HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...

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HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
HPB ART Operations Playbook for Companies
              Updated 23 July 2021

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HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
Content of Playbook (For Companies)
1. Training Requirements to Support ESSS Testing Modalities
2. Infection Prevention and Control Guidelines for ESSS Model
3. Client Journey & ART Results Handling workflow
4. Exemption from FET-RRT Regime
5. Ground Operations & Recommended Site Layout Templates
6. Distribution Channels for Test Kits
7. Handling of Data & Result through Swab Registration System (SRS)
8. Support Channels

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HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
Training Requirements to Support ESSS Testing Modalities

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HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
Employer-led Supervised Self-Swab Training
               Course Duration: 4 hours synchronous learning over Zoom. Conducted by HMI Institute
Overview
• The supervisory training in ART swab is 4 hours in duration and conducted via Zoom
• First class commenced on 18 June 2021 and the cost is $0 between 18 June to 30 Sep for workers in mandated testing
  regime
• For workers in the non-mandatory test regime, the training cost can be found on HMI’s website
• Certificate of attendance will be issued one month after the course (refer to slide 14 for instructions on verification of
  training)
• Learners can conduct ART Supervision Duties immediately after completing this 4 hours synchronous course (3 time
  slots: 8am-12pm, 2pm-6pm & 6pm-10pm)

Course Evaluation
As this is only a Certificate of Attendance but not a competency based course, HMI will use quiz to evaluate the level of
understanding and reinforce the topics as required. There will be no formal assessment to be conducted

                                     Course Outline:      ART Self-Swab Supervisor Handout:

                                                           English:

                                                           Chinese:
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HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
Guidelines for Supervisors

Additional requirements
• Supervisors above 50 years old need to be fully vaccinated, i.e. received both vaccinations from our
  national vaccination programme and 14 days after last vaccine dose

Roles & Responsibilities of Site Supervisors
• Before commencing the swab process, supervisor need to ensure that workers:
   • Do not have any ARI symptoms
   • Do not have any nosebleed (past 24hrs), facial surgery (last 8 weeks), nasal surgery (last 4 weeks)
• Ensure IPC measures are observed (refer to slide 17)
• Ensure that self-swabbing and testing is done properly, e.g. through observation of the individuals
  performing the self-swab and testing.
• Ensure safe management measures (SMMs) are observed
• Attendance-taking and collection and documentation of results

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HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
Updated 2 July Registration Instructions for Supervisory Training in ART Self-Swab (Synchronous E-Learning)
  Registration instructions can be found on http://hmi-ihs.com/supervisory-training-in-art-self-swab/ (refer to the “How to register?” column on the right). User journey as follow:

     1                                          2                                    3                                                  4a

                                                                                                                                             Register with your particulars,
     Click “Public Catalogue” on                     Choose preferred timeslot             Choose training date and click                  company profile info, and create a
      direct registration page:                     (8am -12pm, 2pm - 6pm, or             “Register”. Registrations close 3                 profile. Please use a valid email
      https://lms.wizlearn.com/hmiinstitute-         6pm - 10pm) & English or            days before class commencement                     address as confirmation will be
     virtualcampus/Login/Login_hmiinstitute-
                virtualcampus.aspx                         Chinese class                 or when classes are fully booked.                    sent to that email address.

4b                                             4c                        5                              6

                                                                                                                                       Zoom link automatically sent to participant’s
                                                                                                                                        registered email address. Do note that this
                                                                                                                                                email is not a confirmation.
 When creating a participant account,
                                                 Do remember to
      select the most accurate job              select “Yes” under        Pre-reading materials                                          Confirmation emails will be automatically
   category that you belong to under              the “Company               can be accessed                                              sent when the minimum no. of learners
  the “Establishment” dropdown, e.g.               Sponsored”                 directly in your                                         required to open a class is achieved (30 pax).
  Masseurs should select “Masseurs”              dropdown if you                  account                                                Classes may be cancelled 1 day before &
 from the list of choices. If you do not        are sponsored for                                                                      participants asked to reschedule if there are
    see your industry, please select
                                                     training.                                                                            not enough learners to open up a class.
                “Others”.

HMI Hotline: 6253 3818                                                                                                                                                                  6
HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
Attendance Taking & Verification During Training
Please ensure your video is turned on during class and that you can be identified using this format: Full Name (Company Name).
                                Instructions on how to rename your Zoom account are as follow:

  1                                                    2                                    3
            1) After launching the
           Zoom meeting, click on
           the “Participants” icon
             at the bottom of the
                   window.
                                                        In the “Participants” list on the       Click “Rename” and input your
                                                        right side of the Zoom window,            full name (company name).
                                                        hover over your name and click             E.g. Tan Wei Ming (Koufu)
                                                                     “More”.

