NC Laboratory Preparedness Survey - April 2018

Thank you for your response.



A red asterisk (*) indicates required questions.


  1. Facility name:*


  1. Name of the individual completing the survey:


  1. Our laboratory routinely performs (check all that apply):

    *
    Gram stains
    Culture workups from lower respiratory tract specimens
    Culture workups from wounds
    Culture workups from blood cultures
    None of the above


  1. Does your laboratory have the ability to test OR refer specimens that may contain Ebola virus or other emerging, highly infectious disease pathogens? Mark all that apply.*
    Test
    Refer
    Neither


  1. How many staff members are currently certified in safe packaging/shipping of Division 6.2 infectious substances (Category A – known to contain or suspected of containing a pathogen)?*


  1. Have you completed at least one risk assessment for an identified infectious agent from October 1, 2017 to March 30, 2018 (current reporting period)?*
    Yes
    No


  1. Have you completed at least one risk assessment for an identified infectious agent from March 30, 2015 to March 30, 2018 (total project period)?*
    Yes
    No


  1. Does your laboratory have a written policy and/or a standard operating procedure (SOP) in place to conduct biosafety risk assessments?*
    Yes
    No





NC State Laboratory of Public Health
Raleigh, NC