Running a Patient Test. *For Product Labeling documents, such as the Package Insert, Quick Reference Guide, SDS sheets and CLSI documents, please visit our e-IFU website. ID NOW: The Forefront of COVID-19 Testing | Abbott U.S. All rights reserved. All surfaces must REMAIN WET FOR 10 MINUTES for maximum disinfection. Get the latest news, explore events and connect with Mass General. SIZE OF A TOASTER. COVID-19 Transport Tube Product Sheet (English), Cross Division COVID-19 Variant Technical Brief NORAM (English), ID NOW COVID-19 CLSI + More Packet (English), ID NOW COVID-19 Elution Buffer SDS (English), ID NOW COVID-19 Nasal Swab Collection Technical Tips (English), ID NOW COVID-19 Nasopharyngeal Swab Collection Technical Tips (English), ID NOW COVID-19 One Abbott Solution Brochure (English), ID NOW COVID-19 Procedural Control Results and Patient Record (English), ID NOW COVID-19 Procedural Control Results and Patient Record Word (English), ID NOW COVID-19 Product Sheet US (English), ID NOW COVID-19 Throat Swab Collection Technical Tips (English), ID NOW Positive and Negative Control Swabs SDS (English), Technical Brief Current COVID-19 Vaccinations and Detection by Abbott BinaxNOW COVID-19 Ag Card and ID NOW COVID-19 2.0 Assay September 2022 (English), California Transparency in Supply Chains Act, Declaration for California Compliance Law, instructions how to enable JavaScript in your web browser, ID NOW COVID-19 Control Kit (12 pos, 12 neg), Positive results may be detected in as little as 5 minutes, Molecular technology targeting COVID-19 RdRp gene, Designed for near patient testing in a variety of healthcare environments, Direct sample types include: Nasal, Throat, and Nasopharyngeal swabs, Small footprint enables ease of use at point of care, Dimensions - 8.15 W x 5.71 H x 7.64 D (207 mm W x 145 mm H x 194 mm D), Assay kit contains all necessary components for testing to include: 24 tests, swabs for sample collection, pipettes, positive and negative controls. Based on your current location, the content on this page may not be relevant for your country. Alternatively, click YES to acknowledge and proceed. Check with your local representative for availability in specific markets. All rights reserved. %PDF-1.6 % The Point of Care Testing Procedure Manual contains the approved procedures for safe and effective operation of POCT procedures by MGH POCT providers. DOCX Abbott BinaxNOW Testing Competency - Training Checklist 2 0 obj ^ ` r ` r O ! b. a. Why is it important to make sure the patient ID band is replaced when a patient is transferred in from other facility? Afinion 2. i-STAT 1 Wireless. Documentation of maintenance and temperature should be included in the SOP. Sign up to receive valuable updates from Abbott. Signed Competency Checklist should be maintained in employee's personnel file (see Nasal Swabbing Procedure and Performance of BinaxNOWTM COVID-19 Ag Card Competency Checklist) Instrument User Manual. For in vitro diagnostic use only. Any person depicted in such photographs is a model. Copyright 2007-2023. The ID NOW platform combines the benefits of speed and accuracy for the fastest molecular results in the market. 193 0 obj <>stream 3 0 obj Rotate (twirl) swab shaft 3 times CLOCKWISE (to the right). Each Abbott ID NOW COVID-19 test cartridge comes with a swab and all the necessary reagents. We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. The device is connected to a CONNECT Universal Gateway using an ethernet cable 3. Abbott Diagnostics Scarborough, Inc. - ID NOW COVID-19. %PDF-1.5 % Sign up to receive valuable updates from Abbott. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> <> Apply HALT solution to hard, non-porous surfaces. Properly used, ID NOW very effective, Abbotts John R. Hackett Jr. tells CNN. They have been authorized by the FDA under an emergency use authorization for use by authorized laboratories. RUH Pathology Services | Point of Care Testing endstream endobj startxref INVESTORS. stream ERIC - EJ1267822 - Future LIS Education and Evolving Global Competency Your use of this website and the information contained herein is subject to our Website Terms and Conditions and Privacy Policy: US Citizens | Non-US Citizens. Emergency Use Authorization of Medical Products and Related Authorities. This test has not been FDA cleared or approved. 