Cleveland Clinic is a non-profit academic medical center. Quite often a nasal or nasopharyngeal swab is collected and then immersed in a viral transport media tube (for RNA testing) or an extraction buffer (for antigen testing). Performing blood draws and transfusions for people. WebOUTPATIENT PHLEBOTOMY SERVICES The use of outpatient phlebotomy services for the procurement of outpatient specimens is strongly encouraged in order to provide efficient laboratory services to patients. TridentCare operates laboratories that are strategically located across the US to ensure we meet the needs of our customers in a timely and cost-effective manner. Gloves are not to be altered. Most phlebotomists are certified by one of seven certifying agencies. 4 x 5L PDF Safety Data Sheet PDF Product Specification Sheet Soil retardant additive helps restore stain resistant properties of carpeting previously treated with a mill applied fluorochemical treatment. These cookies may also be used for advertising purposes by these third parties. Price: $43.00: New (2) from $43.00 & FREE Shipping. #02040 - Rug & Upholstery Shampoo GHS SDS. When it comes to making a decision about Personal Protective Equipment (PPE) in the laboratory, OSHA is pretty clear about how to go about making the selection. The exam itself usually consists of up to 300 questions and includes both a written and practical section. Lab Management University (LMU) is a self-paced online certificate program that improves competency in laboratory management, now with thousands of participants worldwide! There may be other specific laboratory rules, please follow them religiously to ensure a successful completion of any research. WebThe Clinical Laboratory Improvement Amendments of 1988 statute is an amendment to the Public Health Services Act in which Congress revised the federal program for certification and oversight of clinical laboratory testing. In addition, POC testing helps address emerging outbreaks quickly. wide throughout? Use caution, however, and consider the impact to patients of wearing what you consider to be contaminated PPE from patient to patient. With STAT turnarounds in under five hours to increase efficiency, our variable patient-centered service models provide minimal interruption while protecting patient safety and comfort. Prochem - All Fiber Deep Clean - Low pH Detergent and Rinse - Carpet Cleaning - Concentrate - 1 Gallon - S103 3.9 out of 5 stars 2 ratings. Lab benches and work areas free of clutter? The donning and doffing spaces should be separated from each other to avoid cross-contamination. When using lab equipment and chemicals, be sure to keep your hands away from your body, mouth, eyes, and face. Craftex Low PH Fibrecare is the best solution for cleaning delicate fibres. According to OSHA, the answer is a clear no. A 2007 OSHA letter of interpretation states, Laboratory coats are not typically needed as personal protective equipment (PPE) during routine venipuncture. Oxidizer is a powdered version of hydrogen peroxideessentially a safe form of bleachthat is specially formulated as an additive booster to make your traffic lane cleaner or extraction detergent work even better. Earning a certificate from a phlebotomy program. Heel pricks, which are specifically for infants. Brand Name: Prochem Number of Items: 1 Part Number: S103 UNSPSC Code: 41000000 See more. Has a fresh clean fragrance. Today he is the Laboratory Safety Officer for Sentara Healthcare, a system of seven hospitals and over 20 laboratories and draw sites in the Tidewater area of Virginia. We cannot rely upon testing or symptoms to identify patients infected with SARS-CoV-2, so laboratory safety procedures have been developed around identifying the types of specimens most likely to transmit virus from specimen to person and the types of laboratory activities most likely to generate aerosols, and therefore, most likely to expose laboratory workers to infectious viral particles. Dish detergent is one of the most common pH-neutral cleaners, and works perfectly for floors. WebUtah Valley Hospital Outpatient Lab. Maintain concentration to avoid either spillage or swallowing of toxic chemicals. The safety in any laboratory or medical setting begins with the phlebotomist. Such professional must adhere to the safety regulations and procedures put forth by OSHA and his or her work place. By following theses regulations, a phlebotomy technician helps to ensure his or her own safety in addition to the safety of others. All information these cookies collect is aggregated and therefore anonymous. HSE Articles, HSE Jobs, HSE News, & HSE Training. This also provides employees CEUs to maintain certification requirements. The decision-making tools and processes can be applied to the patient collection area as well. 1995-2023 Mayo Foundation for Medical Education and Research. WebThe Clinical Laboratory Improvement Amendments of 1988 statute is an amendment to the Public Health Services Act in which Congress revised the federal