LeadingAge and BD Veritor Antigen Testing Training Webinar

Regulation | September 18, 2020 | by Jill Schumann

On Friday, September 18, 2020 LeadingAge hosted a webinar with Becton Dickinson to provide LeadingAge members with information regarding the BD Veritor antigen testing systems that have been shipped to nursing homes across the country.

On Friday, September 18, 2020 LeadingAge hosted a webinar with Becton Dickinson to provide LeadingAge members with information regarding the BD Veritor antigen testing systems that have been shipped to nursing homes across the country. The recording of the webinar will be posted to the LeadingAge website, and this is a summary of the highlights.

HHS has conducted a one-time procurement of the BD Veritor Plus System and is providing machines and test kits to facilitate testing staff for COVID-19. The box of test kits contains: 30 swabs, 30 reagent kits and 30 cartridges, as well as positive and negative controls, instructions and the package insert. Machines can run 3,500 tests and then must be replaced. This eliminates the need for calibrating the machine.

Steps in the testing process are as follows:

  1. Collect the sample using the nasal swabs – 5 rotations in each nostril
  2. Insert swab into the reagent tube
  3. Mix the sample for 15 seconds with the reagent by swishing
  4. Remove the swab
  5. Dispense 3 drops of the sample into the test cartridge
  6. The cartridge must then incubate for 15 minutes. This can be done in two ways:
    1. Walkaway mode – insert the cartridge immediately into the machine and 15 minutes later the machine will provide the result
    2. Analyze Now mode – each cartridge can be incubated for 15 minutes outside the machine and then each inserted in turn into the machine can yield results in 10 seconds. This allows for testing more samples in an hour but requires careful recording to match up the correct results with the specific person tested.

“One swab, one reagent tube, and one cartridge for each person” tested was emphasized. These machines can also test for flu A and B and strep, but that requires different reagents and cartridges and incubation timing. To test for Flu or Strep kits specific to those issues must be ordered and used.

BD provides many training and education resources. There are training modules that have competency questionnaires at the end and can produce a certificate when competency is achieved. BD has set up a microsite at BDVeritor.com – and then go to Long Term Care Facilities for training and education webinars and videos. There are also infographics and other downloadable resources available.

The Question and Answer session highlighted the following:

  • What credentials does the person administering and processing the tests need to have?
    • It needs t be a trained, competent professional who has taken the trainings and is deemed competent. Compliance with state CLIA waiver requirements is necessary.
  • What is the cost and availability of test kits?
    • Prices are set by the distributrs- McKesson and Medline. Production of test kits is ramping up and should be stable in October.
  • What is the minimum and maximum timing for each step of the process?
    • Cartridges shuld be incubated either inside or outside of the machine for 15 minutes.
    • BD will clarify the specifics fr each of the other steps, but the it is best if the sample goes into the reagent straightaway and the test sample goes into the cartridge the same.
  • How should the machine be cleaned?
    • It can be wiped dwn with and alcohol wipe and should be done after each test
  • How often should the positive and negative control swabs be administered?
    • BD des not specify this and it shuld be based on what the specific Medical Director wants. Most often it is when: you receive a new machine; a newly trained operator begins; or there is a new box opened or new lot number.
  • What should be done with the used swab, reagent tube and cartridge?
    • They shuld be treated as biohazard waste
  • There is some confusion about options for reporting, some confusion about how to know which results go with which person tested, and we understand there is a back order for some of the options.
    • Yes, there are sme supply chain problems, more consistent availability is anticipated in early October.
    • Optins for reporting include:
      • Cable and Printer – fairly manual process; printout is similar to a credit card receipt, so notation would need to be written on the printout
      • Scanning – with the scanning module you can scan in the patient number, operator number and then can hook up to a computer and download as an Excel spreadsheet
      • Synapsis – is middleware that can connect the BD device to LIS or other software such as some EHRs
  • Note that LeadingAge will work with BD to further clarify: min/max timing for each step of the process; how many tests can be run in an hour; batch testing; and reporting results.