Reply To: needleless connector change and blood culture withdrawal

  • Sarah Hakim

    Member
    July 12, 2019 at 6:55 am

    hello the new recommendation is to change the needleless connector before blood culture withdrawal :

    Change the needleless connector no more frequently than every 96 hours but at least every 7 days because changing the device more frequently increases the risk of intravascular catheter–associated infection. Additionally, change the needleless connector if you remove it for any reason, if you note blood or debris within the connection, if it becomes contaminated, before drawing a blood culture through the catheter, and as directed by your facility​

    as stated in Lippincott and in the INS evidences.

    Thank you

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    Sarah Hakim, MSN
    Clinical Educator
    Lebanon
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    Original Message:
    Sent: 07-10-2019 11:17 AM
    From: Jennifer Nordin
    Subject: needleless connector change and blood culture withdrawal

    We do not remove the needleless connector before drawing blood cultures. We do draw them through a bifuse/ trifuse based on our goal to decrease disconnections of IVF’s and minimize time that the line’s hub is open to air. Is this a new standard in the field you are referring to, or just in your organization?​

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    Jennifer Nordin, RN
    Leawood, KS
    United States
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    Original Message:
    Sent: 07-10-2019 01:00 AM
    From: Sarah Hakim
    Subject: needleless connector change and blood culture withdrawal

    ​​​Please it is highly appreciated if you can share with me your practice in the technique of blood withdrawal/blood culture withdrawal from  an implantable venous access device ( implanted port)
     what do you put on the extension tube of the port.

    I am asking because the new practice in drawing blood cultures from the central venous access device is to change the needleless connector prior to withdrawing a blood culture.

    Can you confirm if you do the below:

    – Put a needleless connector on the end of the extension tube of the port (IVAD) ; after IVAD insertion
    – Use  a trifuse or multiple lumen extension  , by connecting it to the needleless connector.
    – Draw blood after disconnecting the multiple lumen extension or the trifuse in a sterile way, draw the blood sample then reconnect the same trifuse.
    to note that the normal blood sample is taken from one of the lumens of the multiple lumen extension (trifuse)    and the blood culture is withdrawn from the needleless connector that is applied to the  end of the extension tube of the port (IVAD) (since needleless connector needs to be changed  prior to blood culture withdrawal)

    Appreciate your help
    Thank you

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    Sarah Hakim, MSN
    Clinical Educator
    Lebanon
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