
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Completing the test
Dispense two drops of the specimen solution vertically into the specimen well on
the device: marked S
Set a timer for 30 minutes
2drops
specimen well
30mins
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Results
Negative InvalidPositive
If your test result is negative you should not regard yourself as free from infection –the test could be a false negative – you may also go on to acquire the virus in the period before the next test. You should remain vigilant to the development of symptoms that could be due to COVID-19.
Please note:
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Reporting the results
If the test result is positive you must take a confirmatory PCR test following Scottish Government guidelines and then leave the care home and go straight home and self-isolate.
If the test result is negative:
Proceed to work in the care home ensuring that IPC measures are adhered to.
If the test result is invalid:
Repeat the test with a new test kit.
Results should be recorded using the NHS Scotland COVID Testing and Registration System by the care home member. COVID Testing Portal (service-now.com)
Care Home Visitor Test Results recording sheet (Excel file) can be completed by the Care Home Staff where there are problems with the Testing and Registration system or internet failure.
https://nhsnsstest.service-now.com/covidtesting?id=test_home
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Disposal advice may be subject to change based upon future waste disposal guidance.
Disposing of your test
Carefully dispose of the test device and equipment and then wash your hands using warm water and soap.
Do not dispose of in clinical waste (yellow or orange bags)
For detailed advice on waste disposal of test kits, please refer to the Care Home Guidance for Designated Visitor Testing on the Scottish Government website:
Coronavirus (COVID-19): adult care home visitor testing guidance
https://www.gov.scot/publications/coronavirus-covid-19-adult-care-home-visitor-testing-guidance
https://www.gov.scot/publications/coronavirus-covid-19-adult-care-home-visitor-testing-guidance
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Further Information
The manufacturer’s instructions for use (IFU) are included in the
box and are detailed and very technical. These do not need to be
followed as Care Homes will use the test in a slightly different
way, which has been agreed with experts, discussed with the
Medicines and Healthcare Regulatory Authority (MHRA) and the
manufacturer has been informed.
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Visiting – Current guidance
• Mainland Scotland level 4: At level 4, visiting is limited to essential indoor , window and garden visits only. In exceptional circumstances Directors of Public Health may allow limited indoor visiting in some homes where it is safe.
• Island Boards Levels 3 continue with current guidance, a combination of: • Essential visits
• Indoor visits with one designated person for up to four hours once a week.
• Garden visits with a maximum of 6 people from no more than 2 different households 60 minutes once a week.
• Window visits
• Testing: indoor visitors
• What is an essential visitor?
• Essential visits include circumstances where it is clear that the person’s health and wellbeing is changing for the worse, where visiting may help with communication difficulties, to ease significant personal stress or other pressing circumstance.
• It is vital that these are generously and sympathetically supported by care homes.
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• Complete available training
• Read the materials pack that we have provided for
reminders as and when you need them
• Receive initial delivery of Lateral Flow Tests stock
• Share your feedback with us
• Liaise with oversight team / Health Protection team
• Feedback sessions to share updates and learning
• Monitoring & evaluation of roll out
• Care home working group feedback with representatives
Q&A, next steps and close
What next nationally?
What you need to do next:
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Next steps and close
Thank you for your time today
• Do you have any questions about what was discussed
today?
• Any concerns or problems you can foresee?
Questions