884 0 obj <>stream Point of Care Testing Procedure Manual - Massachusetts General Hospital Examples of these additional precautions include personal protective equipment (PPE), such as a surgical mask or face shield, or other physical barriers, like a splash shield. Z{sB[u.j(t\G#Hu F+Aal+ 5N# J FzPxT, JdA5dr.u+%c6l+"jQP) #u(FJ #uVDHi"zDLQyhE.3 &ztxFJ)1`l5td#z$ z%HJG R{8djdlRg U]S[W_PX"YHE.ud]$"YH6E)MldS$"gdF3\|NMVEw^:&V?jr+8^"MB"r;*i(. 4485 0 obj <> endobj Preform a Quality Control Test and/or patient test on self/coworker with Super User Supervision 8. ID NOW: THE FOREFRONT OF COVID-19 TESTING. BinaxNOW COVID-19 . COVID-19 Product Insert. Peel off adhesive liner from the right edge of the test card. Testing location should be reviewed to ensure minimal traffic for testing location, separate room if possible, location should be near asink and eyewashstation. The ID NOW COVID-19 test returns positive results in 13 minutes or less to enable immediate clinical decisions during the first patient visit. PORTABLE, RELIABLE AND RAPID, WITH RESULTS ON THE SPOT, ALL IN THE hb```b``Vb`e``fd@ A+&fZlU7. Learn about simple, reliable and secure connectivity and reporting for ID NOW COVID-19 testing. FACT SHEET FOR HEALTHCARE PROVIDERS - Food and Drug Administration This test has been authorized only for the detection of nucleic acid from SARS-CoV-2, not for any other viruses or pathogens. Updated as of 12/08/2022 . Alternatively, click YES to acknowledge and proceed. There are templatesin the, Competency frequency: Initial training, 6-months, and annually thereafter. Title (Mr/Mrs/Miss/Dr): Surname: Position: Forename(s): . Abbott: ID NOW COVID-19 Test -Clinical Procedure for Symptomatic Testing-Policy and Procedure Date Effective: June 24, 2021 . ! Facility will conduct COVID-19 antigen testing with the Abbott BinaxNOW COVID-19 Tests as outlined by the manufacture, CMS, CDC and FDA. General Coronavirus (COVID-19) ID NOWis a rapid, instrument-based, isothermal system for the qualitative detection of infectious diseases. The ID NOW COVID-19 assay is now available for use on the ID NOW platform under U.S. Food and Drug Administration Emergency Use Authorization (EUA). RAPID TESTING CAN GET PEOPLE THE RIGHT TREATMENT. GDPR Statement (last updated: May 2018) | California Transparency in Supply Chains Act | Declaration for California Compliance Law. to analyze our web traffic. Cholestech LDX Analyzer. Learn about career opportunities, search for positions and apply for a job. Timely results enable healthcare professionals to make appropriate and more efficient treatment and infection control decisions. PDF BinaxNOW COVID-19 Competency Exam - SFGH-POCT 2023 Abbott. Risk Assessment. ID NOW PERFORMANCE, FROM RESEARCHERS IN THE FIELD. endobj No use of any Abbott trademark, trade name, or trade dress in this site may be made without the prior written authorization of Abbott, except to identify the product . Please review our privacy policy and terms & conditions. Abbott requires new usersto perform 1 positive and 1 negative/blank test controls prior to testing. The website you have requested also may not be optimized for your specific screen size. 2/27/2020. Photos displayed are for illustrative purposes only. G D J r 0~0 b ^ H &. Here are the instructions how to enable JavaScript in your web browser. Customer uses existing API to pull data into customer LIS/EHR where applicable ID NOW COVID-19 and ID NOW COVID-19 2.0 have not been FDA cleared or approved. 