Due to the Covid-19 pandemic it is now necessary to ensure that any child that is displaying potential signs and symptoms of Covid19 and requires admission to Royal Hospital for Children as well as any child undergoing either elective or emergent surgery is swabbed for Covid-19. This standard operating procedure outlines the process and timescales for this as well as establishing the roles and responsibilities of each staff group to ensure that samples are sent, received and processed by GRI West of Scotland Specialist Virology lab to achieve results within expected timeframe.
There is also a limited availability for POCT (point of care testing) to be carried out for Covid-19 swabs within RHC ED. The patients who are eligible for consideration of testing are 1) Patients requiring emergent admission to PICU 2) Consideration of Patient Placement eg 4BB usage/admission to green pathway areas for specialist nursing and medical care. 3) Patients requiring emergency theatre. 4) Patients where immediate result will significantly alter clinical management. Access to testing is via ED Co-Ordinator and requests should be via RHC Duty Manager – call 0141 451 5770 (85770)
The swab should be taken by healthcare professional in relevant department. ED will swab all children via their department who require admission and meet criteria according to current guidance.
Indication for COVID-19 virus sampling:
Any patient requiring admission to hospital for greater than 6 hours should be tested.
If the patient is admitted to a ward upstairs this test will be done in ED, if they are going to CDU aim to do the test in ED. Any interhospital transfer patients that are going direct to a ward will have their test done on the ward.
If the sample is done in ED this will be marked on a sticker placed at the top right-hand side of the ED card front cover and on the SBAR handover sheet.
All inpatients should be tested again at day 5. All patients undergoing continuing AGPs should be tested twice weekly.
Any patient who is going home but will return the following day for a surgical procedure should have a test in ED prior to discharge.
Elective admissions and patients undergoing routine testing will be swabbed by the relevant ward/department including pre-assessment as per SOP.
For emergency or urgent samples please alert the GRI lab that the sample is being requested. Within lab operating hours Monday-Friday 0800hrs-2300hrs or Saturday and Sunday 0800hrs-1800hrs, please email or phone the lab with the details below. For those samples outwith GRI lab normal working hours there needs to be a discussion between referring consultant and GRI virology consultant who will then decide whether on-call virologist will process swab out of hours. Please contact GRI virology consultant via switchboard:
Type of Sample: eg. ETA/Swab
Please follow above process and email patient details above, including additional information below:
This will allow samples to be sent overnight and the lab staff will prioritise these samples first thing the following morning. It does, however mean that these patients will be unable to be listed first thing on morning theatre lists.
All urgent/emergency samples that are being sent by Taxi/Courier should have the reference no. logged on the email to labs as well as quoted by the driver on arrival at GRI New Lister Building (NLB) labs along with stating delivery from RHC.
Mon-Fri 0800-1900 and Sat-Sun 0800-1800 The driver will deliver the swab/s to the 5th floor of the NLB, there are buzzers at the main front door and Wishaw St. entrance which will call staff to either allow driver access or greet driver. After 1700hrs the main front door is closed and the driver should buzz for entry via Wishaw St. Taxi driver should make lab staff aware that the swabs are from RHC and quote his reference no. There is a swab record sheet which will be filled in on arrival by lab staff. Lab staff should give the driver their name which is shared with RHC duty manager for local tracking reference purposes.
Outwith hours above the driver should deliver the swabs to the black wall mounted Drop Box (pictured below) at security entrance on Wishart Street (open 24hours) Postcode for satellite navigation is G31 2HT. See below link for map to entrance http://library.nhsggc.org.uk/mediaAssets/Virology/virology_map_drop_off_point_gri.pdf
Driver should enter under blue canopy. On right hand wall, before the security office is a black box, which is wall mounted, for urgent virology samples.
Once the swab has been taken it should be taken by local staff from ward/department to the QEUH lab building 1st Floor where a collection box is labelled for deposit of samples going to GRI.
The times for pickup from QEUH for delivery to GRI are as below:
|Monday – Friday||Saturday – Sunday|
Non urgent samples from ED only are uplifted locally by portering staff at 10am daily for routine testing at GRI.
Emergency or Urgent samples outwith transit times above, please contact pageholder 18502 to request Taxi to courier samples to GRI West of Scotland Specialist Virology Centre for processing.
Test results will NOT be phoned back to the referring department but will be available for viewing on Clinical Portal/SCI store and will usually be available within 24hours.
For urgent tests results can usually be viewed within 6-12hours of being received by the lab.
For emergency tests results can be available after 2hours depending on volume of POCT emergency tests received by the lab and you should check Clinical Portal/SCI store every 2 hours after test has been received by the lab till result achieved.
Last reviewed: 10 February 2021
Next review: 10 February 2022