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ROAR Sentinel Laboratory Challenge


1. Please select a sentinel designation for your laboratory based on the Laboratory Response Network (LRN) definitions below. Sentinel Clinical Laboratories are divided into BASIC and ADVANCED. Read the below descriptions and then select whether your laboratory fits the ADVANCED or BASIC criteria.

* Indicates Required Field


ADVANCED SENTINEL CLINICAL LABORATORES SHALL MEET ALL OF THE FOLLOWING:

a. The laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) by the Centers for Medicare & Medicad Services (CMS) for the applicable subspecialty within the specialty of microbiology, and meets the requirements to perform high complexity testing.

b. The laboratory is inspected successfully by CMS, a CMS agent, a CMS-approved accreditation organization, or, for a CLIA-exempt laboratory, by that laboratory's State.

c. The laboratory has policies and procedures for direct referral of suspicious specimens or isolates to the nearest LRN reference laboratory in its jurisdiction.

d. Have a Class II or higher Certified Biological Safety Cabinet.

e. Comply with Biosafety Level II (BLS-2) practices AND

f. Have policies and procedures inplace for use of additional respiratory protection, including a definition of when such use is necessary, as well as documentation of safe use (e.g. N-95 fit-testing).

g. Have policies and procedures that include the LRN Sentinel Level Clinical Microbiology Laboratory Guidelines that are available and can be downloaded from the ASM website: (http://www.asm.org?Policy/index.asp?bid=63342).

h. All personnel have been trained, with demonstrated competency, and are fully aware of the details contained within each LRN Sentinel Level Clinical Microbiology Laboratory Guidelines.

i. Personnel have been trained and certified in Packing and Shipping of Infectious Substances Guidelines.

j. Have procedures to track and account for decontamination of laboratory biological waste (specimens, cultures). At a minimun, ensure that any contract or procedure for waste/disposal is available for inspection in the laboratory safety or waste disposal manual.

BASIC SENTINEL CLINICAL LABORATORIES SHALL MEET THE FOLLOWING:

a. Advanced Sentinel Laboratory requirements a, b, and c from above.

b. The laboratory has policies and procedures for referral of diagnosic specimens to an Advanced Sentinel Laboratory.









2. Select Laboratory Level.

   

3. What is the highest level of biosafety in your microbiology laboratory?

     

4. Are Sentinel Level Clinical Microbiology Laboratory Guidelines provided by your idenified LRN Reference Laboratory to rule out or refer potential bioterrorism (BT) agents, integrated as part of the standard operating procedure of your laboratory?

   

5. Does your laboratory's standard operating procedures incorporate the APHIS/CDC Select Agent Program requirements for documenting the isolation of select agents and their destruction or transfer to a registered facility?

   

6. Does your laboratory have policies in place for documentation of potential exposures to bioterrorism agents?

   

7. How many full time employees (FTEs) are in your microbiology laboratory?

       

8. How many of the employees in your laboratory are trained in packaging and shipping of Category A & B- biological substances?

     

9. What does your laboratory use for transporting packages of agents of bioterrorism and emerging infectious diseases?

     



10. Does your laboratory have designated personnel for the safe handling of suspected bioterrorism agents?

   

11. Has your laboratory participated in an internal or external bioterrorism drill with other emergency personnel in the past 2 years?

   

IDENTIFICATION of Specimen #1



1. What would be the next step that your laboratory would take in regards to the identification stated above? (Select the best answer)

 
 
 
 
 
 




















2b.Hemolysis on Sheep Blood agar: (select one)

       

3a. Gram Stain: Reaction -

   


4a. Indicate a response for testing β-lactamase:

       

4b. Indicate a response for testing Catalase:

       

4c. Indicate a response for testing Growth @ 42°C:

       

4d. Indicate a response for testing Indole:

       

4e. Indicate a response for testing Oxidase:

       

4f. Indicate a response for testing Nitrate:

       

4g. Indicate a response for testing Satellite:

       

4h. Indicate a response for testing Urease:

       

4i. Indicate a response for testing Arginine:

       

4j. Indicate a response for testing Motility:

       

4k. Indicate a response for testing Colistin disk:

       

4l. Indicate a response for testing Polymyxin B disk:

       












IDENTIFICATION of Specimen #2



1. What would be be the next step that your laboratory would take in regards to the identification stated above (Select the best answer)

 
 
 
 
 
 




















2b. Hemolysis on Sheep Blood agar: (select one)

       

3a. Gram Stain: Reaction -

   


4a. Indicate a response for testing β-lactamase:

       

4b. Indicate a response for testing Catalase:

       

4c. Indicate a response for testing Growth @ 42°C:

       

4d. Indicate a response for testing Indole:

       

4e. Indicate a response for testing Oxidase:

       

4f. Indicate a response for testing Nitrate:

       

4g. Indicate a response for testing Satellite:

       

4h. Indicate a response for testing Urease:

       

4i. Indicate a response for testing Arginine:

       

4j. Indicate a response for testing Motility:

       

4k. Indicate a response for testing Colistin disk:

       

4l. Indicate a response for testing Polymyxin B disk:

       















 
    
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