Reply To: Blood Culture Practices – One/All Lumens +/- Peripheral

  • Mary Lynn Rae

    Member
    May 2, 2023 at 3:03 pm

    First spike (one/all lumens +/- peripheral): all lumens and just via CVAD

    Ongoing fever during culture rule-out (one/all lumens +/- peripheral): daily blood cultures with AM labs

    New fever after a period of defervescence (one/all lumens +/- peripheral): if afebrile > 48 hours will start process all over

     

    Thanks,

    Mary Lynn

    Mary Lynn Rae, MSN, RN, NPD-BC, CPHON, BMTCN

    Nursing Professional Development (NPD) Clinical Educator

    Center for Cancer and Blood Disorders (Inpatient/Outpatient)

    Pronouns: she/her/hers

    Ann & Robert H. Lurie Children’s Hospital of Chicago

    T 312.227.4224 | mlrae@luriechildrens.org | luriechildrens.org

    225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991

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    Original Message:
    Sent: 5/2/2023 10:14:00 AM
    From: Chris Donaghey
    Subject: Blood Culture Practices – One/All Lumens +/- Peripheral

    APHON team,

    We’re having some renewed interest in discussing culturing practices at our institution. Our PICU, NICU, CVICU/cardiac stepdown and PHO/SCT teams are all fairly different in their views.

    What are your practices for:

    First spike (one/all lumens +/- peripheral):

    Ongoing fever during culture rule-out (one/all lumens +/- peripheral):

    New fever after a period of defervescence (one/all lumens +/- peripheral):

    And any other contextual information you believe is important.

    We do peripheral and all lumens for first spike, all lumens (no peripheral) for ongoing fevers (some nuances but generality), and will draw peripherals again with all if new fever.

    Thank you for your insights!

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    Chris Donaghey, DNP, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Inpatient Hematology/Oncology and Stem Cell Transplant
    Riley Hospital for Children at IU Health
    Indianapolis, IN
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