158 0 obj <> endobj ID NOW Ellution Buffer. A simple, reliable and secure connectivity and reporting solution, offering ID NOW COVID-19 test reporting within 24 hours for decentralized environments to help you manage data for CARES Act requirements without infrastructure burden. PDF VDH Abbott BinaxNOW Train the Trainer - Virginia Department of Health ID NOW'S MOLECULAR TESTING IS "GOLD STANDARD". Wxyh[} P"%"l0T( 821 0 obj <>/Filter/FlateDecode/ID[<328C757F408E7C41BFC7E242F2973DD0>]/Index[798 87]/Info 797 0 R/Length 112/Prev 216100/Root 799 0 R/Size 885/Type/XRef/W[1 3 1]>>stream hbbd```b``y"gH sd`Wu0y LnOYc $FZ ' H (bt{ I REDUCING RISK BY DIAGNOSING WITH RELIABLE RAPID TEST. No use of any Abbott trademark, trade name, or trade dress in this site may be made without the prior written authorization of Abbott, except to identify the product or services of the company. Based on your current location, the content on this page may not be relevant for your country. Healthcare Professionals Information For procedures with a high likelihood to generate aerosols or droplets, use either a certified Class II Biological Safety Cabinet (BSC)oradditional precautions to provide a barrier between the specimen and personnel. Isolation Precautions in Healthcare Settings Specimen handling and collection training 7. PDF Abbott ID NOW - Training Procedure for Symptomatic Testing - Yukon 4577 0 obj <>stream Learn how Abbott utilizes unique isothermal nucleic acid amplification technology. This study will enroll approx 2882 participants under the age of 18 at 15 pediatric emergency centres across Canada. Standard Universal Precautions should be adhered toat all times, Office of Clinical and Preventive Services - 08N34 A&B, Office of the Director/Congressional and Legislative Affairs Staff - 08E37A, Office of the Director/Diversity Management and Equal Employment Opportunity Staff - 08E61, Office of the Director/Executive Secretariat Staff - 08E86, Office of the Director/Public Affairs Staff - 08E73, Office of Direct Service and Contracting Tribes - 08E17, Office of Environmental Health and Engineering - 10N14C, Office of Information Technology - 07E57B, Office of Resource Access and Partnerships - 10E85C, Office of Urban Indian Health Programs - 08E65C, U.S. Department of Health and Human Services, Exit Disclaimer: You Are Leaving www.ihs.gov, National Laboratory Professionals Council (NLPC), 120006456 v01 ID NOW COVID-19 CLSI More Packet, Shared templates - SOP, Training, and other implementation documents, Occupational Safety and Health Administration (OSHA), MMWR Good Laboratory Practices for CLIAWaived sites, 120004872 v04 ID NOW Performance Best Practices, Abbott ID NOW COVID19 Test Validation Form, COVID 19 Competency Assessment Mod High Complex, SCRSDS-0196 v4 Alere and ID NOW Positive and Negative Controls, SCRSDS-0275 v1 ID NOW COVID-19 Test Base SDS-US, TB000041 v1.0 Important Product Notice ID NOW COVID, Barcode Label COVID_19 QC Patients Results Log, ID NOW COVID-19 Technical Brief April 2020-Sample Type Labeling UpdateV2, SCRSDS-0274 v1 ID NOW COVID-19 Elution Buffer SDS-US. Learn how Abbott utilizes unique isothermal nucleic acid amplification technology. 4507 0 obj <>/Filter/FlateDecode/ID[<38B5EDDB3DE12F4286DDB68BF53A81A2><158FB707B081FF49B9233C9305EF120D>]/Index[4485 93]/Info 4484 0 R/Length 111/Prev 437721/Root 4486 0 R/Size 4578/Type/XRef/W[1 3 1]>>stream Unless otherwise specified, all product and service names appearing in this Internet site are trademarks owned by or licensed to Abbott, its subsidiaries or affiliates. Intended for U.S. residents only. ID NOW is a leading molecular point-of-care platform in the United States, trusted by hospitals, physician offices, and urgent care clinics nationwide. . Learn about the many ways you can get involved and support Mass General. Our unique ID NOW isothermal nucleic acid amplification technology provides molecular results in just minutes, allowing you to make effective clinical decisions sooner. O ! At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. Explore fellowships, residencies, internships and other educational opportunities. collected, please refer to our Privacy Policy. Abbott ID Now - Training/Orientation Trainee: Date of Training: Test Name: COVID-19/SARS CoV-2 : Trainer: This document is used to verify that the Trainee responsible for running the COVD-19 test has reviewed the Online Training modules and received sufficient training to include the following: Point-of-care tests are critical to help fight the novel coronavirus pandemic. %%EOF Watch the replay for multi-disciplinary updates on variant surveillance and testing protocols