Survey to Identify the General Status of Supplies Associated with Testing for COVID-19

The Self-Governance Communication & Education Tribal Consortium (SGCETC), a non-profit tribal organization governed by a Tribal Board of Directors, requests your assistance.

Over the last week, we have increasingly heard concerns about the lack of access to supplies associated with collecting the samples for COVID-19 testing and a need for increased access to a limited number of public and private labs that analyze the tests.

To be more effective in our efforts to relay your needs and challenges to those that can potentially assist in getting additional resources, we want to ensure our requests for assistance are as clear and direct as possible. In addition, by periodically surveying your supply need priorities over the next few weeks, we can determine if current shortages are being resolved and if other supplies are moving into a category of concern for supply shortages. Please note that this is a very limited survey specifically related to supplies generally associated with the collection of samples needed for COVID-19 analysis.

SGCETC will secure all survey results and will NOT share individual results without the written permission of the Tribal Nation. Our analysis and communication related to the results will not identify specific Tribes or Clinics. If you have questions regarding the purpose or safeguarding of information, please contact Jay Spaan, Executive Director, at jays@tribalselfgov.org or 918-370-4258.

ABOUT SGCETC: We serve as a resource to assist all Tribal Nations achieve their own goals of self-governance and self-determination through capacity building and enhanced communication. In addition, we seek to enhance and expand the right of Tribal Nations to decide the best method for the delivery of programs and services to their communities.

Question Title

1. Please indicate your current stock of the following supplies that are associated with testing for COVID-19.

	No Stock, completely depleted	Limited Stock, anticipate depleting the stock in the very near term (1 week)	Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Enough Stock, no concerns currently about running out of this item
Gloves	Gloves No Stock, completely depleted	Gloves Limited Stock, anticipate depleting the stock in the very near term (1 week)	Gloves Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Gloves Enough Stock, no concerns currently about running out of this item
Gowns	Gowns No Stock, completely depleted	Gowns Limited Stock, anticipate depleting the stock in the very near term (1 week)	Gowns Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Gowns Enough Stock, no concerns currently about running out of this item
Face-fitting N-95 mask	Face-fitting N-95 mask No Stock, completely depleted	Face-fitting N-95 mask Limited Stock, anticipate depleting the stock in the very near term (1 week)	Face-fitting N-95 mask Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Face-fitting N-95 mask Enough Stock, no concerns currently about running out of this item
Face shield	Face shield No Stock, completely depleted	Face shield Limited Stock, anticipate depleting the stock in the very near term (1 week)	Face shield Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Face shield Enough Stock, no concerns currently about running out of this item
Goggles that seal closely to the eye	Goggles that seal closely to the eye No Stock, completely depleted	Goggles that seal closely to the eye Limited Stock, anticipate depleting the stock in the very near term (1 week)	Goggles that seal closely to the eye Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Goggles that seal closely to the eye Enough Stock, no concerns currently about running out of this item
Oxyvir disinfectant	Oxyvir disinfectant No Stock, completely depleted	Oxyvir disinfectant Limited Stock, anticipate depleting the stock in the very near term (1 week)	Oxyvir disinfectant Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Oxyvir disinfectant Enough Stock, no concerns currently about running out of this item
Alcohol based hand sanitizer	Alcohol based hand sanitizer No Stock, completely depleted	Alcohol based hand sanitizer Limited Stock, anticipate depleting the stock in the very near term (1 week)	Alcohol based hand sanitizer Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Alcohol based hand sanitizer Enough Stock, no concerns currently about running out of this item
Disinfectant towlettes	Disinfectant towlettes No Stock, completely depleted	Disinfectant towlettes Limited Stock, anticipate depleting the stock in the very near term (1 week)	Disinfectant towlettes Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Disinfectant towlettes Enough Stock, no concerns currently about running out of this item
Regular face masks	Regular face masks No Stock, completely depleted	Regular face masks Limited Stock, anticipate depleting the stock in the very near term (1 week)	Regular face masks Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Regular face masks Enough Stock, no concerns currently about running out of this item
Swabs (1 nasopharyngeal swab and/or oropharyngeal swab)	Swabs (1 nasopharyngeal swab and/or oropharyngeal swab) No Stock, completely depleted	Swabs (1 nasopharyngeal swab and/or oropharyngeal swab) Limited Stock, anticipate depleting the stock in the very near term (1 week)	Swabs (1 nasopharyngeal swab and/or oropharyngeal swab) Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Swabs (1 nasopharyngeal swab and/or oropharyngeal swab) Enough Stock, no concerns currently about running out of this item
Solution (M4, VCM or UTM media)	Solution (M4, VCM or UTM media) No Stock, completely depleted	Solution (M4, VCM or UTM media) Limited Stock, anticipate depleting the stock in the very near term (1 week)	Solution (M4, VCM or UTM media) Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Solution (M4, VCM or UTM media) Enough Stock, no concerns currently about running out of this item
Vials for submitting the swab	Vials for submitting the swab No Stock, completely depleted	Vials for submitting the swab Limited Stock, anticipate depleting the stock in the very near term (1 week)	Vials for submitting the swab Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Vials for submitting the swab Enough Stock, no concerns currently about running out of this item
Sealed bags for transporting the vials	Sealed bags for transporting the vials No Stock, completely depleted	Sealed bags for transporting the vials Limited Stock, anticipate depleting the stock in the very near term (1 week)	Sealed bags for transporting the vials Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Sealed bags for transporting the vials Enough Stock, no concerns currently about running out of this item
Ice packs/pouches for shipping	Ice packs/pouches for shipping No Stock, completely depleted	Ice packs/pouches for shipping Limited Stock, anticipate depleting the stock in the very near term (1 week)	Ice packs/pouches for shipping Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Ice packs/pouches for shipping Enough Stock, no concerns currently about running out of this item
Labels for specimen containers	Labels for specimen containers No Stock, completely depleted	Labels for specimen containers Limited Stock, anticipate depleting the stock in the very near term (1 week)	Labels for specimen containers Moderate Stock, anticipate the current stock will last for 2 – 4 weeks	Labels for specimen containers Enough Stock, no concerns currently about running out of this item