       4
                           Verification of
                          attendance for
                           Certificate of
                       Attendance, etc. will
                          be captured via
                        screenshot. Please
                         ensure your full
                         name (company
                        name) is accurate.
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HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
Qualified persons are exempted from supervisory training for Employer-led Supervised Self-Swab

  Who are considered qualified persons?

  A “qualified person” means an individual who —
  (a) is a legally qualified medical practitioner;
  (b) is a qualified nurse(1);
  (c) has, after obtaining any of the following qualifications, acquired at least 3 continuous years of practical experience
  in clinical laboratory work in Singapore:
        (i) a degree in Biomedical Science;
        (ii) a degree or diploma in Medical Laboratory Science; or
  (d) has undergone training conducted by a specified training provider, in each of the following:
        (i) to perform every type of regulated activity;
        (ii) to supervise the carrying out of every type of regulated activity;

  (1) “a   qualified nurse” means a registered nurse or an enrolled nurse within the meaning of the Nurses and Midwives
  Act
  (Cap. 209), who holds a valid practising certificate under that Act

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HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
Infection Prevention & Control Guidelines for ESSS Model

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HPB ART Operations Playbook for Companies - Updated 23 July 2021 - The National ...
Infection Prevention & Control Guidelines
Hand Hygiene                                             IPC Requirements for supervisors to note
                                                         •   Don face shield & surgical 3-ply face mask. For unvaccinated supervisors who are above 50
                                                             years old and where supervision cannot be carried out in a well-ventilated area with 3m
                                                             distancing from employee conducting self-swab, N-95 mask, gown, gloves of proper size,
                                                             face shield or goggles, and hair net (for individual with long hair) are still required.
                                                         •   Preferably to conduct self-swabs in an outdoor setting, or indoor with ample ventilation
                                                             (open windows/doors and fans). It is not ideal to have air-conditioning at swab location and
                                                             hence, air-conditioning to be switched off (where possible).
                                                         •   There should be minimal items at the swab stations.
                                                         •   The individual should wipe down the swab station before and after swabbing. The
                                                             supervisor/trained swabber should also ensure that the wipe down of each station is done
                                                             properly.
                                                         •   If company uses mirror (mounted or tabletop), it is not necessary to wipe down after every
                                                             client if the worker does not touch the mirror. It is also not necessary to change gloves or
                                                             do hand rub after every worker if supervisor does not touch any of the workers’ belongings
 • Wash your hands with soap and water (via the              or test consumables.

   8 simple steps)*                                      •   The swab area should be properly wiped down after each day’s testing operations. This
                                                             includes furniture/queue poles/physical barriers/partitions.
                                                         •   The flooring at swabbing zone should have a smooth surface, e.g. linoleum, vinyl finish,
                            OR                               concrete, hard flooring) to facilitate ease of cleaning, such as mopping. The use of carpeted
                                                             areas are strongly discouraged as it is difficult to clean and would have to be wet-
                                                             vacuumed/deep cleaned/removed and discarded after the end of the operations. If not
 • Rub hands with hand sanitiser for at least 30             possible, carpeted areas must be covered with a smooth finish surface.
   seconds                                               •   Test kits must be disposed of in closed bins, e.g. pedal bins) and waste must be then be
                                                             double-bagged and cable-tied before placing them at the disposal holding area (which must
*https://www.who.int/publications/i/item/9789240021280
                                                             be located away from human traffic and public access to prevent unintended exposure and
                                                             cross contamination)                                                                     10
Client Journey & ART Results Handling Workflow

                                                 11
Employer-led Supervised Self-Swab for Mandatory Sectors (10-15 mins)
    Green Zone       Yellow Zone      Red Zone

     1                                       2                                                     3

                                                                                                         When ready, client will            QR code for payment
         Client arrives                          Temperature screening and TT                           proceed for registration,            (For Community Quick Test
                                                 SafeEntry check-in done*                                verification of personal                    Centre)
                                                                                                              information**

                                   Client to leave and do not                      Test Kit to be tagged                    Client will be directed to the
                          6         need to wait for results.               5      and left at Result               4       supervised self-swab
                                   Be contactable via mobile                       table for 15 – 30mins                    ART station. Disinfect area
                                           for results#                            to analyse for results                   with alcohol wipes when self-
                                                                                                                            swab is completed

