{"presentation":{"slides":[{"elements":[{"x":1.0893246187363834,"y":36.55913978494623,"width":96.57534246575342,"height":60.633484162895925,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-641cb090c6d41.png","mime":"image\/png","copyright":{"license":"U"},"width":956,"height":303},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"e4adc05a-a6be-428d-8c9a-058adf16604a"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.178649237472767,"y":6.451612903225806,"width":92.5925925925926,"height":40,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Biological Specimen for TB diagnosis\/followup should be well packaged to prevent spillage and ensured cold chain during transportation. A Triple Layer Packaging is used for this purpose.<\/p>\n\n

Lab Technicians (LTs) at all centres should be trained to pack the specimen samples safely. They should follow universal precautions and personnel protection measures, such as wearing hand gloves (double gloves preferred), goggles and masks.<\/p>\n"},"subContentId":"96f51d73-6eb0-4d3b-8526-18cece9d3a79","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":2.178649237472767,"y":8.602150537634408,"width":89.32461873638344,"height":10.799136069114471,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Steps for Packaging Specimen during Transportation for TB Diagnosis<\/strong><\/span><\/p>\n"},"subContentId":"c8dc5011-bcf1-407a-a5a2-06e3c78ddf1f","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":20.674509803921566,"y":25.73182795698925,"width":27.233115468409586,"height":25.806451612903224,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 1<\/span>.<\/strong> Make sure that the specimen collection tube is tightly closed after the sample has been collected from the patient.<\/p>\n"},"subContentId":"7a0e2fb1-0d5f-4bca-9249-83e878cb5cd7","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.2679738562091503,"y":19.354838709677416,"width":16.33986928104575,"height":38.22894168466523,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-645401e9af382.png","mime":"image\/png","copyright":{"license":"U"},"width":215,"height":254},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"e7364f46-c233-4cb4-aa05-e83af3c2fdb9","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.178649237472767,"y":64.51612903225806,"width":23.965141612200437,"height":26.34989200863931,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-6454021b5406c.png","mime":"image\/png","copyright":{"license":"U"},"width":360,"height":202},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"d97ad67e-96fb-48de-8997-09d056e9e7a7"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":26.143790849673202,"y":64.51612903225806,"width":20.697167755991288,"height":30.10752688172043,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 2.<\/strong><\/span> Wipe the outer surface of the 50 ml conical tube with 5% phenol followed by absorbent tissues and allow it to air dry.<\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"81a9fab4-7491-4647-9d63-21c95cd8162d"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":47.930283224400874,"y":19.354838709677416,"width":23.965141612200437,"height":27.861771058315334,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-6454026e8e3aa.png","mime":"image\/png","copyright":{"license":"U"},"width":297,"height":175},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"ce706876-7f74-4692-9681-1605f04ea144"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":72.98474945533769,"y":19.354838709677416,"width":23.965141612200437,"height":32.25806451612903,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 3.<\/strong><\/span> Write the patient details on the opaque area (white area) of the specimen collection tube using a permanent marker pen, clearly in capital letters.<\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"584bca27-fa6e-45a3-b788-66db3a0d991f"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":47.930283224400874,"y":60.21505376344086,"width":23.965141612200437,"height":29.80561555075594,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-6454031ca87f1.png","mime":"image\/png","copyright":{"license":"U"},"width":319,"height":202},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"be766ca6-2218-4dae-be12-ba1c56cc4e66"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":74.07407407407408,"y":58.064516129032256,"width":25.05446623093682,"height":36.55913978494623,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 4.<\/strong><\/span> Cut the parafilm strip and wrap one of the strips at the joint between the cap and the neck of the specimen collection tube such that a secured seal is formed (Primary receptacle\/ package).<\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"dee06ef1-e58f-4c0b-bcff-f172259dc563"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":2.178649237472767,"y":8.602150537634408,"width":22.875816993464053,"height":62.634989200863934,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-645403ba5fa2c.png","mime":"image\/png","copyright":{"license":"U"},"width":219,"height":304},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"9678e1ea-ecc2-49a2-8dd9-a7bed96794c9"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":26.143790849673202,"y":10.75268817204301,"width":18.51851851851852,"height":60.21505376344086,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 5<\/span>.<\/strong> Open the absorbent cotton roll and spread it out on the workbench; separate the cotton into two equal layers. Roll the specimen collection tube containing the sample tightly in the absorbent cotton such that the tube is covered completely.<\/p>\n"},"subContentId":"c658b0a3-1785-4ce4-9214-1421d139bf46","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":72.98474945533769,"y":10.75268817204301,"width":23.202614379084967,"height":62.634989200863934,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-645403e71cc8b.png","mime":"image\/png","copyright":{"license":"U"},"width":222,"height":304},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"c0bb3bcf-d298-4cac-abfe-7db8d3c6932f","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":49.01960784313726,"y":10.75268817204301,"width":22.875816993464053,"height":60.21505376344086,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 6<\/span>.<\/strong> Put this roll containing the specimen collection tube into the ziplock pouch. Roll the whole into a tight bundle, ensuring that there is no air in the pouch. This bundle should be secured with rubber bands. (Secondary receptacle\/ package)<\/p>\n"},"subContentId":"8bee8e0e-4797-476d-afeb-9a46d132aee7","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":20.697167755991288,"y":86.02150537634408,"width":62.091503267973856,"height":6.451612903225806,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 7.<\/strong><\/span> Repeat steps 5\u20136 for any second sample of the patient.<\/p>\n"},"subContentId":"252382db-036c-4ce1-9ede-ec4a03b15793","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.446623093681917,"y":6.491490280777537,"width":23.529411764705884,"height":38.8768898488121,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-645404a22dc98.png","mime":"image\/png","copyright":{"license":"U"},"width":354,"height":295},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"5a02284e-4925-4e46-bff0-536159270db1","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":31.59041394335512,"y":12.958963282937365,"width":47.930283224400874,"height":23.758099352051836,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 8<\/span>.<\/strong> Insert the Test Request form printed from Nikshay into the ziplock pouch after ensuring that the details on the form and the sample tubes match, with the writing facing outside (details visible through the package). Seal the ziplock on the pouch.<\/p>\n"},"subContentId":"42d98c56-4c89-4857-a3f8-68d1a03689e4","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":9.803921568627452,"y":53.99568034557235,"width":27.886710239651418,"height":34.557235421166304,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-645404cea2090.png","mime":"image\/png","copyright":{"license":"U"},"width":388,"height":244},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"ffc00359-2a13-463a-906c-179422515815","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":40.30501089324619,"y":51.83585313174946,"width":55.55555555555556,"height":38.8768898488121,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 9<\/span>.<\/strong> Place the cooled gel packs into the thermocol box, place the sample tubes packed in ziplock pouches on the frozen gel packs (frozen for 48 hours at -40\u00b0C) and also keep the pouch containing the Test Request form printed from Nikshay on top. Stick the BIOHAZARD sign over the lid and \u201cTo and From\u201d stickers on the exterior of the thermocol box or box used to pack the specimen. Close the lid of the box and wrap it tightly with brown duct tape. (Tertiary receptacle\/ package)<\/p>\n"},"subContentId":"dd47fd75-e567-434b-a287-a6c1a630618f","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":17.429193899782135,"y":8.602150537634408,"width":22.875816993464053,"height":67.81857451403887,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-6454055edb20d.png","mime":"image\/png","copyright":{"license":"U"},"width":208,"height":313},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"f274212c-adfa-4009-aa9d-d6992a7e6c6c","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.4409477124183,"y":79.42430107526881,"width":44.66230936819172,"height":12.903225806451612,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Step 10.<\/strong><\/span> Complete the \u2018From\u2019 and \u2018To\u2019 addresses on the stickers, using a permanent marker pen.<\/p>\n"},"subContentId":"60c43f0c-c4f7-47e7-ac8a-969ffa6037c9","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":52.287581699346404,"y":8.639308855291576,"width":0.32679738562091504,"height":84.23326133909288,"action":{"library":"H5P.Shape 1.0","params":{"line":{"borderWidth":"2","borderStyle":"solid","borderColor":"rgb(23, 6, 198)"},"type":"vertical-line","shape":{"fillColor":"#ffffff","borderColor":"#000000","borderWidth":"0","borderStyle":"solid","borderRadius":"0"}},"subContentId":"004c5e9d-630e-4d6f-b714-1b8200384a65","metadata":{"contentType":"Shapes","license":"U"}},"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false},{"x":55.55555555555556,"y":38.70967741935483,"width":40.30501089324619,"height":21.598272138228943,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

