Table 3 Analysis of RDT use and treatment scenario steps (i) following completion of pilot training and (ii) 2 weeks after pilot training, by individual step
(% completing step correctly) (n = 15) | |||||
|---|---|---|---|---|---|
# | Description of step | End of training | 2 weeks post training | Common error(s) | |
1 | Work surface disinfected with alcohol | 100 | 93 | ||
2 | Assembles all required equipment | 47 | 87 | Lack of preparation of items before conducting RDT | |
3 | S | Put on new pair of gloves | 100 | 100 | |
4 | Check expiry date of RDT packet | 80 | 73 | Skipped | |
5 | Check desiccant sachet is dry | 40 | 66 | Skipped | |
6 | Write client name on cassette | 100 | 100 | ||
7 | Place cassette on level surface | 100 | 100 | ||
8 | S | Clean finger with alcohol swab | 93 | 100 | |
9 | Allow finger to dry before pricking | 100 | 100 | ||
10 | S | Use sterile lancet to prick finger | 93 | 93 | Set down sterile lancet onto work surface after removing cap |
11 | Puncture side of ball of the 3rd or 4th finger | 93 | 100 | ||
12 | S | Dispose of lancet immediately after pricking finger | 87 | 100 | Used lancet, then set down onto work surface |
13 | Wipes away initial blood from finger | 93 | 93 | ||
14 | A | Uses blood collection device correctly | 73 | 100 | Attempted to ‘scoop’ blood, inadequate volume of blood |
15 | A | Correctly transfer blood to cassette using tool | 93 | 100 | |
16 | S | Dispose of blood collection tool immediately | 100 | 100 | |
17 | A | Dispenses correct volume of buffer | 93 | 93 | |
18 | A | Start the timer immediately after adding buffer | 60 | 66 | Started timer before adding buffer or after clearing workspace |
19 | Dispose of non-sharps safely | 100 | 100 | ||
20 | A | State the correct time that the RDT can be read | 80 | 87 | Stated “15 to 20” or “20 minutes” |
21 | A | Reads test results correctly (RDT test sheet) | 53 | 87 | Misidentified faint positive as negative or invalid. |
22 | T | Completes correct sections of treatment register | 87 | Not completed | |
23 | T | Selects appropriate AL dose based on weight | 60 | Ticks “LA x 1 tab” on treatment register | |
24 | T | Selects appropriate paracetamol dose | 60 | Not completed; prescribes incorrect dose | |
25 | T | Selects correct Parent Information sheet for AL dose | 13 | Uses LA x 1 Parent Information Sheet | |
26 | T | States correct time for 2nd dose of AL to be taken | 40 | Not completed; instructed 2nd dose to be taken after 6 hours | |