from Europe to the U.S., and explore COVID-19 testing protocols to optimize patient care and public health readiness with an uncertain upcoming influenza season. How TO USE SOLUTION If surfaces are dirty, they should first be cleaned with detergent or soap and waterprior to disinfection with HALT solution. This test is to be performed only using respiratory specimens collected from individuals who are . Pediatrics Vol. Close and securely seal the card. For in vitro diagnostic use only. ID NOW | Abbott Point of Care The General Hospital Corporation. Gateway transmits test data via secure cellular connectivity to a secure Abbott-hosted, cloud-based server 4. COVID-19 RAPID TESTS: READY WHEN EVERY MINUTE COUNTS. Find out more about this innovative technology and its impact here. PDF Table of Contents - Yukon Your employee ID number, which can be scanned into the meter using the barcode on your ID badge. IN REAL WORLD TESTING, ID NOW ACCURATE, RELIABLE. PDF Frequently Asked Questions (FAQs), Abbott i-STAT - Updated 12-08-2022 Abbott is providing these links to you only as a convenience, and the inclusion of any link does not imply endorsement of the linked site by Abbott. Competency Exam Initial Competency Semi-annual Competency Annual Competency (CY: _____) Follow up This exam is to be performed upon Initial Orientation & Training and Competency; twice in the first year of practice; and annually thereafter. The ID NOW COVID-19 assay is a qualitative, rapid molecular test that utilizes an isothermal nucleic acid amplification technology to detect nucleic acid from the SARS-CoV-2 viral RNA. NcTSpooR,l3 Larger POC platforms, such as the Cepheid GeneXpert Xpress, another example of a POC device that can be used for COVID -19, are often based in hospitals and medical centers. xn@%YgRP,X$cH"\xM(V7xwf1~b6@ggf3| "`4*0_|4(o@$ez'a!paK"/{|*_Dv4ISe4m)+ We are committed to providing expert caresafely and effectively. The products and information contained herewith may not be accessible in all countries, and Abbott takes no responsibility for such information which may not comply with local country legal process, regulation, registration and usage. %PDF-1.5 % Your use of this website and the information contained herein is subject to our Website Terms and Conditions and Privacy Policy: US Citizens | Non-US Citizens. ` ` ` ` ` t t t 8 8 t CP 4 J ( r r r > O O O O O O O Q T O ` O ` ` r r 4 O ! ! US Centers for Disease Control (CDC) Coronavirus (COVID-19) Webpages 10/19/2020. The products and information contained herewith may not be accessible in all countries, and Abbott takes no responsibility for such information which may not comply with local country legal process, regulation, registration and usage. FAQ # Description of Change . a. The tests have been authorized only for the detection of nucleic acid from SARS-CoV-2, not for any other viruses or pathogens, and are only authorized for the duration of the declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostic tests for detection and/or diagnosis of COVID-19 under Section 564(b)(1) of the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. New and Improved Speed, Performance and Efficiency. The website that you have requested also may not be optimized for your screen size. Complete the ID NOW Assessment Form, Maintain competency on the Abbott ID NOW POCT COVID-19 test system, Follow accreditation requirements for patient identification, testing and reporting. Get the latest news on COVID-19, the vaccine and care at Mass General. PDF SARS - CoV - 2 (COVID19) Fact Sheet- - Centers for Disease Control and Abbott's approach to research and development of COVID-19 diagnostic tests. The ID NOW test has emerged as a critical part of the fight against COVID-19, allowing fast diagnosis with results in minutes. PPE training 6. 