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Establishing an Emergency Team for Covid19 Diagnosis - Coggle Diagram
Establishing an Emergency Team for Covid19 Diagnosis
Introduction on Covid19
caused by SARS-CoV-2
1st identified in Wuhan, China & HUbei province (Dec2019)
public health emergency of international concern (WHO): 30 Jan 2020
pandemic: 11 March 2020
latest (Nov, 2022): Subvarian Omicron XBB
C. Processes involved
Samples collection
location for site setup
daily setting up
registration process (SOP)
PIC for swab process
samples collection
storage and transportation
Unboxing and registration
Unboxing
human resource
equipment needed (BSC)
bottleneck
time conc=suming
tedious wo
registration software
SIMKA
UMBI excel
liaise with PKD
problematic sample
wrong labelling
RNA Isolation
kits
availabity
high troughput
time
pro and cons
RT-PCR
SOP and method
WHO
number of staff
test controls
RTK vs PCR
troubleshooting
reporting to PKD
interpretation
instruments and kits used
sensitivity
robustness
specificity
Reporting
SIMKA
Liaise with MOH
Strategies to overcome
early identification and timely medical intervention
to prevent rapid spread of the virus
precision medicine approach
to confirm diagnosis with lab methods
to control the spread of the virus
better allocation of hospital resources
identification of the patient
individual case in cluster outbreak
suspected positive healthcare worker.
home surveillance order
for patient that shows clinical symptom within 10 days of exposure.
get vaccination
involve everyone esp high risk individual
increase awareness
to change of behavior
sosial distancing
avoid touching each other (handshake)
stay at home
increase personal hygiene
always wear mask (PPE)
A. Establish a team
identify team members
involve all related personnel
divided to 2 general team
higher administration process
Liaise with MOH
interdisciplinary information transfer
discussion with higher authorities
budgetary
documentation, payment
procurement (equipment/ reagent)
SOP development
technical team
laboratory design - setting up laboratories
laboratory work
JKKP
assist in an event of positive cases
sanitizing the lab
How it started?
appointed by MESTECC
30 March 2020
aims
to assist MOH in Covid19 service (2020-2021)
to generate income for UMBI
total sample August 2021
about 40,000 sample
target market
industry
corporate sector
B. Setting up the lab
done by technical team
perform detailed planning of the lab
location
equipment needed and the number
human resources
SOP including the bottleneck
kit and reagent
process involved
Safety of the lab
laboratory SOP
laboratory PPE for health personnel
donning and doffing techniques
Proper training of the staff
Training
Competency
D. Major issues
Contamination
in Negative controls
lead to
inconclusive/ invalid result
in-concordance result across lab
Troubleshooting
De-contamination
Before preparing reagent
after sample loading
before leaving lab
Turn-around time
Sample arrived late
From swab site
Budget
2020 (Budget from MOH)
For public used
2021 (No budget from MOH)
dt less sample form MOH
Start charging for the services
Staffing
need staff rotation
avoid burn-out
provide needs
Food
resting area
E. Challenges
Shortage of kit, consumables and PPE
Communication aspect
Lab Manager
PIC of each process