Reply To: Door to antibiotic times

  • Dawn Mannon

    June 13, 2014 at 3:17 pm

    At Phoenix Children’s Hospital (only children), we recently instituted a new f/n protocol within the past year.  The goal is for antibiotic delivery within 60 minutes.
    Each hem/onc patient is given a red card (size of a credit card) that they show to security in the ED.  They are immediately taken to triage.  There is an orderset to include labs, blood culters, and ceftriaxzone.  Once the ANC is resulted…if they are neutropenic (<250), more antibiotics may be administered and the patient may be admitted.  The ED may adminster the gent and vanco (if needed) based on bed availability and how the patient is doing.

    We have definitely seen an improvement with this new protocol and the goal eventually will be antibiotics less than 30 minutes.
    Dawn Mannon
    Phoenix, AZ
    United States

    Original Message:
    Sent: 04-30-2014 01:09 AM
    From: Sarah Ferrari
    Subject: Door to antibiotic times

    We are revamping our ED protocols for F&N and are curious as to what other institutions have for their door to antibiotic times. Several questions:

    1. What is your average time for door to antibiotics?
    2. Is your ED a stand alone pediatric ED or is it combined adult and Peds?
    3. Have you recently made changes to improve that time, if so how?
    4. What antibiotic is used in the ED for first antibiotic?
    5. Does your ED administer the second dose, if so, what antibiotic is used?
    6. If willing, could you share your ED protocol?


    Sarah Ferrari
    CNS Hem/Onc/SCT
    Redwood City, CA
    United States

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