* If client has ARI-symptoms, on-ground staff to direct worker to nearest SASH-PHPC for ART-PCR swab test (as per workflow for ARI-patients)
** If client answers Yes to any of the following, employers can seek exemption requests (See Exemption from FET-RRT section) – (1) Any frequent nosebleeds?, (2) Any
operations on face or nose? (3) Any tumors or cancers of nose and throat?, (4) Any facial skull or fractures?
                                                                                                                                                                 12
# If AG+, the AG+ workflow in proceeding slides to kick-in
Workflow 1: AG+ Results Handling Workflow – Employer Supervised Self Swabs
                                                                            Client arrives at                                      Client should consult a doctor for
                                                                           location for swab               ARI Symptoms            medical treatment immediately.
                                                               No ARI Symptoms                               DETECTED              (per usual ARI workflow)

                                                                       Client undergoes swab
                                                                          & waits for results

                                                                                                            2nd ART swab is invalid1               AG+ (Positive)
                AG- (Negative)                                                  AG Invalid                                                For swab at SASH-PHPCs, clients/employers
                                                                                                                               No ARI      MUST call to make an appointment prior.    ARI Symptoms
                                                                                                                             Symptoms                                                   DETECTED
            Client proceeds to work                                                                             Employer uploads clients’ results into SRS2 &            Employer arranges CMTG
                                                                                                                arranges private transport3 to SASH PHPC or              conveyance4 to SIF for
                                                                                                                QTCs for confirmatory PCR test                           isolation and
                 For mandatory sectors only:                                                                    Client to present the following to SASH PHPC             confirmatory PCR test
          Employer/Supervisor/ Client submits results of                                                        Clinic for verification:
                 all tests administered to SRS.                                                                 1) NRIC; and
         Submission Timeline: (1) AG+ to be submitted                                                           2) ART Results SMS2 OR Referral note (signed
                                                                                        PCR-                        by employer)
         within 30 mins, (2) All other results to be
         submitted by end of testing day
                                                                                                                       Client to self-isolate at home until PCR results return.
                                         Public Health Actions commence
                                                                                                                       • If client is unable to self isolate at own place of residence,
                                           (conveyance to Hospital/CCF,                   PCR+                             SASH PHPC to help arrange for CMTG conveyance to SIF
                                               contact tracing, etc.)
1 Only clients with two AG invalid results would be treated as AG+.
                                                                                                                       • If client is found to be symptomatic, SASH PHPC will provide
2 ART Results SMS is sent by system once individual’s results have been uploaded into SRS. Only available for              consultation & treatment (if necessary), and arrange for
mandatory sectors onboarded onto SRS.
                                                                                                                           CMTG conveyance if individual is AG+. Payment will be based
3 To be conveyed via a private transport (e.g. car / taxi) with windows wind down.                                         on prevailing patient payables & subsidies (e.g. Flu Subsidy
4 Case Management Task Group (CMTG) can be contacted at 6435-4060 to help arrange for conveyance of the                    Scheme)5
individual to a Swab Isolation Facility (SIF)                                                                                                                                          13
5 For clarity, individuals who are asymptomatic AG+ or AG double invalid are to self-isolate at home.
Management of an AG+/Double AG Invalid Individual
Upon receiving AG+/Double AG Invalid results
1) For SASH PHPCs, clients/employers must call the clinic to make an appointment and confirm that they are able to obtain a
    confirmatory PCR test during their visit, before heading down to the clinic. The list of SASH PHPCs can be found at
    http://phpc.gov.sg.

2)   AG+/Double AG Invalid individual should travel via private transport (car or taxi) with the windows wound down (switch
     off air conditioning). In addition, individual should wear a surgical mask and sit alone in the back seat (on the other side
     from driver)

3)    The following list of private transport service providers are available for booking. Transport cost would be borne by the
      client/employer.
     a. Employers/workers are required to inform the hotline operator that the worker is going to a SASH PHPC for his swab
          test.
     b. For booking through mobile app, employers/workers must key “SHN” in the chat/note/comment box or check the SHN
          checkbox (if provided within the app).
                                                                                                         Est Booking Fees on top of metered
         S/N                  Service Provider                    Contact Number / Mobile Application
                                                                                                                         fare
          1    ComfortDelGro Taxi (Comfort & CityCab taxis)   6333 1133 or via ComfortDelGro app        Add Booking Fee $2.30 to $4.50
          2    Trans-cab                                      6213 0997
          3    SMRT                                           6477 5971
          4    Prime                                          6776 7553
          5    Premier                                        6681 9462
          6    GrabSHN, Go-Jek, Ryde, MVL(TADA)               via respective providers’ app             Flat fare based on app        14
Management of an AG+/Double AG Invalid Individual
4) Employer will be required to:
    a. Have sight over the employees AG+/Double AG invalid results (it is not necessary for the employer to retain
       the photos of employees’ test kit results and ID)
    b. Issue the “Notification of Positive /Double Invalid COVID-19 ART Result” to individuals – hardcopy or digital
       copy [See PDF: Annex III.. (22 Feb)]
    c. Inform individuals of their legal requirement to go for a confirmatory PCR test and self-isolate until they
       receive their PCR results.
    d. Inform Clients should present the one of the following for verification at the SASH clinic:
        i. NRIC + ART Results SMS (SMS will be sent once results have been uploaded into SRS, for mandatory
             sectors only); or
        ii. Referral note (issued and signed by employer) – hardcopy of or digital copy [See PDF: Confirmatory
             PCR..(30 May) (v3)] for tests conducted at workplace; or
        iii. Photo of their ART results + ID for tests conducted at home