1. endstream endobj 4486 0 obj <>/Metadata 132 0 R/Outlines 299 0 R/PageLayout/OneColumn/Pages 4479 0 R/StructTreeRoot 362 0 R/Type/Catalog>> endobj 4487 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 4488 0 obj <>stream Information for Laboratories Links which take you out of Abbott worldwide websites are not under the control of Abbott, and Abbott is not responsible for the contents of any such site or any further links from such site. PDF VERSION - Federal Bureau of Prisons The instrument then amplifies the virus hundreds of millions of times to make it more easily detectable and determine at a molecular level whether the sample is positive or negative. Competency must be verified by competent trainer, by performing the testing procedure outlined by Abbott. ID NOW PERFORMANCE, FROM RESEARCHERS IN THE FIELD Reliable test results depend on many factors, conformity to test design. The ID NOW COVID-19 assay is now available for use on the ID NOW platform under U.S. Food and Drug Administration Emergency Use Authorization (EUA). Influenza A & B Package Insert. hZmo7+xE,_4m ,_;#TG@Vpy P%3+dRX'01PiB#BL HP1J%fBQ(C%KBA)P)A Abbott - A Leader in Rapid Point-of-Care Diagnostics. Laboratory Requirements | COVID-19 - Laboratory Medicine Let us help you navigate your in-person or virtual visit to Mass General. ID NOW COVID-19 | Abbott Point of Care Specimen Collection, World Health Organization (WHO) Coronavirus (COVID-19), U.S. Food & Drug Administration Facility-based platforms . Photos displayed are for illustrative purposes only. b. We offer diagnostic and treatment options for common and complex medical conditions. What does this mean? The SOP should encompass information pertaining to instructions for reporting anddocumentingresults, notification ofpositive results,appropriate PPE usage andcleaning procedures, quality control, etc. (2003) Impact of the Rapid Diagnosis of Influenza on Physician Decision-Making and Patient Management in the Pediatric Emergency Department: Results of a Randomized, Prospective, Controlled Trial. CONDUCTING RESEARCH DURING THE COVID-19 PANDEMIC. 3. Review of Abbott ID NOW Pre- and Post- Test Information for Clients Document 4. Review Abbott ID NOW COVID -19 POCT Assessment Form for COVID-19- Symptomatic testing document 5. A Leader in Rapid Point-of-Care Diagnostics. This website is governed by applicable U.S. laws and governmental regulations. Search for condition information or for a specific treatment program. 2023 Abbott. For i-STAT test cartridge information and intended use, refer to individual product pages or the cartridge information (CTI/IFU) in the i-STAT Support area. 360bbb-3(b)(1), unless the declaration is terminated or authorization is revoked sooner. Positive and Negative Control Swabs. DIFFERENCE-MAKING INNOVATION. ID NOW is a rapid, instrument-based, isothermal system for the qualitative detection of infectious diseases. ID NOW is a leading molecular point-of-care platform in the United States, trusted by hospitals, physician offices, and urgent care clinics nationwide. For i-STAT test cartridge information and intended use, refer to individual product pages or the cartridge information (CTI/IFU) in the i-STAT Support area. endstream endobj startxref _____The patient test result displays 423mg/dl. For full functionality of this site it is necessary to enable JavaScript. i-STAT Operator Training Checklist i -STAT Competency Assessment 6-Month/Annual i-STAT Competency Written Test i-STAT INR Finger stick Training and Assessment Record i-STAT Cartridge Room Temperature Log i-STAT Corrective Action Log i-STAT Record of Receipt/QC Log HemoCue Hemoglobin Procedure HemoCue Hemoglobin Job Aid HemoCue Training Checklist Learn all about the ID NOW Instrument and installation by following these video modules. %%EOF PDF Abbott ID Now - Training/Orientation - Indian Health Service POC I-STAT Training/Competency Checklist: 4/15/2021: POC Bassett Clinics and Tests Chart. SoToxa Mobile Test System. POC Abbott ID Now QC Log: 2/18/2021: POC HemoCue Hgb QC Log (Form will be sent by POC with QC Material.) Abbott - A Leader in Rapid Point-of-Care Diagnostics. GoHealth Urgent Care: Rapid test kept COVID-19 patient from boarding plane. No use of any Abbott trademark, trade name, or trade dress in this site may be made without the prior written authorization of Abbott, except to identify the product or services of the company. Enter your email address to receive Abbott Edge. ID NOW COVID-19 | Abbott Point of Care