Reply To: Blood Cultures in BMT Population

  • Angele Leger

    Member
    July 23, 2019 at 5:06 pm

    Hi Erin,

    I saw your response and wanted to let you know we use the waste from a central line as part of the blood culture. Here are the articles we reviewed when we were changing our practice.

    Thanks,

    Ange

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    Angèle Phillips, HBSc, BScN, RN
    Clinical Nurse Educator
    Oncology, Hematology & BMT
    BC Children’s Hospital
    Phone: (604) 875-2345 ext 4749
    angele.phillips@cw.bc.ca
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    Original Message:
    Sent: 07-15-2019 07:16 PM
    From: Erin Rentch
    Subject: Blood Cultures in BMT Population

    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,

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    Erin Rentch, BSN,CPHON,RN
    Anaheim, CA
    United States
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    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

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