5) Sector Leads and Employers should ensure that all AG+ individuals go for a confirmatory PCR swab.

                                                                                                                       15
Sample of ART Results SMS

                                      For Mandatory Sectors Only.
SMS will be sent once results have been successfully uploaded into SRS. Refer to SRS guide for instructions

                                                                                   INVALID Results
            POSITIVE Results                                          Pls show 2X invalid results SMS for verification.
                                                                      (Swab supervisor to upload results for both test
                                                                            conducted to ensure 2X SMS is sent)

                                                                                                                          16
Referral note for a Confirmatory PCR Test (For Employers to issue to Employee)

                           • Pls indicate “name of employer and contact details” and “name of
                             ART provider and contact details” (if applicable)

                           • To be signed off by employer

                           • Indicate “Name of trained supervisor”

                           • Pls indicate name of worksite (e.g. JEM Shopping Mall, XXX Shipyard, etc.)
                           • Pls indicate company name

                                                                                                          17
For Compliance: Workflow for Employers to alert MOH-CMTG of AG+/ Double Invalid Employees
                    who have not gone for confirmatory PCR test by D3
Exemptions from FET-RRT Regime

                                 19
Exemptions from FET-RRT Regime (Contraindications or PWDs or recovery from C+)
Client/Employee:
• To submit the Declaration Form to Employer to seek exemption from FET-RRT

Employer:                                                                                                   Employee to
                                                                                                          submit completed
• To check and approve the exemption on the Declaration Form
                                                                                                          Declaration Form
• To track the total count of the exemption cases and report to Sector Leads.                                to Employer

Sector Lead:
•   To track the total count of the exemption cases and report at Weekly Sector Leads’ Meetings           Employer to check
                                                                                                           Declaration Form,
                                                                                                            keep a copy and
 Cases exempted from the FET RRT are listed below:
                                                                                                          inform Sector Lead
 1. Exemption due to contraindication
 • Nasal Surgery
 • Facial injury (that may affect the collection of nasal samples from the nostril)                        Sector Leads to
                                                                                                                remove
                                                                                                           Client/Employee
 2. Exemption due to special needs and disability
                                                                                                            from FET-RRT
 • Special needs such as autism
 • Disability such as vision loss, physical impairment                                                     Sector Leads to
                                                                                                          monitor & report
 3. Exemption due to past infection from COVID-19                                                         the exempted list
 • Employees recovered from a previous COVID-19 infection less than 270 days ago                            at DS meeting
 Supporting Documents:
 1. Positive Covid-test record in HealthHub within 270 days (this should be the first C+ from the last     Client/Employee
    episode of confirmed infection/re-infection, a C+ from persistent shedding will not be counted), or    exempted from
 2. Doctors’ discharge memo                                                                                   FET regime
Ground Operations & Recommended Site Layout Templates

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Storage Guidelines for Kits

   BD Veritor Plus System                   SD Biosensor Standard Q                   Panbio Covid-19 AG
                                      [Majority Stock for Workplace ART Operations]
                                               17 x 7.1 x 23.5 cm (~0.39kg)

• Storage temperature requirements - 2-30 degree Celsius
• Indoor, within an air-conditioned room where available
• Pallet size 40 x 48 inch / 122 x 108 cm (height clearance – approx 1.8-2M)
• Per Pallet –
    • BD - 4,320 Tests
    • Bio Sensor – 9,000 Tests
    • Pan Bio - 9, 600 Tests
• Per box - 25 Tests for SD BioSensor & PanBio; 30 Tests for BD
                                                                                                           22
Items inside SD Biosensor Box
Items in one box             SD Biosensor Standard Q   Qty   Needed for Individual Testing?
Test Device                                              25 Yes - to break bulk
(wrapped individually in
foil pouch with desiccant)

Sterile Swab Stick                                       25 Yes - to break bulk

Nozzle Cap                                               25 Yes – to break bulk

Extraction buffer tube                                   25 Yes – to break bulk

Buffer Tray                                            2 trays No – not essential to individual testing, not required to break bulk
                                                             (This is to hold the extract buffer tubes in a mass swab setting.)

