Reply To: Blood Cultures in BMT Population

  • Erin Rentch

    July 15, 2019 at 7:16 pm

    Hi Stephanie,

    1. We do not perform blood cultures in a sterile setting. We do don a mask if it is an initial blood culture collection as we also perform a cap change for this procedure.
    2. We perform only central line draws for all blood cultures.
    3. As mentioned, we perform a cap change with the initial blood culture only.

    I’m interested in learning more about blood culture policies as well, specifically related to the use of the initial waste/discard from the central line in the specimen. Does your facility use the waste? Not seeing a ton in the literature regarding this issue.

    Good luck,

    Erin Rentch, BSN,CPHON,RN
    Anaheim, CA
    United States
    Original Message:
    Sent: 04-11-2019 03:37 PM
    From: Stephanie Davis
    Subject: Blood Cultures in BMT Population

    Hi all,

    We are reviewing our blood culture policy within our BMT patients and would love to hear from you~
    A few questions:

    1. Do you use sterile procedure for blood cultures?
    2. Do you perform central line draw and peripheral stick with blood cultures (first spike and/or subsequent draws) before start of antibiotics?
    3. Do you perform central line cap change with each blood culture?

    Thank you! Kind regards,

    Stephanie Davis, BSN RN CPHON
    BMT Clinical Educator
    Children’s Hospital Los Angeles