Good afternoon peeps- I am just reaching out to see if there are any School Nurses on here from Missouri that will be performing the BinaxNOW Rapid tests in their schools.
I also want to hear from you if your schools didn't decide to participate and what the rationale was for that?
For those that will be doing the Testing- How are you feeling about the process, as we are preparing to start testing soon?
So thankful for the training and support that we are receiving to get ready to start the Testing process.
Happy Thursday Friends-
a.
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7 hours ago, JenTheSchoolRN said:
Yet is piloting Binax at 100 schools in January. I'm curious to see if change the guidance re: PCR testing.
Ugh, I'm sorry. My boss just asked me again if I want to participate (apparently one can still express interest) and I was quick on the "no, no, no, no" - I'm sticking to our PCR weekly surveillance testing pilot right now.
Ugh, I'm sorry. My boss just asked me again if I want to participate (apparently one can still express interest) and I was quick on the "no, no, no, no" - I'm sticking to our PCR weekly surveillance testing pilot right now.
I just finished the BinaxNow training videos. The procedure itself seems simple enough.
The ramifications of having the test at school, however...
I just finished the BinaxNow training videos. The procedure itself seems simple enough.
The ramifications of having the test at school, however...
Yep. I'm sure the test is actually easy to administer. But I don't want the option of having it. It feels borderline diagnosing for me and nurses do not diagnose.
Yep. I'm sure the test is actually easy to administer. But I don't want the option of having it. It feels borderline diagnosing for me and nurses do not diagnose.
Honestly, in that respect I don't feel it's that different from doing a blood sugar and/or ketone test or one of those multi-test urine dip sticks...
I'm more concerned about the "oh, I'll send Johnie to school sick 'cause he can get a test there" possibility.
Honestly, in that respect I don't feel it's that different from doing a blood sugar and/or ketone test or one of those multi-test urine dip sticks...
I'm more concerned about the "oh, I'll send Johnie to school sick 'cause he can get a test there" possibility.
Both of those are kinda referrals, though. And I have set orders from a doc as to what to do with those results. I would need this test to also have very, very clear perimeters in the doctor's order.
I'm also worried re: false negative and and positives if that negative is used to return a student back to class when in fact they were positive. (Our school lawyer was also pretty concerned about it.)
I suppose one can develop a rule "if I have to test your student, they are still going home even with a negative result and cannot return until symptoms resolve."
But, yes, sick kids being sent in because the nurse will test them. Which means exposing the school nurse and anyone the child comes into contact with even more. (And schools, you will be SOL without your nurse - not that every school believes that). Spending one's entire day basically running COVID tests. Having teachers sent you even more students with a minor symptom because they know you will also have to test them may also be a thing that happens.
Sorry, I have some strong thoughts here clearly ;).
Both of those are kinda referrals, though. And I have set orders from a doc as to what to do with those results. I would need this test to also have very, very clear perimeters in the doctor's order.
I'm also worried re: false negative and and positives if that negative is used to return a student back to class when in fact they were positive. (Our school lawyer was also pretty concerned about it.)
I suppose one can develop a rule "if I have to test your student, they are still going home even with a negative result and cannot return until symptoms resolve."
Yeah, the standing order is a key to it. At this point, the only way a person with a negative test would be sent back to class is if they present with one of those "exception" symptoms, I.e. headache or rhinitis. We'll be instructing all with negative results that they have to confirm with a PCR. Not too worried about a false positive as treating somebody as such wouldn't really be harmful. (Except to contact/quarantine lists...)??
Bottom line (imho) for us is that the only benefit is that we can jump on enacting the contact list protocols quicker if we know someone is positive right then and there.
Yeah, the standing order is a key to it. At this point, the only way a person with a negative test would be sent back to class is if they present with one of those "exception" symptoms, I.e. headache or rhinitis. We'll be instructing all with negative results that they have to confirm with a PCR. Not too worried about a false positive as treating somebody as such wouldn't really be harmful. (Except to contact/quarantine lists...)??
Bottom line (imho) for us is that the only benefit is that we can jump on enacting the contact list protocols quicker if we know someone is positive right then and there.
But a positive antigen test still needs to be confirmed by PCR in MA. So I'm not sure if I should be enacting the protocol with the antigen test or the PCR test? I mean, I'd probably be over cautious and just do it with the antigen test. But you are right - means potentially quarantining larger parts of the school in a small window of time.
Also, bandwidth. I'm hoping it doesn't turn into me having 6 students sitting the insolation space waiting for tests; all negative and with minor symptom like nasal congestion so they go back to class. Then another 6 kids come in, tested, rinse, lather, repeat during the high time of more harmless coronaviruses.
I'm just tired already admittedly. And I haven't even had a lot of kids back like some of you have!
But a positive antigen test still needs to be confirmed by PCR in MA. So I'm not sure if I should be enacting the protocol with the antigen test or the PCR test? I mean, I'd probably be over cautious and just do it with the antigen test. But you are right - means potentially quarantining larger parts of the school in a small window of time.
I reviewed the DESE powerpoint from the Binax webinar. It didn't mention following up a positive with a PCR, just a negative. Did you see that somewhere else in the huge amounts of materials that DESE has been putting out? Thanks!
Specializes in School Nurse. Having conversations with littles..
I am trying to ease some of your fears by providing the link to the information and the standing order is very clear. I haven't tested any kids yet and at this point, the parents don't even know that I have the tests available. I have, however, tested some staff members. This was very effective. The Fact Sheet for Patients that is provided to be given to each person tested explains in detail what to do if a person tests negative. The parameters are very clear on all sides of this equation.
I reviewed the DESE powerpoint from the Binax webinar. It didn't mention following up a positive with a PCR, just a negative. Did you see that somewhere else in the huge amounts of materials that DESE has been putting out? Thanks!
No I haven't seen that. That is covered on the Fact Sheet for Patients that I just provided the link to.
I am trying to ease some of your fears by providing the link to the information and the standing order is very clear. I haven't tested any kids yet and at this point, the parents don't even know that I have the tests available. I have, however, tested some staff members. This was very effective. The Fact Sheet for Patients that is provided to be given to each person tested explains in detail what to do if a person tests negative. The parameters are very clear on all sides of this equation.
No I haven't seen that. That is covered on the Fact Sheet for Patients that I just provided the link to.
Thank you for these. Unfortunately the DPH in our state is going above and beyond. I noticed that there was "wiggle room" in the FDA responses. (Which is how it should be, but our DPH and Dept of ED is tending to write procedures a bit more black and white.)
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I just found out our district is one of them ???