Plastic Film                                             1   No – not essential to individual testing, not required to break bulk
                                                             (This is to cover the test device to prevent contamination by dust in a mass swab setting. If
                                                             the individual's swab setting is generally dusty, the test device may be protected by using a
                                                             sterile clear plastic bag.)
Standard COVID-19 Ag+                                    1   No – not essential to individual testing, not required to break bulk
Positive Control Swab                                        (This is a control swab manufactured to verify the user’s ability to properly perform the test
                                                             and interpret the results.)
Standard Respiratory                                     1   Not to be discarded
Negative Control Swab                                        Good practice: Employers should use the QC control swabs to determine the fidelity of the
                                                             test kits in each box. If the QC controls do not match and display the right results,
                                                                                                                                             23 the
                                                             company should escalate to Sector Lead/HPB.
How to Break Bulk – For Employers

Items to prepare
1. Face shield and surgical mask, disposable gloves
2. 70% alcohol wipes and handrub
3. Ziplock bags or packing containers for ART kit items (depending on company’s preference)

Steps for packing
1. Clean packing surface with alcohol wipe, put new box of kits on table surface.
2. Packing staff to do hand hygiene and wear face shield, mask, gloves. No talking between staff and maintain
   safe distance of 2m if there is more than 1 staff packing.
3. Commence packing the 4 items (as per photo), and check expiry date of kits
4. Companies can decide if they want to break the bulk package, either individually or based on the quantity
   required. For example, individually packed bags using ziplock bag or container, whichever is easier for
   distribution. Each person will have 4 items in total.
5. In between new box of kits, practice hand hygiene with gloves on.

For info:
• (X) Other items in the bulk package which is not required, for e.g. buffer rack, plastic label, can be discarded.
• Any loose items (that will be used in future) should be kept in a clean (wiped down) storage box/ziplock bag.
                                                                                                                  24
Proposed Ground Workflow for Employer Supervised Self Swab (ESSS) [1/2]

1)    Prior to arrival at the swab site, SafeEntry and temperature taking should be done. Individuals with acute
      respiratory infection should be denied entry and asked to see a doctor immediately. Individuals with
      Contraindications will be assessed accordingly (see Exemption from FET-RRT Regime Section)
2)    Each individual is to be registered upon entry. Please ensure that Safe Management Measures (SMMs) are
      in place during the registration process.
3)     The following items should be pre-placed at each swab station:
      • A small standing mirror (for individuals to administer self-swabs);
      • A box of 70% alcohol wipes for wipe down of the mirror and the environment before and after swabbing;
      • A bottle of hand sanitizer; and
      • A Ziploc bag containing 1 swab stick, 1 reaction tube and 1 test device required for ART. The ziplock bag
        with test kits could also be handed to the individual at registration.
4)    Instruction cards / infographics can be displayed at the front of swab site at line of sight to the individuals.

                                                                                                                25
Proposed Ground Workflow for Employer Supervised Self Swab (ESSS)[2/2]
   Activities at the swab stations
   1)    Individuals to perform hand hygiene before commencing swabbing.
   2)    Individuals to carry out self-swab. After the testing has been done, the swab stick, reaction tube and the
         test device may then be placed into the Ziploc bag (with client ID) and the Ziploc bag sealed. The test
         device should be laid flat and the results may be read in 15- 20 mins. Please refer to the manufacturer’s
         instructions on the exact steps to conduct the test (test kit dependent).
   3)    Dispose the Ziploc bag that contains the swab stick, the reaction tube, into bins (double bagged and with
         cover/lid).
   4)    Individuals are to wipe down the swab station (including the table and the mirror) with the 70% alcohol
         wipes and perform hand hygiene before leaving the swab station. Infographics on how to perform
         proper hand hygiene may be laid out. Individual proceeds to work*
   5)    Follow-up actions for AG+ individuals should be taken accordingly.