The LT of the Microscopy Centre should promptly inform the sample transport agency like a courier\/ speed post service, or a human carrier to collect and transport the samples.<\/p>\n"},"subContentId":"20727a7d-8cba-4b72-a70e-8c66a5501566","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.351514161220043,"y":8.659676025917925,"width":89.32461873638344,"height":91.36069114470843,"action":{"library":"H5P.Video 1.6","params":{"visuals":{"fit":true,"controls":true},"playback":{"autoplay":false,"loop":false},"l10n":{"name":"Video","loading":"Video player loading...","noPlayers":"Found no video players that supports the given video format.","noSources":"Video is missing sources.","aborted":"Media playback has been aborted.","networkFailure":"Network failure.","cannotDecode":"Unable to decode media.","formatNotSupported":"Video format not supported.","mediaEncrypted":"Media encrypted.","unknownError":"Unknown error.","invalidYtId":"Invalid YouTube ID.","unknownYtId":"Unable to find video with the given YouTube ID.","restrictedYt":"The owner of this video does not allow it to be embedded."},"sources":[{"path":"videos\/sources-645a294f605a6.mp4","mime":"video\/mp4","copyright":{"license":"U"}}]},"subContentId":"45d33151-6fac-4b82-a201-e18fa3a1b841","metadata":{"contentType":"Video","license":"U","title":"SOP for triple layer packaging"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":true,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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Ch 19: Packaging and dispatching a sample to a C&DST Lab

Target Audience

Requirements for Packaging a biological Specimen

Specimen Carriers

SOP for Packaging for SCT

Labelling Specimen Transport Carriers

Dispatching the sample to a C&DST Lab