Question: In which setting collection of nasopharengilal swabs should be performed and which personal protective equipment (PPE)should be worn by a healthcare personnel (HCP) performing the procedure?

Answer passage (source: CDC):
page_title: Frequently Asked Questions about Biosafety and COVID-19
section_headers: Specimen Handling
If laboratory personnel collect blood or respiratory specimens directly from suspected or confirmed COVID-19 patients, what PPE should they wear?
section_content: If laboratory personnel have direct contact with suspected or confirmed
COVID-19 patients, they should follow recommended PPE for health care
providers while in the presence of these patients.
For additional information, refer to:

Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings
OSHA 29 CFR 1910.1030 Bloodborne Pathogens Standardexternal icoexternal icon


Reviewer feedback on this answer:
Testing for other pathogens by the provider should be done as part of the initial...onsite self-colection ( using flocked or spun polyester Swab);or Nasopharngeal...
This answer relates to lab professionals but they wouldn't typically be responsible for specimen collection. The answer does not talk about safety during collection.

Reviewer ratings:
Acceptable
Bad

Answer passage (source: CDC):
page_title: Healthcare Infection Prevention and Control FAQs for COVID-19
section_headers: What personal protective equipment (PPE) should be worn by individuals transporting patients who are confirmed with or under investigation for COVID-19 within a healthcare facility? For example, what PPE should be worn when transporting a patient to radiology for imaging that cannot be performed in the patient room?
section_content: In general, transport and movement of the patient outside of their room should
be limited to medically essential purposes. If being transported outside of
the room, such as to radiology, healthcare personnel (HCP) in the receiving
area should be notified in advance of transporting the patient. For transport,
the patient should wear a facemask or cloth face covering to contain
secretions and be covered with a clean sheet.
If transport personnel must prepare the patient for transport (e.g., transfer
them to the wheelchair or gurney), transport personnel should wear all
recommended PPE (gloves, a gown, respiratory protection that is at least
as protective as a fit tested NIOSH-certified disposable N95 filtering
facepiece respirator or facemask—if a respirator is not available—and eye
protection [i.e., goggles or disposable face shield that covers the front and
sides of the face]). This recommendation is needed because these interactions
typically involve close, often face-to-face, contact with the patient in an
enclosed space (e.g., patient room). Once the patient has been transferred to
the wheelchair or gurney (and prior to exiting the room), transporters should
remove their gown, gloves, and eye protection and perform hand hygiene.
If the patient is wearing a facemask or cloth face covering, no recommendation
for PPE is made typically for HCP transporting patients with a respiratory
infection from the patient’s room to the destination. However, given current
limitations in knowledge regarding COVID-19 and following the currently
cautious approach for risk stratification and monitoring of healthcare
personnel caring for patients with
COVID-19, use of
a facemask by the transporter is recommended for anything more than brief
encounters with COVID-19 patients. Additional PPE should not be required
unless there is an anticipated need to provide medical assistance during
transport (e.g., helping the patient replace a dislodged facemask).
After arrival at their destination, receiving personnel (e.g., in radiology)
and the transporter (if assisting with transfer) should perform hand hygiene
and wear all recommended PPE. If still wearing their original respirator or facemask,
the transporter should take care to avoid self-contamination when donning the
remainder of the recommended PPE. This cautious approach will be refined and
updated as more information becomes available and as response needs change in
the United States.
Interim guidance for EMS personnel transporting patients with confirmed or
suspected COVID-19 is available here. EMS personnel should wear all recommended PPE because they are
providing direct medical care and in close contact with the patient for longer
periods of time.

Reviewer feedback on this answer:
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The question relates to safety during specimen collection but the answer is about patient transfer.

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Answer passage (source: CDC):
page_title: Healthcare Infection Prevention and Control FAQs for COVID-19
section_headers: Where should nasopharyngeal swabs be performed on a known or suspected COVID-19 patient, and with what PPE?
section_content: The collection of nasopharyngeal (NP) swabs from patients with known or
suspected COVID-19 can be performed in a regular examination room with the
door closed. Use of an airborne infection isolation room for nasopharyngeal
specimen collection is not required. HCP in the room should wear an N95 or
higher-level respirator (or facemask if a respirator is not available), eye
protection, gloves, and a gown. If respirators are not readily available, they
should be prioritized for other procedures at higher risk for producing
infectious aerosols (e.g., intubation), instead of for collecting NP swabs.

Reviewer feedback on this answer:
Advice on the use of PPE for clinical care of people with possible nCoV...Upon presentation of the [atient to a healthcare setting.
Provides well defined recommendations for safety during specimen collection. A few links would be helpful thogh.

Reviewer ratings:
Could be Improved
Excellent