* Individual can return to work without waiting for the results if CONOPs allow. They will still be contactable for the appropriate workflow
when the results are out                                                                                                                 26
Proposed Site Layout - ESSS
                                                      Option 1: Swab and Go                                Option 2: Swab and Hold for Results
IPC Requirements for all
• Hand wash & Hand Rub                        Mirror to be placed on each table                             Mirror to be placed on each table
   before and after test
• Wipe down of swab
                                                             3m                                                               3m
   stations before and after

                                                                                 Results Table
   every test

 IPC Requirements for
 supervisors (refer to slide 17)
 • Don face shield & surgical 3-ply
    face mask                                        3m                                                            3m
 • To keep 3m distance from
    employee conducting self-swab                          Supervisor                                                     Supervisor
 • Preference for self-swab to be
    conducted in an outdoor
    setting or indoor with ample           If the ART tests are read at a central                Legends       Descriptions
    ventilation (open                      testing area, the test devices will need
                                                                                                               Chairs with Tables (non-absorbent) and Small 27
    windows/doors and fans)                to be labelled clearly to avoid mix-up.                             Mirror (instructions poster to be included)
                                           The central testing area must be wiped
                                                                                                               Tables
                                           down after each batch of tests are read.
                                                                                                               Dustbin (double-lined, preferably with a
Recommend 1 Supervisor : 5 clients (per cycle).                                                                lid/cover)                          27
New companies can consider 1 Supervisor : 2 clients (per cycle) before scaling up.
Result Interpretation using SD Bio Sensor

Please note that the
lines on the test cassette
will appear in 15
min after you have added
the specimen buffer in
the test well. Do not
read it after 30 min.

                                                                     28
Distribution Channels for Test Kits

                                      29
ART Kits Replenishment Model
1. Companies will log in to self order commencing 21st July 2021.
2. Using the first issuance database from Sector Lead. The online ordering system will match the email and
   contact number in records to verify the company placing the order.
3. No records = No Order.
4. The order placed will be verified versus the previous issued quantity and number of staffs in record. Failure
   of meeting the criteria. Orders will be rejected and reorder to meet criteria.
5. Companies who have consolidated their orders previously will need continue to consolidate their orders
   and order from the self order page.
6. Changes to ordering format such as deconsolidation and other details will require submission of
   Amendment via the Sector Leads.
7. Group companies who have similar POCs and multiple delivery points will draw down from the combine
   quota and manage the requirements of their branches orders at their own discretion. Once the quota has
   exceeded the order will be rejected.
8. Monthly reports will be provided to the sector leads for reconciliation and recovery for fraudulent excessive
   orders.
9. Should a manual submission be required due to system failure or any other requirements. Please use the
   amendment form and submit directly to Park and Parcel. Manual verification will be done by vendor.
User Journey For Replenishment Model

 Company submit orders via
  http://go.gov.sg/fet-kits

Ensure that the previous POC
details of contact number and
 email address entered must
   match previous records

  Enter Webpage to key in
information required for ART                                                           •   Queries on ART Kit Collection or Parcel Status to
        Kits Delivery
                                                                                           contact:
                                              3 day timeline                                 • PNP tracking page
 Receives the                                                    Direct Delivery
error message
                                                                                                https://tracking.parknparcel.com
when exceeded                                                                                • Hotline at +65 6428 6200
     limit
                                 Application Successful
                                                                                       •   For other enquiries-related to ART Kit Status to
 If error persist, company to                                                              approach hotline or:
 contact Park and Parcel for
next steps or Sector Leads for
                                                               Self Collection Point         • Contact Email support@parknparcel.com.sg
          alternative.
Handling of Data & Result through Swab Registration System (SRS)

                                                            32
Personal Data - Standard Notification for Display Use (For Companies)
Purpose: The standard notification will be used as part of the instructions to the companies (communicated via SLs) to
notify the employees that their employees will be collecting their Personal Data and FET results to submit to HPB and the
Singapore Government.
Use: Companies are to print and put up copies of the Standard Notification at prominent spots where the employees will be
able to read the notification statement prior to them doing the FET swab.

                                                                                             Standard
                                                                                   Notification (For Companies)

                                                                                                                       33
Terms & Conditions for Mobile SRS (mSRS)
Purpose: Similar to the Standard Notification, the T&Cs will be used in the mSRS as this involves the direct use of an IT
system for data submission by the employees.
Use: SLs are to inform companies about the T&Cs which employees' Personal Data and FET results will be collected and
submitted to HPB and the Singapore Government through mSRS.

                                                                               T&Cs for mSRS

                                                                                                                            34
Swab Registration System (SRS) Account
                                       Two methods to upload ART results
Method 1: Using SRS web portal
1. Upload ART results in an excel spreadsheet via SRS web portal, using the “Bulk Result Upload” option.
2. Company to download the available template from SRS portal prior to swab test to, i) Fill in the particulars (nominal roll)
   of the workers to be tested and ii) Fill in workers’ swab test results after test results are ready.
3. Once the template is filled in with details, upload to SRS via web portal.

