SARS CoV 2 (COVID 19) Qualitative Rapid PCR (ED & Inpatients only)

This test provides rapid detection of SARS-CoV-2 (COVID-19) in clinically urgent settings by approval only.

Testing is performed by one of two methods:

The DiaSorin Molecular Simplexa™ COVID-19 Direct real-time RT-PCR assay targets two different regions of the SARS-CoV-2 (the causative agent for COVID-19) genome, ORF1ab and S gene. Amplification of either or both regions is a positive (detectable) result.

The Cepheid Emergency Use Authorization (EUA) SARS-CoV-2 Real-time RT-PCR assay targets 3 regions of SARS-CoV-2 RNA (the causative agent of COVID-19). Amplification of any of the N2, E and RdRP targets is considered positive.

See SARS-CoV-2 (COVID-19) Qualitative PCR [NCVQLT] for interpretive details.

Testing Indications: Please restrict rapid ordering to institutional guidelines given ongoing limited supply of ALL rapid testing. Additional viral testing guidelines can be found here.

For Fred Hutch South Lake Union, this test is authorized on a case by case basis through Fred Hutch Infection Prevention for certain pre-procedure patients. This test is not available for Fred Hutch community site orders.

For all locations

• Double bagged specimens can be tubed to the performing lab locations specified below.
• Refer to the specimen collection guidelines
• Time to result will vary depending on testing volume and testing method.
• POSITIVE results will be called to the ordering provider (except ED), negative results will not be called.

UWMC-Montlake

• TO ORDER:
• For in patients:
  • In EPIC orders, enter “Rapid COVID” to find the order panel.

  • EPIC will instruct you to select: rapid COVID-19 testing only for asymptomatic patients

• For outpatients:
  • Ordering provider or RN must contact Clinical Microbiology (206-598-6147) to arrange the order. Please provide the following information:
    • Patient's name and MRN
    • Tube number for the patient's nursing station
    • Ordering physician's first and last name
    • Lab will tube a special requisition slip to the ordering location.
    • Fill out the requisition completely and hand deliver the collected NP specimen to Clinical Microbiology, NW177.

Testing performed every 2hrs on the even hour, 24/7.

UWMC-Northwest

• Orders for rapid COVID-19 testing can be placed in Epic.
• The clinical indication field is required when ordering the test.

Testing is performed upon receipt or every 2 hours depending on the testing method.

If required, testing will be prioritized based on clinical indication: 1. Preprocedural surveillance, 2. Symptomatic, 3. Admission surveillance, 4. Other asymptomatic, 5. Disease resolution. It is the responsibility of all providers who order rapid COVID-19 testing to order the test judiciously to ensure it is a resource for patients and the Infection Control indications that need it the most.

HMC

Goal: To use a rapid test as a PPE mitigation strategy, to decrease the movement of patients around the hospital during a rule out, and to facilitate AGPs without airborne precautions.

Symptomatic

• Inpatients (including Psychiatry and Rehabilitation) with new symptoms consistent with COVID-19
• Patients in the Psychiatric Emergency Department (PES)
• Patients living homeless who will be discharged from the ER

Asymptomatic

• Inpatients requiring urgent (≤ 12 hrs) pre-operative/pre-procedural screening prior to aerosol-generating procedures (AGP)
• Inpatients to be discharged within 12 hrs to a SNF that requires COVID-19 testing
• Patients to be enrolled in a research protocol that requires time-sensitive documentation of COVID-19

TO ORDER AT HMC:

For Inpatients

• In EPIC orders, enter “Rapid COVID” to find the order panel.
• EPIC will instruct you to select: rapid COVID-19 testing only for asymptomatic patients

For Outpatients

• Ordering provider or RN must contact Clinical Microbiology (206-744-5858) to arrange the order.
  • Please provide the following information:
    1. Patient's name and MRN
    2. Tube number for the patient's nursing station
    3. Ordering physician's first and last name

Lab will tube a special requisition slip to the ordering location.
Fill out the requisition completely and hand deliver the specimen to Clinical Microbiology, GWH-47.

Testing performed every 2hrs on the even hour, 24/7.

To ORDER at Fred Hutch:

• In Epic, enter "Rapid COVID" to find the order panel.
• Select SARS-CoV-2 (COVID-19) Qualitative Rapid PCR - ONLY Asymptomatic

Testing is performed upon receipt 6 am to 9 pm M-F and 7:30 am to 4:30 pm S/S/Holidays. The laboratory has the capacity for a maximum of 8 rapid tests (FABRCV + NCVRPD) every hour. Tests will be run in the order of receipt only. Tests remaining at the end of each day will be reordered under NCVQLT for transport to UW Virology.

Instructions for Nasopharyngeal Swab: Gently insert mini-tipped flocked nasopharyngeal swab (swab on flexible plastic shaft) through the nostril and into the nasopharynx, reaching the posterior nasopharynx. Leave swab in place for 2-3 seconds then rotate completely around for 10-15 seconds. Remove swab and repeat the same process in the other nostril with the same swab.

After the second swab is completed, immediately place into the sterile vial containing UTM or VTM. Make sure that the swab is fully immersed in media, and that the shaft is short enough to completely tighten the cap. Obtaining columnar epithelial cells will enhance reliability of viral detection.

Tubes containing phosphate buffered saline (PBS) will be rejected. These include red-top Greiner "VACUETTE® Virus Stabilization Tubes." Specimens in PBS may be acceptable for the routine COVID-19 PCR test in the Virology laboratory.