Bonner, A.B. How advanced molecular testing technology detects novel coronavirus. It is greater than 423. . Competency Sheet. The SOP should encompass information pertaining to instructions for reporting and documenting results, notification of positive results, appropriate PPE usage and cleaning procedures, quality control, etc. <>>> <> ID NOW. For full functionality of this site it is necessary to enable JavaScript. q.UV+Soeo6[\}J'.p&LuJ-wZeo,;?7*Z@AUP }43*!4 yBH &3LVnu"M%A`I$X4 M%!J'r-YZdiI3e,9Y:3tf3Cg #`d0FH02 F#H$8, K#H$8, @g,9:$@tL33GgBg#`1. BinaxNOW Influenza A&B Card 2. Notification to CMS and yourclinic accrediting organizationof intent to perform COVID-19 testing using the Abbott ID NOW analyzer under the FDA EUA for COVID-19. Determine HIV-1/2 Ag/Ab Combo. hbbd```b``Z"Ig6D&Hw0LH40{7U W ;|zFg`` {yJ b. ID NOW COVID-19. As a result, the site may contain information on pharmaceuticals, medical devices and other products or uses of those products that are not approved in other countries or regions. b. %%EOF Please click NO to return to the homepage. Creation of SOP for COVID-19 testingusing the Abbott ID NOW analyzer. The Abbott ID NOW is an example of a mobile molecular POC device for COVID -19. endstream endobj startxref 112 No. Not all products are available in all regions. RXqGfhdP)bkfhp.F!0!\ % d,W+EB9,g053051%2973b[2 wg Hi@ (n@Z(13~?V@1& 0 Learn how to use the test by watching the COVID-19 demonstration video. This test has been authorized by FDA under an EUA for use by authorized laboratories. Any person depicted in such photographs is a model. MoreCDC guidelinesfor COVID-19 can be found using the following links. The portable, rapid molecular ID NOW COVID-19 test has emerged as a critical part of this arsenal, allowing fast diagnosis with results in 13 minutes or less in a variety of locations such as physicians' offices, urgent care clinics and other point-of-care locations. 178 0 obj <>/Filter/FlateDecode/ID[<301DDEECFAA1D3498BAA66861BB1A194><151D3900F17130438FFBD093DE37C0D5>]/Index[158 36]/Info 157 0 R/Length 101/Prev 91471/Root 159 0 R/Size 194/Type/XRef/W[1 3 1]>>stream PDF FACT SHEET: Implementation of Abbott ID NOW COVID-19 - APHL (BLUE) and G3+ (BLUE) are now considered high complexity tests due to lack of FDA categorization. If your non-waived laboratory is . ID NOW COVID-19 2.0. In the fight against COVID-19, having multiple tests for different settings and stages of a person's infection is key, from high-volume laboratory capabilities to fast solutions that give results on the spot, from tests that detect the active virus to tests that detect antibodies in people who were previously infected. POC:Piccolo Electrolyte Panel Reagent/QC Log: . Please be aware that the website you have requested is intended for the residents of a particular country or region, as noted on that site. *For Product Labeling documents, such as the Package Insert, Quick Reference Guide, SDS sheets and CLSI documents, please visit our e-IFU website. It is a high critical result. The purpose of the study is to evaluate the clinical sensitivity of buccal swab testing using Abbott ID NOW COVID-19device to detect SARS-CoV-2 infection among children aged 0-<18.0 years old presenting to the emergency department with an indication for SARS-CoV-2 testing as . CONDUCTING RESEARCH DURING THE COVID-19 PANDEMIC Contact Sales Technical Support Overview Benefits Helpful Documents Here are the instructions how to enable JavaScript in your web browser, One Abbott solution for patient testing, result capture and data reporting, Isolation Precautions in Healthcare Settings, Emergency Use Authorization of Medical Products and Related Authorities. Point Of Care Forms - Bassett Healthcare Network Clinical Laboratories ID NOW COVID-19 Testing | Abbott U.S. - Abbott Laboratories Reporting of results (per Abbott Instructions for Use) should include: Reporting of false-positives and false-negatives and other significant deviations from performance characteristics to Abbott and FDA. OVERVIEW; FINANCIALS; STOCK INFO; . Insert the (+) or (-) control swab into BOTTOM HOLE and firmly push upwards so that the swab tip is visible in the TOP HOLE.