Method 2: Using SRS mobile portal (also called as SRS v2)
1. Upload ART results using workers’ personalized QR code.
2. Firstly, each worker needs to create a profile on http://go.gov.sg/srs-profile before swab test. After creation of profile,
   they will be able to see a generated personalised QR code on their page.
3. Supervisors will need the QR codes of the workers in order to upload their swab test results to SRS. Company may
   request the workers to present their QR codes after the swab test (come back after swab test and show their QR code
   to supervisor) or request workers to send their QR codes to supervisors before swab test.
4. Uploading of results to SRS:
     a) Supervisors are to use the company-specific SRS v2 link (this link is available via the company’s SRS web
         portal. Go to Covid-19 testing > ART Link(s)).
     b) Supervisors are to use the link to log in and upload the results of all workers 1 by 1, by scanning their respective
         QR codes and filling in the result for each of the worker.

               “Invalid” test results should also be submitted through SRS
                                                                                                                          35
Data Preparation before Swab Ops (Supervised Self-Administered ART)
1)        Sector Leads will create SRS accounts for companies
2)        A nominal roll of the individuals going for the ART tests should be prepared beforehand.
3)        The nominal roll should be used for registration of attendance and recording of the ART Results
          (Positive or Negative). A sample template of the nominal roll format is as attached.

4)        The nominal roll will need to be uploaded into HPB’s SRS System. The details and specific steps
          on how to ingest the attendance and results into SRS will be advised by HPB separately.

                                                                                   Template 1 – 10 compulsory fields
                                                                     Contact No (Singapore
                                                                      Mobile Number e.g.                               Time of Test (24hr   Test Brand             Test Result Reason for Test For Official Use Only       For Official Use Only
              UEN *            Identification Number * Nationality *     91234567) *       Date of Test (YYYYMMDD) *   Format HH:mm) *           *     Test Type *      *            *              Remarks                     Use Case
 Sample entry row:
 T08GB0014L                     F1234567D            MALAYSIAN                    91234567                  20210601                 15:30 BD VERITOR ART          NEGATIVE    Supervised Test   Sample official remarks Sample official use case

                                                                                     Template 2 – 18 compulsory fields
                      ID                                                                                                                                            Time of Test              Test Reason For Official               For Official
      Identification Type Country of Full Name (as Date of Birth        Gender      Nationalit Contact   Postal     Street    Level Unit         Date of Test      (24hr Format Test Test Resul for        Use Only                   Use Only
        Number *       *   Issue *      in ID) *   (YYYYMMDD) *         (M/F) *        y*       No *     Code *    Name *      No   No         (YYYYMMDD) *          HH:mm) * Brand* Type* t* Test* Remarks                           Use Case
                                                                                                                                                                                                    Superv
                                                                                                                                                                                                    ised
                                                                                                                                                                                                    Self-
                                                                                    Singapore                     Sesame                                                         BD          Positi admini
     S1234567D       NRIC Singapore John Tan               19880101M                an        91234567123456      Street     02      02     202100531             09:0           Veritor ART ve stered

                                                                                                                                                                                                                                                    36
Method 1: Via
SRS Web Portal                SRS workflow for Supervised Self-administered ART

 ✓ Leverage existing SRS PCR ecosystem with sector leads
   and companies
 ✓ Reporting module already available and used by sector
   leads

                                                     Test Results
Pre-setup                      1. Client
                                                     •     Supervisor records results on excel   Notification
1. Creation of System user        performs
                                                     •     Upload excel to SRS NEW               SMS sent by SRS
   accounts by Sector leads       swab
                                                     •     Reports NEW for attendance and
                                                           results
• Sector leads can
  manage the company
                                                     • Excel sheet with nominal roll can be prepared
  accounts
                                                       beforehand with list of clients
• Existing companies
                                                     • To pay attention for AG+ results
  can use their existing
                                                     • AG- results to be mass filled through dragging
  SRS accounts
                                                     • Sector leads can see attendance and results for
                                                       their companies
  SRS user guide:
                                                                                                                   37
Method 2: Via                                             SRS Web Interface
 SRS Mobile                               for Supervised Self-administered Test (Workplace)
   Portal

                         Test Results
                         Client entered
                         • Client logs into SRS with link provided by sector lead/ company
                               • Mobile number w OTP
                               • Personal details (will be remembered for subsequent logins)
                               • Test Result
  1. Client performs
                         Supervisor entered on behalf of client (who may not be IT savvy or
                                                                                                  Notification
     swab                                                                                         SMS sent by SRS
                         cannot access IT system or Supervised Self-administered Test)
                         • Supervisor logs into SRS with link provided by sector lead/ company,
                              • Mobile number w OTP
                              • Supervisor details (will be remembered for subsequent logins)
                              • Enter Client Personal details (or Scan QR code of client)
                              • Test Result

