Report from a Covid19 testing Lab - #1

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Location: Ireland

Work schedule: Moved from 7 days/week, 9h/day to 6 days/week, 9h/day. Sundays are off except for the 29th of March because we need to catch up with samples.

Age of samples: Processed a sample from the 22nd of March today. Will take at least 2-3 more days until there is a result for it. No wonder people have to wait so long for their results, the testing process takes ages.

Demographic of lab workers: Mostly people in their 20s, a slight majority of women. Most are biologists or biology-related (e.g. agriculture), there are a lot of undergrads and postgrads.

Availability of in-house testing: Can't test in-house yet, processed samples are being sent to a different facility.

Protective Equipment: Lab coat, goggles, face shield, gloves taped shut around your wrists, underarm protectors and second pair of gloves if you work under a fume hood

Work process:

A) Samples arrive, name and date of birth on test tubes containing samples are matched to name and date of birth on attached form

ComplicationSolution
Name or DoB don't match 100%Still process if similar enough, don't process if complete mismatch
Bag with sample is opaqueOpen sample bag under fume hood, repack in a clear bag, disinfect
Form in same bag as sample (= contaminated)Open sample bag under fume hood, repack sample in clean, clear bag; put form in a big plastic bag, seal, disinfect, copy form, discard contaminated copy

B) Transfer sample solution containing the virus in a small tube for inactivation and preparation for testing method (PCR), fill rest of sample solution into other small tube for storage (backup). Attach barcode labels to keep track of them through the process. Sanitize tubes and bring them to the pickup station.

ComplicationSolution
Sample leakedTry to transfer a sufficient amount of liquid into testing tube, sanitize whole fume hood
Sample is a dry swab, not in solutionAnd virus transfer medium, incubate for 15 minutes, vortex (= shake on a shaker specifically made for this), proceed as normal
Can't get the stickers off because you're wearing two pairs of gloves, one is too big, and everything sucksCry a little bit inside, then ask your lab partner for help

C) Use PCR (polymerase chain reaction, a method to amplify a very specific piece of DNA. In this case, 2 genes of SARS-CoV-2) to test the sample

ComplicationSolution
No facilities for PCR testing these samplesBuild new facilities, in the meanwhile send samples to other facility

I came home rather tired, everything hurts. But my colleagues are nice, the cafeteria has free lunch, and I feel useful.

The very dry and matter-of-fact style of this post shows you how done I am, don't feel very able to write my usual prose.

But I guess some might find it interesting what's going on in (some) testing labs.

I'm really hoping for fast tests/home tests to go commercial soon, the turnover for the method currently used is way too slow.

Bottom line: Sudden spikes in confirmed cases do not necessarily mean more infected people. The testing labs might simply be catching up. Please stay at home anyway.




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Report from a Covid19 testing Lab - #1 | Ecency