collection and shipment for cysticercosis/taeniasis...
TRANSCRIPT
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Collection and Shipment for Cysticercosis/Taeniasis Testing
Lucille Rayford, RN, MSN, AND,E.
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Objectives• Upon conclusion of this presentation, staff will
be able to:– Identify all material needed to collect a Taeniasis
specimen– Correctly perform a finger stick on a patient– Collect blood specimen using Nobuto filter paper
and micro centrifuge tubes– Correctly label, transport and store specimen
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Before Home visit• Review Referral • Verify Information• Schedule Home Visit• Prepare and pack equipment• Gather education material• Print temporary labels for each client
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Equipment NeededMicro centrifuge tubes Nobuto Filter PaperSharps containerDisposable Sheet/NapkinsLancetsGlovesAlcohol Swabs
Cotton BallsBand-AidsBiohazard bagsAppropriate lab request form Specimen labelsTrash bagHand sanitizerDetermine if a second staff member will be necessary prior to the visitEducational information
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Upon Arrival• Introduce yourself• Identify client (s)• Explain to parent (s) and/or client (s) the
reason for test• Complete Case History/Epi Form• Explain the procedure for obtaining the
specimen
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Dealing with a Child– Use eye to eye contact– Be sensitive to child’s wishes– Do not rush child– Get child involved– Tell the child in simple terms what you will be
doing
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Potential Complications When Dealing with Children
• Fear of strangers• Separation Anxiety• Limited language usage• Fear of pain
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Parent/Assistant Child Hold Technique
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Potential Complications When Dealing with Adults
• Fear of needles• Fear of blood• Fear of pain• Fainting
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Preparing for Procedure
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Preparing the Site
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Selecting a Site
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Cleanse the Area
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Finger stick
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Discard First Drop of Blood
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Obtaining Specimen
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Specimen Collection
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Specimen Collection
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Cover the Site
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Disposing of Lancet
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After Home Visit• Order labels via Sunquest
– Date/time of collection– Verify specimen labeled properly
• Label specimen• Take specimen to PH Lab pick up location
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CDC Patient History Form
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Transporting and Storage• Place specimen in Bio Hazardous bag with lab
requisition form.• Place specimen in cool place
– Specimens are stable at room temperature for up to seven (7) days
– Do not freeze the tubes
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Laboratory• Specimens will be picked up by
Public Health Lab.• PH lab will ship specimen to CDC.
Department of Public Health Lab.
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Responsibilities of PHN• Follow up on ACDC referral
– within 3 days • Provide client education and written
educational information– Disease transmission – Personal hygiene– Sanitary disposal of human excrement– Thoroughly cooking beef and pork
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Responsibilities of PHN• Complete Cysticercosis Case History Form• Collect specimen
– Household contacts– Sexual contacts
• Label specimen after each collection with temporary label
• Place order request in system• Label specimen and prepare for pick-up by PH
Lab
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PHN Responsibilities (cont)• Follow up on result (2-3 weeks)
– If positive, refer for treatment- PMD- Comprehensive Center
– Provide lab results to patient
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Questions ????