Reply To: Blood Cultures in BMT Population

  • Lisa Rendina

    July 23, 2019 at 8:27 pm

    1. We draw all blood draws off our central lines with sterile technique. We use a closed system-stop cock technique when drawing all blood draws as well. We change the needless connector prior to all blood cultures. As far as drawing peripheral blood cultures with central blood cultures… we do try to encourage a peripheral blood culture with the initial blood culture. However this is a case by case scenario depending on how the patient presents. For example, are they on a chemo regimen with known high risk for sepsis. But for subsequent blood cultures and straight forward fever and neutropenia we do cultures from the central line. Hope that helps.
    Lisa Rendina
    Stony Brook Children’s Hospital

    Sent from my iPhone

    ——Original Message——

    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