program for certification The viral transport media (VTM) or antigen extraction buffer sample is mixed, uncapped, then the viral transport media or extraction buffer is applied to a test to detect either viral RNA or antigen. Each lab should conduct regular self-inspections of their areas to ensure compliance Each facility should conduct a site- and activity-specific risk assessment of the procedures performed, identifying the hazards involved in the process, the competency level of the personnel performing the methods, and the laboratory facility. If you liked todays presentation, or even if you didnt, please consider attending our next virtual phlebotomy conference on April 21stand 22nd, 2022: "Performance, public health and people in a post-COVID world." Has a fresh clean fragrance. Every year at the Mayo Clinic Laboratories phlebotomy conference, I present a talk thats always called Phlebotomy Top Gun. The format of Phlebotomy Top Gun is a case-based presentation. For guidance on point-of-rare testing, see the, All laboratories should perform a site-specific and activity-specific risk assessment and follow Standard Precautions when handling clinical specimens. For laboratory or any other health care worker performing high-risk activities with high-risk specimens, additional precautions beyond the universal PPE will be necessary. Provo, UT 84606 (Joaquin area) 900 E / 450 N. Estimated $25.4K - $32.2K a year. Chemicals with very low and very high pH levels are corrosive and can even release toxic fumes into the air. Specimens should be shipped at 2-8oC with ice packs in a leakproof primary container, leakproof, watertight secondary container, and rigid outer packaging to protect the specimens during shipment. This product is pH balanced and environmentally safe, and you can use it on vinyl, velour, cloth, carpet, and sheepskin. Alkaline cleaning blends alkalinity sources with a balanced amount of surfactants to constitute a highly effective metal cleaner. Many respiratory viruses, and this is certainly true of SARS-CoV-2, are transmitted either as aerosols or respiratory droplets. Never undertake unauthorized experimentation, Never scatter your work-station. WebPhlebotomy Training in Atascosa TX - Students learn to competently collect blood, understand the factors that can affect procedures and testing, take appropriate safety precautions, display professionalism with patience and coworkers, and recognize the responsibilities of a phlebotomist in a working laboratory. For example, the following laboratory procedures have been associated with the generation of infectious aerosols and droplets: centrifugation, pipetting, vortexing, mixing, shaking, sonicating, removing caps, decanting liquids, preparing smears, flaming slides, aliquoting and loading specimens, loading syringes, manipulating needles, syringes or sharps, aspirating and transferring blood and body fluids, subculturing blood culture bottles, spilling specimens, and cleaning up spills. When having conversations about this topic, I have heard the argument that clothes or scrubs are worn from patient to patient if lab coats are not used. Less water means less residue, and fewer water spots that can dry onto the floor. All chemicals must be adequately labelled and stored. Blood is a liquid, and liquids splatter. This guidance for environmental testing is intended only for laboratories that perform virus concentration as part of the wastewater/sewage surveillance testing procedure. The BBP standard requires lab coats in occupational exposure situations. That means that if phlebotomists perform any work in the lab- if they process blood, spin it down, pour it off, etc. A phlebotomist is a medical professional who is trained to perform blood draws on children and adults. Vacuum your carpet to pick up as much dirt as possible. It is suitable for use on wool, nylon and fine fabrics, with a reduced risk of browning, colour-bleed and texture distortion. Answers 3 and 4 are the respiratory specimens I mentioned as being high-risk sample types, and these should be manipulated in a biological safety cabinet or, if not available, in a chemical fume hood to reduce the risk of transmission of SARS-CoV-2 to laboratory staff while manipulating these samples in any way that might generate aerosols or droplets. Some carpet cleaning powder could be too aggressive for deep cleaning delicate fibres. Receive an email when we have something new to say. (LogOut/ The Occupational Safety and Health Administration (OSHA) issues the Bloodborne Pathogens Standards which details the safety precautions for the phlebotomy industry. The standards and procedures set forth by OSHA address issues related to cleaning and sanitizing, protective gear and clothing, and needle disposal. Ensuring that all equipment is properly sanitized before collecting blood. check out the conference agenda now posted online at the Mayo Clinic Laboratories website. The TridentCare lab handles a number of types of samples for testing and analysis. Wear sensible clothing including footwear. Waste disposal regulations vary from state to state; therefore, all waste disposal procedures must comply with local, regional, state, national, and international regulations. International Technologist in Molecular Biology, MB(ASCPi) International Medical Laboratory Scientist, MLS(ASCPi) International Medical Laboratory Technician, MLT(ASCPi) International Phlebotomy Technician, PBT(ASCPi) Technician Aerosols and dropletscontaining particles <100 m in diameter are not visible to the naked eye. If the risk is low, you should feel comfortable choosing not to provide lab coats for this process. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. The second solution is to use a direct dosing device, an antigen or molecular test that allows a swab to be placed directly into a closed system that completes the test without any need to manipulate the samples. All TridentCare Phlebotomists receive extensive training, mentoring, and have a national certification or a state license, Phlebotomists must also pass a background check, drug screen, physical, and have a valid drivers license with a good driving record. The law continues to be cited as CLIA 88 as named in legislation. Allows moisture vapour transmission. I have been a conference organizer and presenter at our annual phlebotomy conference for more years than I care to remember, and Im also co-director for our Laboratory Services, or Phlebotomy group, here at Mayo Clinic Rochester. That is not convenient for them, and it opens the door to regulation violations and potential patient harm. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The Best Natural Carpet Cleaner. Packages containing dry ice should be designed and constructed to prevent pressure buildup and allow gas release that could rupture the packaging. For more information, see Biological Risk Assessment: General Considerations for Laboratories Decontaminate work surfaces and equipment with appropriate disinfectants. PPE, such as laboratory coats or gowns, gloves, eye protection, or a disposable mask and face shield, can help protect the skin and mucous membranes of the eyes, nose, and mouth. Eliminates browning problems which result from too high a pH level. Finally, a word about safe handling of specimens used to perform point of care testing for SARS-CoV-2. But it can be more or less depending on where you work and how many hours you work in a week. General and specific biosafety guidelines for handling SARS-CoV-2 specimens are provided below. Policy. Its also streak free. So, if you have phlebotomists on your team, whether they collect blood on the patient units, at client sites, or in the lab, they all need to be wearing gloves, and it is required that they change those gloves after each patient contact. Beyond universal PPE including face protection when a splash is possible, we also need to consider high-risk specimens for COVID-19 disease transmission, and high-risk activities where health care workers have greater risk of exposure and infection with respiratory viruses. CRAFTEX LOW pH FIBRECARE is a safe and neutral carpet and upholstery cleaner for use in hot or cold extraction machines. 74% of respondents said they had encountered blood splashing beyond the hand area multiple times during the years they had been drawing blood. Theyll apply a bandage to the area, and youll be ready to go home. At this point during the phlebotomy conference, I would return to the original question that I polled the audience on. Made with plant-based deodorizers and detergents, this formula is free of chemicals and additives that may irritate sensitive noses. Anything below 7 is acidic and anything above 7 is basic. The answer is any sample from the respiratory tract, unless that sample has been treated with something that will inactivate respiratory viruses. Lab is maintained secure; door is locked when no one is in lab? Similarly, CSF, urine, and any respiratory tissue fixed in formalin are not considered infectious and thus no special handling of these samples is necessary. All waste disposal must comply with local, regional, state, national, and international regulations. The IBC submission and review process takes place in the Research Laboratory workers may not be aware that such particles are being generated during many laboratory procedures. Learn how your comment data is processed. Loose clothing should be secured so that they do not get caught in a flame or chemicals. The NAACLS Board of Directors has voted to open the accreditation process to laboratory programs located outside the United States. See. Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD). You need a low pH acid cleaner of about 2.0 to safely remove the brown discoloration from your carpet. has provided thestandard responses associated with each inspection question. Revisions made on October 26, 2021 include: Revisions made on September 19, 2020 include: Revisions made on August 7, 2020 include: Revisions made on July 13, 2020 to update: Revisions made on May 11, 2020 include recommendations for: To receive email updates about COVID-19, enter your email address: We take your privacy seriously. A phlebotomist is a medical professional whos trained to perform blood draws. Routine diagnostic testing procedures, such as the following activities, can be handled in a BSL-2 laboratory using Standard Precautions: The practice of anatomic pathology plays a critical role in determining accurate disease diagnoses by studying organ tissues and fluids. radiation safety. Two subsequent amendments were made after 1988. Step 2 Dip a mop in this cleaner, then wring out excess water. they are in such an exposure situation and need a lab coat (and face protection if they handle open specimens or chemicals). Low odour, pH neutral it can be used indoors or out, in commercial or residential applications. The following charts give the locations, hours of service, and phone/pager numbers for outpatient phlebotomy services. With your vacuum cleaner, vacuum up the residue. I solicit from you, the attendees, the cases, issues, or questions that you would like to hear about. Although the overall pH is important, choosing a carpet cleaning solution solely on the basis of pH alone is not good enough. Each lab should conduct regular self-inspections of their areas to ensure compliance with applicable regulatory requirements and to familiarize new staff with the location of safety equipment. The Lead Phlebotomist Laboratory Assistant performs phlebotomy duties and also acts as the area lead under the direction of the laboratory supervisor or manager. Arch Pathol Lab Med. The phlebotomist will then insert a needle into your vein and attach a vial to the needle to collect a blood sample. Eliminates browning problems which result from too high a pH level. [1] [2] Examples of risk Procedures that concentrate viruses, such as precipitation or membrane filtration, can be performed in a BSL-2 laboratory with unidirectional airflow and BSL-3 precautions, including respiratory protection and a designated area for donning and doffing PPE. This first part of this conversation is easy. A significant deviation triggers a re-test to validate accuracy, Laboratory technologist provides a human review to ensure the test results fall within reasonable medical expectations, Results are immediately placed into our online laboratory system for customer retrieval, Our laboratory technicians are highly-trained, certified, and experienced 54% of lab employees have been with TridentCare for five or more years 79% of lab technologists have been with the company for five or more years. Also never leave an ongoing experiment unattended to. According to OSHA, the answer is a clear no. A 2007 OSHA letter of interpretation states, Laboratory coats are not typically needed as personal protective equipment (PPE) during routine venipuncture. The letter does also go on to say that employers should perform risk assessments for any potential exposure situation in order to make decisions about lab coat use. To determine appropriate biosafety mitigation measures, laboratories should perform an activity-specific biosafety risk assessment that evaluates laboratory facilities, personnel and training, practices and techniques, safety equipment, and risk mitigation measures. Thank you for your time and attention today. Upon specimen check-in, TridentCare's laboratory staff apply bar codes that will track the progress of a sample's processing and testing throughout the lab. After theyve collected enough blood, theyll release the tourniquet and then remove the needle. If a phlebotomist uses a lab coat while processing specimens in the lab, should that same lab coat be used with patients? The ideal practice would be to perform sample manipulation, the mixing of viral transport media or extraction buffer, the uncapping of that mixture and dosing of the device in a biological safety cabinet, but this is not a practical workflow for many point of care situations. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Specifications for this item. A pH of 7 is neutral. Mixing of transport media or extraction buffer, and uncapping that mixture, is an aerosol generating activity, and thus many point of care tests for COVID-19 do put some risk on testing personnel who are performing these tasks. Training is available through HealthLab. The best carpet cleaners for deep-cleaning carpets and rugs at home, including best value picks and the best carpet cleaners for pets from Bissell, Hoover, and more. TridentCares Evening Draw Model specimen collection process provides the patient a safer and more satisfying experience and delivers test results during daytime hours for more timely treatment options. TridentCare laboratory services are available 24 hours per day, 7 days per week to enable optimal care. Advertising on our site helps support our mission. Never store edible items in the refrigerator used for storage of lab chemicals and specimens. Lab