Other (please specify)

Question Title

2. For each of the following supplies that are associated with testing for COVID-19, which of the categories best describes your current ability to obtain the item:

	Unable to find a supplier and need immediate assistance to replenish stock	Identified a supplier but may not receive it in time to replenish current supply	Have a reliable supply source and not concerned about ability to restock the item
Gloves	Gloves Unable to find a supplier and need immediate assistance to replenish stock	Gloves Identified a supplier but may not receive it in time to replenish current supply	Gloves Have a reliable supply source and not concerned about ability to restock the item
Gowns	Gowns Unable to find a supplier and need immediate assistance to replenish stock	Gowns Identified a supplier but may not receive it in time to replenish current supply	Gowns Have a reliable supply source and not concerned about ability to restock the item
Face fitting N-95 masks	Face fitting N-95 masks Unable to find a supplier and need immediate assistance to replenish stock	Face fitting N-95 masks Identified a supplier but may not receive it in time to replenish current supply	Face fitting N-95 masks Have a reliable supply source and not concerned about ability to restock the item
Face shield	Face shield Unable to find a supplier and need immediate assistance to replenish stock	Face shield Identified a supplier but may not receive it in time to replenish current supply	Face shield Have a reliable supply source and not concerned about ability to restock the item
Goggles that seal closely to the eye	Goggles that seal closely to the eye Unable to find a supplier and need immediate assistance to replenish stock	Goggles that seal closely to the eye Identified a supplier but may not receive it in time to replenish current supply	Goggles that seal closely to the eye Have a reliable supply source and not concerned about ability to restock the item
Oxyvir disinfectant	Oxyvir disinfectant Unable to find a supplier and need immediate assistance to replenish stock	Oxyvir disinfectant Identified a supplier but may not receive it in time to replenish current supply	Oxyvir disinfectant Have a reliable supply source and not concerned about ability to restock the item
Purrell	Purrell Unable to find a supplier and need immediate assistance to replenish stock	Purrell Identified a supplier but may not receive it in time to replenish current supply	Purrell Have a reliable supply source and not concerned about ability to restock the item
Cavi wipes	Cavi wipes Unable to find a supplier and need immediate assistance to replenish stock	Cavi wipes Identified a supplier but may not receive it in time to replenish current supply	Cavi wipes Have a reliable supply source and not concerned about ability to restock the item
Regular face masks	Regular face masks Unable to find a supplier and need immediate assistance to replenish stock	Regular face masks Identified a supplier but may not receive it in time to replenish current supply	Regular face masks Have a reliable supply source and not concerned about ability to restock the item
Swabs (1 nasopharyngeal swab and/or oropharyngeal swab)	Swabs (1 nasopharyngeal swab and/or oropharyngeal swab) Unable to find a supplier and need immediate assistance to replenish stock	Swabs (1 nasopharyngeal swab and/or oropharyngeal swab) Identified a supplier but may not receive it in time to replenish current supply	Swabs (1 nasopharyngeal swab and/or oropharyngeal swab) Have a reliable supply source and not concerned about ability to restock the item
Solution (M4, VCM, or UTM media)	Solution (M4, VCM, or UTM media) Unable to find a supplier and need immediate assistance to replenish stock	Solution (M4, VCM, or UTM media) Identified a supplier but may not receive it in time to replenish current supply	Solution (M4, VCM, or UTM media) Have a reliable supply source and not concerned about ability to restock the item
Vials for submitting the swab	Vials for submitting the swab Unable to find a supplier and need immediate assistance to replenish stock	Vials for submitting the swab Identified a supplier but may not receive it in time to replenish current supply	Vials for submitting the swab Have a reliable supply source and not concerned about ability to restock the item
Sealed bags for transporting the vials	Sealed bags for transporting the vials Unable to find a supplier and need immediate assistance to replenish stock	Sealed bags for transporting the vials Identified a supplier but may not receive it in time to replenish current supply	Sealed bags for transporting the vials Have a reliable supply source and not concerned about ability to restock the item
Ice packs/pouches	Ice packs/pouches Unable to find a supplier and need immediate assistance to replenish stock	Ice packs/pouches Identified a supplier but may not receive it in time to replenish current supply	Ice packs/pouches Have a reliable supply source and not concerned about ability to restock the item
Labels for specimen containers	Labels for specimen containers Unable to find a supplier and need immediate assistance to replenish stock	Labels for specimen containers Identified a supplier but may not receive it in time to replenish current supply	Labels for specimen containers Have a reliable supply source and not concerned about ability to restock the item

Other (please specify)

Question Title

3. Contact Information

Name

Tribe or Organization

Email Address