A guide for healthcare staff self-testing for coronavirus using a Lateral Flow Device (LFD) - This guide will help you remain well at work and ...
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A guide for healthcare
staff self-testing for
coronavirus using a
Lateral Flow Device (LFD)
This guide will help you remain well at work and keep your patients safe.
This test is suitable for healthcare workers.
1About
Before this
you test
startkit
government’s
This test is part of the HSC’s Read
response response
the instructions to the pandemic
carefully.
to the pandemic and its
Taking and its feel a little
thecommitment
test may
uncomfortable and unusual for most people.
commitment
to controllingto controlling
infection and infection
supporting and supporting
our healthcareour healthcare
staff. staff. Please
Please follow this
follow this information
information leaflet that leaflet
has You that
been hasa demonstration
been specifically
canspecifically
see designed
of howtodesigned
support
to to
testsupport
take thethis, rather
by watching
this, rather than the this video: https://learninghub.nhs.uk/self-swab
technical instructions that are
than the technical instructions that are included in included
the box from in thethebox from the
original
original manufacturer.
manufacturer.
Wash your hands thoroughly for 20 seconds, using soap and
warm water. This is so that you do not contaminate the test kit.
Overview
Overview
Now dry your hands.
Here is a quick checklist for how toClean
use the COVID-19
and LFDsurface,
dry a flat tests. It where
is really you
important that the
will take you test.
follow
these steps in the correct order. Unpack the sealed test equipment for one test and place onto the
clean flat surface.
You should test yourself twice a week, every 3 to 4 days, to fit your shift pattern – for example, every
Monday and Thursday or Wednesday and Sunday.
Check your contents. Ensure that the test device (called ‘antigen test cartridge’), swab and
• Prepare your test area and unpack your equipment
extraction solution are not damaged, broken or out of date. Use the test kit checklist to make
•sure you
Takehave
youreverything.
swab sampleUse(nasal
a clean, oneonly)
swab inch deep lid or other small container (e.g. clean egg cup)
to keep the extraction tube upright and prevent spillage.
• Process your sample and wait 30 minutes
• Read your result
Nozzle cap Extraction Swab, inside
• Report your result buffer bottle sealed wrapper
• Safely dispose of test equipment
Extraction tube Rapid test strip
Remember, store
Remember, storethe
thetest
testkitkit
atat
room
roomtemperature
temperature– not in direct
– not sunlight
in direct and and
sunlight not
in a in
not fridge or freezer.
a fridge KeepKeep
or freezer. the test
thekit away
test from children.
kit away from children.
Make a note of the lot number on the Record of Testing sheet at the back of this
! If
If you
you receive
receive
instruction aa positive
guide.positive
You cantest,
test,you
find themust
you must
lot immediately
on thereport
immediately
number the
report
outer result
the
package oftothe
result your
todevice.
your
organisation,
organisation,either
eithervia
viayour
youroccupational
occupationalhealth
healthdepartment,
department, lineline
manager
manageror as
or as
per
per local
local guidelines.
guidelines.
You will be asked
Something to take a confirmatory PCR
damaged/broken/missing? test;have
If you youdifficulties
and your household should
using the kit, if
self-isolate according to public
HM health
Governmentguidelines until
Guidelines the
until result
the of that
result of test
that
something breaks or is damaged in use or if you have concerns about the performance is known.
test is known.
of
the test, report these issues to the NHS organisation that provided you with the kit. Any
If your PCR test is positive you DO NOT need to self-test using the LFD for 90 days, from
problems or concerns with this device can also be reported to MHRA
the date you became positive.
https://coronavirus-yellowcard.mhra.gov.uk/about
2
3Before you
Before you start
start
Read the
Read the instructions
instructions carefully.
carefully.Taking
Takingthe
thetest
testmay
mayfeel
feela alittle
little
uncomfortable and
uncomfortable and unusual
unusual for
for most
most people.
people.
You
You can
can see
see aa demonstration
demonstration of
of how
how to
to take
take the
the test
test by
by watching
watching
the video:
this video on this webpage: http://pha.site/LFDtest
https://learninghub.nhs.uk/self-swab
Wash your
Wash your hands thoroughly
thoroughlyfor for20
20seconds,
seconds,using
usingsoap
soapand and
warm water.
warm water. This
This isis so
so that
that you
you do
do not
not contaminate
contaminate the
the test
test kit.
kit.
Now dry
Now dry your
your hands.
hands.
Clean and
Clean and dry
dry aaflat
flat surface,
surface, where
where you
you will
willtake
takethe
thetest.
test.
Unpack
Unpack the
the sealed
sealed test
test equipment
equipment for
for one
one test
test and
and place
place onto
onto the
the
clean flat
clean flat surface.
surface.