                       Sector Leads can see attendance and
                       results for their companies
SRS user guide:                                                                                                  38
Screenshots of SRS Web Interface
                                   Creation of Profile & Keying-in Personal Results
Generic Link for Employees Profile Creation:
http://go.gov.sg/srs-profile

                                                                             •   Fields required same
                                                                                 as Nominal Roll

                 •   Profile is tied to NRIC
                     + Mobile Number                                                                    •   Personal details
                                                                                                            remembered for
                 •   Mobile Number can                                                                      subsequent login
                     be the same for
                     different profiles (e.g.                                                           •   Key in results
                     husband & wife
                                                •   QR code will be
                     sharing a phone)
                                                    generated upon
                                                    submission of data
                                                    (i.e. profile created)                                                     39
Screenshots of SRS Web Interface
                  Submission of Results – Supervised Version

                      Sherman

Swab Supervisor
logs into their                                       •   Swab supervisor to
                                                          verify client’s details
SRS Web profile                                           before submitting
                                                          results

                                                                                    40
SMS Notification to Clients
                                                           AG POSITIVE
                    AG INVALID

AG NEGATIVE
                                      Do note that the
                  Click to add text   link expires in 24
                                      hours after text
                                      message is sent.

                                                                         41
Support Channels

                   42
Support Channels
General Enquiries: How to use ART kit, how to upload results, Training Enquiries                         Sector Leads support for companies
advice on what MOP should do if results is AG+, ESSS                                                     Verification of staff details (Names, mobile, ID, Email address)
workflows, Swab preparation, disposal management, ART kit                                                Whether company can opt for ESSS or QTC testing model
orders (replenishment)                                                                                   Eligibility/ exemption from mandatory swab tests & Funding
Basic SRS troubleshooting: SRS Navigation, Uploading of ART                                              Change of QTC appointments, ESSS training
result, Did not receive OTP, Password reset, Company HR Bulk                                             Collection & replenishment/ quantity of ART kits, consolidate lost/ damage ART kits for
Uploading Issues                                                                                         replacements
                                                                                                         SRS: Onboarding process, amendment of staff details in SRS, Creation of SRS account
FET Hotline 6876 5830/ AskSRS@hpb.gov.sg                     HMI Hotline 6253 3818                       See below table
Operating Hours: Mon to Fri 8 AM to 5 PM                     Operating Hours: Mon to Fr: 8.30am to 6pm
(Closed on Sat, Sun and PHs)                                 (Closed on Sat, Sun and PHs)
 Use Cases                         Sector Lead                                                           Hotline           Email
 F&B                               ESG (malls, restaurants, & cafes, MOM workplace canteens, JTC         6898 1800         food_division@enterprisesg.gov.sg
                                   industrial estates, foodcourt in hospital premises, HDB complexes)
                                   SFA (Coffee shops/ Food Courts)                                       NIL               SFA_FET@sfa.gov.sg
                                   NEA (hawker centres)                                                  62255632          https://www.nea.gov.sg/corporate-functions/feedback
                                                                                                                           Indicate “ART Enquiry” in email
 Hotel/ Svc Apt/ Hostels (F&B,     STB (Hotels)                                                          NIL               hotelfet@stb.gov.sg
 Spa, Housekeeping)
                                   URA (Backpacker hostels & Svc Apts)                                   NIL               URA_SDMO_CLE@ura.gov.sg
 Gym & Fitness Studios             SportSG (ActiveSG Staff, Gyms/Studios, SSIC Companies)                NIL               SportandFitness@sport.gov.sg
 Education Sector                  MOE (Canteen Vendors /Teachers in Mask-off Settings / Cleaners in
                                                                                                         9836 2360         moe_hqcc@moe.gov.sg
                                   High-risk Settings *includes contracted cleaners)
                                   MCCY/ NAC (Wind instrumt, vocal coaches)                              6346 9400         NAC_Feedback@nac.gov.sg
 Disinfection Workers              NEA (disinfection companies cleaners)                                                   https://www.nea.gov.sg/corporate-functions/feedback
                                                                                                         62255632
                                                                                                                           Indicate “ART Enquiry” in email
 Personal Care                     MHA (Massage Establishments)                                          6835 0000         SPF_PLRD_GLD@spf.gov.sg
                                   HDB & ESG (Neighbourhood shops, heartland)                                              enquiry@enterprisesg.gov.sg
                                                                                                         6898 1800
                                                                                                                           plgmail@mailbox.hdb.gov.sg
                                                                                                                                                                                43
 Nursing Homes                     MOH/AIC                                                               1800-650-6060     enquiries@aic.sg
End of Playbook

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