areas containing carcinogens, radioisotopes, biohazards, and lasers should be properly marked with the appropriate warning signs. Before you start any experiment, make sure you are fully aware of the hazards of the materials you will be using. Pat Hlavka, CSP, Safety Coordinator at Mayo Clinic, chatted with Shayne Brannman, Director of ASPR-TRACIE, and her team regarding clinical laboratories and how they plan for and respond to disasters. WebUD laboratory safety rules include 1. no eating, smoking, drinking 2. protective footwear 3. eye protection 4. confine long hair 5. cover any sores with band-aids 6. wear gloves 7. Add to cart. Quantity Qty. Pleural fluids are also considered high-risk specimens as well, but probably not as high-risk as the first group. More information is available, Travel requirements to enter the United States are changing, starting November 8, 2021. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Of course, we must use universal personal protective equipment (PPE) such as coats, gloves, and eye protection whenever we collect, handle, or manipulate biological specimens. Interim Laboratory Biosafety Guidelines for Handling and Processing Specimens Associated with Coronavirus Disease 2019 (COVID-19), Centers for Disease Control and Prevention. They help us to know which pages are the most and least popular and see how visitors move around the site. TridentCare delivers results to customers numerous ways based on customer preference (secure email, HL7-compliant interface, direct and indirect EMR interfaces, fax, and web access), Critical results are provided by phone to facility within one hour of results, Average STAT collection and reporting completed in under five hours, Receipt of all Critical and STAT results are verified with a phone call to the ordering practitioner, as well as posted electronically, All laboratory-related information (results, requests, interactions, etc.) For each case I can see whether Ive been able to change anyones mind on the question at issue by presenting the data and information relevant to this topic. Cleaners with a pH closer to neutral are safer for cleaning employees and building occupants . They collect and prepare blood for testing so it can be analyzed in a medical laboratory. Regardless of the type of carpet cleaner that you buy, it is important to follow the directions on the label as well as to be aware of the recommendations for the care of your carpet or rug. Failure to don additional personal protective equipment, or PPE (e.g., lab coat, face protection), when appropriate. If youre concerned about chemicals on your rugs and carpets, a natural cleaner, such as Puracy Natural Carpet Cleaner Detergent Shampoo, is a great alternative. The concentrate is dissolved in water and, in combination with mechanical action and temperature, generally removes most contaminants. If you find the risk of splash is high, implement the use of lab coats. So in some commercial settings with heavy soil, you may still prefer to use an alkaline rinse agent / emulsifier and leave the carpet at a pH above. TridentCare maintains a certified microbiology lab, including contained incubation and other analysis tools. Infectious dropletsare traditionally defined as larger particles (>5 m in diameter) that rapidly fall out of the air, contaminating gloves, the immediate work area, and the mucous membranes of the persons performing the procedure. This product is strong enough to remove most types of dirt but not too strong to change the colour of the fibre. As a Lab Safety Officer, I also know the use of a lab coat for phlebotomists creates several issues. All laboratories should perform a site-specific and activity-specific risk assessment to identify and mitigate risks. Chemical Hygiene Plan(CHP) should be developed which will addresses the specific hazards found in a location, and approach to manage the hazards. Make sure you wash your hand thoroughly after research. They collect blood for testing or donation and can also perform blood transfusions. Content disclaimer: posts written by our bloggers may contain content that is not the opinion, stance, or policy of the ASCP. At a minimum, all personnelwhether practicing anatomic or clinical pathology should follow Standard Precautions |Section IV when handling clinical specimens, including hand hygiene and the use of PPE, such as laboratory coats or gowns, gloves, eye protection or a disposable mask and face shield, to help protect the skin and mucous membranes of the eyes, nose, and mouth. For information on autopsies, see Collection and Submission of Postmortem Specimens from Deceased Persons with Known or Suspected COVID-19. TridentCare ensures that its customers receive immediate reporting of test results (when completed) to enable timely treatment interventions. This is an actual case from a Phlebotomy Top Gun presentation at last years virtual phlebotomy conference. WebWe provide phlebotomy and laboratory services to tens-of-thousands of patients every day. WebLaboratory safety. For purposes of entry into the United States, vaccines accepted will include FDA approved or authorized and WHO Emergency Use Listing vaccines. instant carpet spot remover carpet cleaner Folex Instant Carpet Spot Remover quickly Folex Instant Carpet Spot Remover quickly removes the toughest spots and stains from carpets, rugs and upholstery without rinsing, vacuuming or waiting to see results. SKU: 04228 Categories: Solutions, Commercial. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Dan Scungio, MT(ASCP), SLS, CQA (ASQ) has over 25 years experience as a certified medical technologist. Examples of these additional precautions include centrifuge safety cups, sealed centrifuge rotors to reduce the risk of exposure to laboratory personnel, and additional PPE, such as an N95 respirator or disposable mask with a face shield. See EPA regulations and State Universal Waste Programs in the United Statesfor more information. They usually take less than a year to complete. Biomat USA Inc 3.0. Park on the lower 64% of those surveyed regularly used semi-impermeable lab coats as PPE while collecting blood. TridentCare maintains professional high-quality laboratories nationwide. Fortunately, some of the most common specimens collected and manipulated by the laboratory staff are considered low risk for transmission of SARS-CoV-2 and other respiratory viruses. College of American Pathologists Q-Probe study of patient satisfaction and complications in 23,783 patients. Phlebotomy comes from the Greek words phleb- and -tomia, which mean vein and cutting, respectively. Cleans and deodorizes in one step. More information is available, Recommendations for Fully Vaccinated People, Guidance for SARS-CoV-2 Point-of-Care and Rapid Testing, Biological Risk Assessment: General Considerations for Laboratories, Procedures with a High Likelihood of Generating Droplets or Aerosols, Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings, Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard, State Universal Waste Programs in the United States, Collection and Submission of Postmortem Specimens from Deceased Persons with Known or Suspected COVID-19, International Air Transport Association (IATA) Dangerous Goods Regulations, U.S. Department of Transportations (DOT) Transporting Infectious Substances Safely, APHL Packaging and Shipping Evaluation Tool, APHL Packing and Shipping Guidance for Biological Substances, Category B Specimens, WHO Guidance on regulations for the transport of infectious substances 2019 2020, Biosafety in Microbiological and Biomedical Laboratories (BMBL) 6th Edition, Guidelines for Safe Work Practices in Human and Animal Medical Diagnostic Laboratories, Biosafety in Microbiological and Biomedical Laboratories (BMBL), 6th Edition, Severe Acute Respiratory Syndrome Coronavirus 2 from Patient with Coronavirus Disease, United States, Environmental Protection Agency Regulations, APHL Packing and Shipping Infectious Substances Training Requirements Job Aid, CDC 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, CDC Guidance for Point-Of-Care and Rapid Testing, CDC Laboratory Frequently Asked Questions, CDC Schematic for packaging, UN 3373 Category B, CFR 49 PART 173.134 Class 6, Division 6.2, CFR 49 PART 173.199 Category B Infectious Substances, CFR 49 PART 173 General Requirements for Shipments and Packaging, Environmental Protection Agency (EPA) regulations, EPA List N: Disinfectants for Use Against SARS-CoV-2, FAQs to Lower Minimum Required Biosafety Containment Level for Research Subject to Guidelines (NIH), Guide to Packaging Category B Diagnostic Samples, IATA Packing Instructions 650 for UN 3373, Laboratory Biosafety Guidance for Research with SARS-CoV-2 and IBC Requirements (NIH), Longhorn PrimeStore Molecular Transport Medium Fact Sheet, Preparing and Supporting Laboratories Responding to COVID-19, Saf-T-Pak Packaging Checklist, see Category B, SARS-CoV-2 Specimens: Packing and Shipping, SARS-CoV-2 (COVID-19) Fact Sheet: Guidance Proposed Use of Point-of-Care (POC) Testing Platforms for SARS-CoV-2 (COVID-19), State Universal Waste Programs in the United States | Hazardous Waste | US EPA, WHO Laboratory biosafety guidance related to the novel coronavirus (2019-nCoV)-World Health Organization, WHO Laboratory Biosafety Manual, 4th edition, National Center for Immunization and Respiratory Diseases (NCIRD), FAQ: Multiplex Assay for Flu and SARS-CoV-2 and Supplies, Hospitalization Surveillance Network COVID-NET, Laboratory-Confirmed Hospitalizations by Age, Demographics Characteristics & Medical Conditions, Seroprevalence Surveys in Special Populations, Large-Scale Geographic Seroprevalence Surveys, Investigating the Impact of COVID-19 During Pregnancy, Hospitalization and Death by Race/Ethnicity, People with Intellectual & Developmental Disabilities, U.S. Department of Health & Human Services, This guidance is intended for clinical laboratory and support staff who handle or process specimens associated with COVID-19.