Check your contents.
contents.Ensure
Ensurethat
thatthe test
the device
test (called
device ‘antigen
(called testtest
‘antigen cartridge’), swab
cartridge’), swabandand
extraction solution
extraction solutionare
arenot
notdamaged,
damaged,broken
broken oror
out of of
out date.
date. Use
Use thethe test
test kitkit checklist
checklist to to make
make
sure you have everything. Use a clean, one inch deep lid or other small container (e.g. clean egg cup)
to keep the extraction tube upright and prevent spillage.
Nozzle cap Extraction Swab, inside
buffer bottle sealed wrapper
Extraction tube Rapid test strip
Make aa note
note of the
the lot
lotnumber
numberon onthe
theRecord
RecordofofTesting sheet
Testing at at
sheet thethe
back of this
back of this
instruction guide.
instruction guide.You
Youcan
canfind
findthe
thelot
lotnumber
numberononthe
theouter
outerpackage
packageofofthe
thedevice.
device.
Something damaged/broken/missing?
Something damaged/broken/missing?IfIfyou youhave
havedifficulties
difficultiesusing
usingthe
thekit,
kit,ifif
something breaks or is damaged in use or if you have concerns about the performance of
of the
the test,
test, report
report these
these issues
issues to the
to the NHSHSC organisation
organisation thatthat provided
provided youyou with
with thethekit.kit.
Any
Any problems or concerns with this device can also be reported
problems or concerns with this device can also be reported to MHRA to MHRA
https://coronavirus-yellowcard.mhra.gov.uk/about
https://coronavirus-yellowcard.mhra.gov.uk/about
3Prepareyour
Prepare yourtest
test
1
blow your
Gently blow your nose
noseinto
intoaatissue
tissuetotoget
getridrid
of
excess
of mucus.
excess mucus.
Wash and dry dry your
your hands again (or use
use
2
sanitiser ififthis
sanitiser thisisisavailable).
available).
Check the
Check the swab
swab in in the
thesealed
sealedwrapper
wrapperininfront
front
3
of you. Identify the soft, fabric tip of the swab.
Soft tip Handle
Place the
Place the extraction
extraction tube
tubeininaasmall
smallcup
cuptotokeep
keep
4
it upright.
upright.
5 Unscrew the
the extraction
extractionbuffer
bufferpot.
pot.
6 6 Place 66 drops
Place drops only
only of
of the
the extraction
extractionbuffer
bufferinto
into
drops
the extraction
extractiontube.
tube.Try
Trytotoavoid
avoidtouching
touchingthe
the
tube with the bottle. Reseal the extraction buffer for
future use.use.
for future
4Take your
Before
Take swab
youswab
your sample
startsample
Read the instructions carefully. Taking the test may feel a little
uncomfortable and unusual for most people.
Open the package and gently take out the swab. Do
7 You can seenota touch
demonstration of end
the fabric howoftothe
takeswab.
the test by watching
this video: https://learninghub.nhs.uk/self-swab
Wash yourPuthands thoroughly
the swab for one
gently into 20 seconds, using
nostril, you maysoap
feeland
a
8 x10 warm water.
slight resistance (insert about 1.5cm or about halfkit.
This is so that you do not contaminate the test an
Now dry your hands.
inch). Roll the swab 10 times slowly along the inside
of the nostril. Remove the swab and repeat 10 times
in the other nostril.
Clean and dry a flat surface, where you will take the test.
Unpack the sealed test equipment for one test and place onto the
clean flat surface.
10 Now put the fabric end of the swab into the bottom
9 secs
of the extraction tube. Press the swab head against
the edge of the tube with force, while rotating the
Check your contents. Ensure that the testswab device (calledthe
around ‘antigen
tube fortest
10 cartridge’), swab and
seconds to squeeze as
extraction solution are not damaged, broken muchorfluid
outout as possible.
of date. Use the test kit checklist to make
sure you have everything. Use a clean, one inch deep lid or other small container (e.g. clean egg cup)
to keep the extraction tube upright and prevent spillage.
Take out the swab while squeezing the tube and
10
Nozzle cap fabric end of the swab. Place the swabSwab,
Extraction back inside
into
thebuffer
wrapper and
bottle dispose of it at home in your
sealed wrapper
household rubbish bin.
Extraction tube Press the nozzle
Rapid cap tightly on to the tube to avoid
test strip
11
any leaks.
2 Turn the tube upside down and lightly squeeze two
12 a note of the lot number ondrops
Makedrops onto the
the Record of specimen well.at the back of this
Testing sheet
instruction guide. You can find the lot number on the outer package of the device.
Specimen well
Something damaged/broken/missing? If you have difficulties using the kit, if
something breaks or is damaged in use or ifthe
Place youRapid
have concerns
Test Stripabout
on a the
flat performance
surface for 30of
13 30report these issues to the NHS
the test, organisation that provided you with the kit. Any
min minutes. Set a clock, timer, or watch and wait 30
problems or concerns with this deviceminutes
can alsotoberead
reported to MHRA
the results. Do not read your results
https://coronavirus-yellowcard.mhra.gov.uk/about
until the 30 minute mark.
