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Importance of Leadership & Management in Establishing Emergency Team…
Importance of Leadership & Management in Establishing Emergency Team for Covid-19 Diagnosis
(UMBI)
Proper
planning
:check: equipments
sufficient
:eyes: bottleneck that delay TAT;
1 BSC :red_cross: cater for :arrow_up:capacity sample
Add another BSC, :arrow_down: :timer_clock: consumption
Budgeting
esp selecting equipment affordable :check:
Sponsorship :check:
:green_cross: compromise efficiency & efficacy
test/workflow chart
sample collection :arrow_right:reporting
:+1: instruction, smoother execution of work
scheduling
alternate staff's work routine
staffs get sufficient resting period
staffs wellbeing = work productivity
sufficient staff
Team
:heavy_division_sign: into sub teams (Team A & Team B)
IT team :check:- ensure all software system:+1: (SIMKA)
expertise:check: - virology expert; share
knowledge
& :arrow_up: performance
Segregated roles & duties
; :arrow_up: work quality
Team A :arrow_right: Administration
:check:budget :check:SOP
Team B :arrow_right: Technical
:check: lab setting :check:processing
2 way
communication
- :green_cross: miscommunication :arrow_right: delay work
trained staffs :check:protocol :check:donning :check:doffing :check: commitment :check:patience
Selection of
suitable
methods & tools
:eyes: efficiency & efficacy of test kit - RT-PCR/RTK-Ag
generate rapid result :check:
specificity & sensitivity (>99%) :check:
simplicity- in terms of method :check:
robustness :check:
:arrow_up:availability from supplier
high-throughput :check:
easy method
to perform test- RNA isolation
SinglePlex :green_cross: MultiPlex :check: single tube;easy labelling
control test
&
interpretation
of test result
internal control (IC) each sample: :check: successful RNA extraction
inconclusive sample :arrow_right: repeat IC until :heavy_plus_sign: / :heavy_minus_sign: result
NTC :check: source of contamination
:
RNA
:check:CT value ; <30 :arrow_up: transmission risk
collaboration
external links imp
MyCRO- ascessing healthcare workers :check:adherence to prevention practices
NGO sponsoring labs with shortage of PPE/ reagents
run free test to refugees
organizing World DNA day :arrow_right:create awareness
:runner::skin-tone-5: through & optimizing labs & processing
:check: :heavy_division_sign: lab areas (unboxing, RNA isolation)
servicing equipments & labs
once a yr
change new reagent/water for RT-PCR
UV PCR hood & whole lab
:check:precautionary measure :heavy_plus_sign:ctrl :heavy_minus_sign:ctrl etc
challenges
shortage of test/extraction kit, PPE
late arrival of sample, :alarm_clock: consumed