Reply To: Blood Cultures in BMT Population

  • Angele Leger

    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.



    Angèle Phillips, HBSc, BScN, RN
    Clinical Nurse Educator
    Oncology, Hematology & BMT
    BC Children’s Hospital
    Phone: (604) 875-2345 ext 4749
    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,

    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