3
5Reading yourresults
Reading your results
Leave your test for the full development time to get an accurate result. Do not
read your results until 30 minutes. IfIfthe
30 minutes. thetest
testdevice
deviceisisleft
leftto
todevelop
developlonger
longeryou
you
may receive a false positive result and you will need to repeat the test.
Positive
Positiveresult
result
Two lines – even faint lines – indicate the test is positive.
Negative
Negative result
result
This indicates the test is negative.
Invalid
Invalid result
result
The test has failed and should be retaken.
Reporting your
Reporting your results
results
! If your
If your test
testresult
resultisispositive
positive
You must
You mustimmediately
immediatelyreport
reportyour positive
your positivetesttest
results to your
results organisation
to your – either
organisation –
via your occupational health department, line manager or as per local
either via your occupational health department, line manager or as per local guidelines.
Your HSC organisation
guidelines. will provide you
Your NHS organisation will with information
provide you with oninformation
where you need to go to
on where
have a confirmatory PCR test.
you need to go to have a confirmatory PCR test.
Until the results
You must of this
also record test
your are known,
positive you and
test results your
via the household
portal at: should self-isolate
according to HM Government Guidelines.
https://www.gov.uk/report-covid19-result
If your PCR test is positive you DO NOT need to self-test using the LFD for 90 days, from
the date you became positive.
You result
If your test must also record your
is negative: positive
Record thetest results on via
information thethe
report sheet
portal at:at the end of this document.
https://www.gov.uk/report-covid19-result If you have coronavirus (COVID-19) symptoms please
refer to PHA guidance online www.pha.site/coronavirus as this test may miss some positive cases.
If your test result is negative: Record the information on the report sheet at the end of this
document
If your testorresult
one provided
is invalid:byRecord
your organisation.
the informationIf you
viahave coronavirus
the portal at: (COVID-19) symptoms please
refer NHS guidance online nhs.uk/conditions/coronavirus-COVID-19
https://www.gov.uk/report-covid19-result Repeat the test with a new testaskit.
to this test may miss some
positive cases.
If your test result is invalid: Record the information on the report sheet at the end of this document
or one provided by your organisation. Repeat the test with a new test kit.
6Disposing of your
your test
test
Carefully dispose of the test device and equipment in your household rubbish.
Disposal advice may be subject to change based upon future waste disposal guidance.
Need more
Need morehelp?
help?
contact
If you need more help using the LFD test kit or can’t the NHS organisation
perform thatthe
the test contact
HSC organisation
provided you withthat provided
the test kit. you with the test kit.
If you can’t perform the test you should contact your NHS organisation’s helpline.
Coronavirus guidance and help: If you have coronavirus (COVID-19) symptoms or
have contracted coronavirus (COVID-19), please refer to PHA guidance online
www.pha.site/coronavirus
Coronavirus guidance and help: If you have coronavirus (COVID-19) symptoms or
have contracted coronavirus (COVID-19), please refer to NHS guidance online nhs.uk/
You can check your symptoms using either the COVIDCareNI app, available at
conditions/coronavirus-COVID-19
https://covid-19.hscni.net/covidcare-ni-mobile-app/ or the online symptom checker
If
atyou have symptoms of coronavirus (COVID-19) and your condition gets worse, or you
https://check.covid-19.hscni.net/SymptomChecker/Introduction
do not get better after 7 days, use the NHS 111 online coronavirus service, 111.nhs.uk.
have
If you do symptoms
not of coronavirus
have internet (COVID-19)
access, call NHS 111. and
For ayour condition
medical gets worse,
emergency or you
dial 999.
do not get better after 7 days, you can ring NHS 111 for information or advice and they
Do
will not
helpdelay getting
you decide help
if you if you
need are worried.
to contact your GP.Trust
For ayour instincts.
medical emergency dial 999.
Do not delay getting help if you are worried. Trust your instincts.
We are working with NHS Test and Trace to collect safety and performance data during
the roll out of COVID-19 testing initiatives. Problems with this device can be reported
directly to MHRA https://coronavirus-yellowcard.mhra.gov.uk/
We are collecting safety and performance data during the roll out of COVID-19 testing
initiatives. Problems with this device can be reported directly to MHRA
https://coronavirus-yellowcard.mhra.gov.uk/
This leaflet was adapted for Northern Ireland with permission from Health
Education England.
7Record of reporting
Statutory testing sheet
Your results should be reported via the portal at: https://www.gov.uk/report-covid19-result -
Record of testing sheet
however you may also find it useful to keep a record of them here.
Name:
Name: Job Role:
Staff
Staff number
number(if(ifknown):
known): Gender:
Gender: Date of
of birth:
Birth:
Department
Department// Ward:
Ward: Home
Home Postcode:
Postcode:
If invalid confirma- Comments (e.g.
Result (recorded tion that a repeat problems or
Date of test/s Time test Lot number of as positive, nega- test has been performance in use
performed performed test strip tive and invalid) performed of device)
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