Rn attempted to obtain covid-19 polymerase chain reaction (pcr) per order.Swab inserted through left nare.After removing from nare, swab not intact.Tip of the swab was not able to be seen in the patient's nare.Certified case manager (ccm) contacted.Plans to consult ent.Specimen able to be obtained from right nare with a new swab.Central item # (b)(4) "virus transport medium with swab for the collection and transportation of virus specimens" lot #: 20200515.Mfg #: 20200515.Per consultation note: "ent consulted for covid swab broken off in nose.Patient intubated in the icu with positive covid.Chart reviewed.Patient non-responsive during examination and retrieval of swab.Endoscope used to view the left nasal cavity.Alligator forceps used to remove the swab.Ng (nasogastric) tube secured in right nasal cavity.No other lesions noted of nasal cavities.".
|