ISO 5258:2022
(Main)Healthcare organization management — Pandemic response (respiratory) — Drive-through screening station
Healthcare organization management — Pandemic response (respiratory) — Drive-through screening station
This document specifies the operation of a drive-through screening station (DTSS) for mass testing as part of pandemic response management. NOTE COVID-19 is an exemplary disease for which such a station is developed.
Management des organisations de soins de santé — Réponse en cas de pandémie (respiratoire) — Station de dépistage au volant
General Information
Standards Content (Sample)
INTERNATIONAL ISO
STANDARD 5258
First edition
2022-02
Healthcare organization management
— Pandemic response (respiratory)
— Drive-through screening station
Management des organisations de soins de santé — Réponse en cas de
pandémie (respiratoire) — Station de dépistage au volant
Reference number
ISO 5258:2022(E)
© ISO 2022
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ISO 5258:2022(E)
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© ISO 2022
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ISO 5258:2022(E)
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Overview of DTSS . 2
4.1 General . 2
4.2 Purpose . 3
4.2.1 Early diagnosis . 3
4.2.2 Minimizing contact . . 3
4.2.3 Saving time . 3
4.3 Planning . 4
4.3.1 General . 4
4.3.2 Site selection criteria . 4
4.3.3 Site components . 4
4.4 Principles . 5
4.5 Staffing . 5
5 Screening process . 6
5.1 Reservation . . 6
5.2 Registration . 6
5.3 Examination . 7
5.4 Specimen collection . 8
5.5 Education . 8
6 Notification of test results . 9
6.1 Test subject . 9
6.2 Public health . 9
Annex A (informative) Approaches to and examples of drive-through screening stations .10
Bibliography .13
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ISO 5258:2022(E)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out
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electrotechnical standardization.
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described in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the
different types of ISO documents should be noted. This document was drafted in accordance with the
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on the ISO list of patent declarations received (see www.iso.org/patents).
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This document was prepared by Technical Committee ISO/TC 304, Healthcare organization management.
Any feedback or questions on this document should be directed to the user’s national standards body. A
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ISO 5258:2022(E)
Introduction
Pandemics demand swift, decisive and sustained action by governments and public health authorities.
Actions that have proved effective are widespread testing, contact tracing and rigorous treating. For
testing, drive-through screening stations (DTSS) can be used to test thousands of people each day. A
DTSS can screen large numbers of people for the presence of a disease, with those testing positive told
to self-isolate or referred for treatment, and those who had been in contact with an infected person
told to self-quarantine. People presenting for screening at a DTSS remain in their car, which acts as
a protective barrier for healthcare workers. The standard protocol for operating a DTSS can include
processes such as a medical interview, examination and specimen collection through the car window.
The use of DTSS can reduce the risk of transmission of the disease (including in hospital waiting rooms),
relieve pressure on hospitals (which otherwise can be inundated with requests for testing), and free
hospital resources for treating people the disease (including those that are otherwise necessary to
disinfect areas used for specimen-taking).
This document was developed based on experience gained from, and procedures implemented to deal
with, the COVID-19 pandemic, which was characterized as a pandemic by the World Health Organization
(WHO) in March 2020. South Korea, in particular, used DTSS to control the spread of the virus without
shutting down the country and without imposing extreme restrictions on people's movement.
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INTERNATIONAL STANDARD ISO 5258:2022(E)
Healthcare organization management — Pandemic
response (respiratory) — Drive-through screening station
1 Scope
This document specifies the operation of a drive-through screening station (DTSS) for mass testing as
part of pandemic response management.
NOTE COVID-19 is an exemplary disease for which such a station is developed.
2 Normative references
There are no normative references in this document.
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
ISO and IEC maintain terminology databases for use in standardization at the following addresses:
— ISO Online browsing platform: available at https:// www .iso .org/ obp
— IEC Electropedia: available at https:// www .electropedia .org/
3.1
confirmed case
person confirmed to be infected with the pathogen of the infectious disease according to the testing
criteria for diagnosis, irrespective of clinical signs and symptoms
3.2
coronavirus
virus that is part of a large family of viruses that can cause illness in animals or humans
Note 1 to entry: In humans, several coronaviruses are known to cause respiratory infections ranging from the
common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS) and Severe Acute
Respiratory Syndrome (SARS). The coronavirus discovered in 2019 causes the coronavirus disease COVID-19
(3.3).
[11]
[SOURCE: WHO, 2020 ]
3.3
COVID-19
infectious disease caused by the coronavirus (3.2) discovered in 2019
Note 1 to entry: This virus and disease were unknown before the outbreak began in Wuhan, China, in December
2019.
[11]
[SOURCE: WHO, 2020 ]
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ISO 5258:2022(E)
3.4
drive-through screening station
DTSS
drive-thru screening station
temporary testing facility where a test subject goes through screening processes such as a medical
interview, examination and specimen collection through a car window without leaving the car
Note 1 to entry: The drive-through model provides a one-stop service of registration – examination – specimen
collection – disinfection and education, all carried out while the person stays in the car. It is a screening station
specialized in large-scale sample collection and exclusively dedicated to the function of specimen collection.
[10]
[SOURCE: CDSCHQ, 2020, modified ]
3.5
Level D
work uniform affording minimal protection which is used for nuisance contamination only
[12]
[SOURCE: US Department of Labor ]
3.6
personal protective equipment
PPE
device or appliance designed to be worn or held by an individual for protection against one or more
health and safety hazards
EXAMPLE Clothing, gloves, helmets, footwear, face protection.
[SOURCE: ISO 15384:2018, 3.12, modified — The example has been added.]
4 Overview of DTSS
4.1 General
The typical process of a DTSS is shown in Figure 1. An infectious agent can be transmitted by direct
contact, droplet spread or airborne. Therefore, effective ways to minimize contact between test subjects
and testers are indispensable. The DTSS mitigates contact between test subjects and healthcare
workers. Test reservations are available through mobile apps, which minimizes on-site waiting time.
A mobile preliminary questionnaire allows for obtaining sufficient information in advance, enabling
the medical staff to conduct necessary tests quickly. The DTSS model is applicable to any endemic
or pandemic in that it helps expand testing capabilities massively at once. Annex A provides typical
approaches to implementing a DTSS (see A.1), the South Korean implementation of DTSS (see A.2) and
examples of implementations from other countries (see A.3).
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ISO 5258:2022(E)
Key
A DTSS E education
B registration F entrance
C examination G exit
D specimen collection
Figure 1 — Typical process of DTSS
4.2 Purpose
4.2.1 Early diagnosis
The purpose of the DTSS is to rapidly identify and isolate infected people, such as in a pandemic in its
early stages. Global challenges arise from novel infectious diseases and in the absence of any vaccines
or treatments. It is vitally important to test as many suspected cases as possible to respond to the
pandemic quickly.
4.2.2 Minimizing contact
The DTSS mitigates contact among test subjects and healthcare workers. Avoiding direct contact is a
top priority when there can be a large number of potentially infected test subjects due to population
high density or the potential risk of close contact, or both. People are very likely to wait for testing in
indoor testing facilities, increasing the risk of cont
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