What are the gaps in this policy?

There are many gaps in this policy. This policy does not clearly define who the “staffers” are and who is specifically required to be tested. There also is no mention of any family members or visitors needing to be tested. The policy does not state when the tests need to be performed. This policy is cost-consuming because it requires an excessive amount of COVID-19 tests that are unnecessary.

Does scientific evidence support this approach? Why or why not?

Evidence does support this approach because it can detect individuals who may have COVID-19 but are asymptomatic. However, a wide variety of reverse-transcriptase polymerase chain reaction (RT-PCR) tests are available although the sensitivity varies. A particular concern is false negative SARS-CoV-2 test results, which may occur because of low viral shedding, insufficient sample collection, incorrect handling, or variable in specimen site selection (MacKenzie et al., 2022). False negative test results are important for facilities infection control because individuals incorrectly identified as negative may be prematurely tested which can result in risk of infection to other patients and staff (MacKenzie et al., 2020).

Because this is mandated by the state, your facility must comply. Briefly explain how you will ensure compliance while maintaining the integrity of evidence-based practice.

The facility will maintain compliance by having these tests performed before their shift and before entering the building. I would enforce compliance with proper hand hygiene and other infection control compliance to not spread germs to the best of their ability. Education will also be provided on the signs and symptoms of COVID-19 and other common viral illnesses to help prevent the spread.  

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