Re: [Sepsis Groups] Blood cultures false positive

[Bankert, Eve]

Contamination during collection would most likely be reproducible in the 
microbiology lab by re-culturing the specimen and obtaining the same results.  
If the specimen was contaminated during the (microbiologist) workup of the 
culture this would probably not be the case.

-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of jenny clarke
Sent: Wednesday, September 05, 2018 1:28 PM
To: Angela Craig
Cc: sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] Blood cultures false positive

Yes and also ones that come back positive because they were contaminated from 
just way lab or staff did them. 

Sent from my iPhone

> On Sep 5, 2018, at 12:16 PM, Angela Craig  wrote:
> 
> Are you talking about contaminated cultures that will count as a positive??  
> If so we are working on this issue.  
> 
> Angela Craig APN,MS,CCNS
> ICU Clinical Nurse Specialist
> 1 Medical Center Boulevard, Cookeville, TN 38501 
> Phone: 931-783-5035 Fax: 931-783-5039 
> acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
> Cookeville Regional Medical Center: Building Healthier Communities
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of jenny clarke
> Sent: Tuesday, September 04, 2018 11:42 AM
> To: sepsisgroups@lists.sepsisgroups.org
> Subject: [Sepsis Groups] Blood cultures false positive
> 
> *** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's 
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> 
> 
> Anyone have any help to curb this issue? I have even tried to make it sterile 
> process and still running into issues.  Thanks ahead
> 
> Sent from my iPhone
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Re: [Sepsis Groups] Blood cultures false positive

[Bankert, Eve]

When you say "false positives" I assumed you meant the contaminated cultures.   
If not, would you please clarify?  Thanks!
Eve

-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Angela Craig
Sent: Wednesday, September 05, 2018 1:17 PM
To: 'jenny clarke'; sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] Blood cultures false positive

Are you talking about contaminated cultures that will count as a positive??  If 
so we are working on this issue.  

Angela Craig APN,MS,CCNS
ICU Clinical Nurse Specialist
1 Medical Center Boulevard, Cookeville, TN 38501 
Phone: 931-783-5035 Fax: 931-783-5039 
acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
Cookeville Regional Medical Center: Building Healthier Communities

-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of jenny clarke
Sent: Tuesday, September 04, 2018 11:42 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Blood cultures false positive

*** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's Email 
System. Do not click any links or open any attachments unless you trust the 
sender and know the content is safe. ***


Anyone have any help to curb this issue? I have even tried to make it sterile 
process and still running into issues.  Thanks ahead

Sent from my iPhone
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Re: [Sepsis Groups] Blood cultures false positive

[jenny clarke]

Yes the contaminated ones. 

Sent from my iPhone

> On Sep 7, 2018, at 10:23 AM, Bankert, Eve  
> wrote:
> 
> When you say "false positives" I assumed you meant the contaminated cultures. 
>   If not, would you please clarify?  Thanks!
> Eve
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of Angela Craig
> Sent: Wednesday, September 05, 2018 1:17 PM
> To: 'jenny clarke'; sepsisgroups@lists.sepsisgroups.org
> Subject: Re: [Sepsis Groups] Blood cultures false positive
> 
> Are you talking about contaminated cultures that will count as a positive??  
> If so we are working on this issue.  
> 
> Angela Craig APN,MS,CCNS
> ICU Clinical Nurse Specialist
> 1 Medical Center Boulevard, Cookeville, TN 38501 
> Phone: 931-783-5035 Fax: 931-783-5039 
> acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
> Cookeville Regional Medical Center: Building Healthier Communities
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of jenny clarke
> Sent: Tuesday, September 04, 2018 11:42 AM
> To: sepsisgroups@lists.sepsisgroups.org
> Subject: [Sepsis Groups] Blood cultures false positive
> 
> *** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's 
> Email System. Do not click any links or open any attachments unless you trust 
> the sender and know the content is safe. ***
> 
> 
> Anyone have any help to curb this issue? I have even tried to make it sterile 
> process and still running into issues.  Thanks ahead
> 
> Sent from my iPhone
> ___
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> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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> This email message has been delivered safely and archived online by Mimecast. 
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Re: [Sepsis Groups] Blood cultures false positive

[jenny clarke]

But if they are on abx already then the culture are not going to be accurate 

Sent from my iPhone

> On Sep 7, 2018, at 10:28 AM, Bankert, Eve  
> wrote:
> 
> Contamination during collection would most likely be reproducible in the 
> microbiology lab by re-culturing the specimen and obtaining the same results. 
>  If the specimen was contaminated during the (microbiologist) workup of the 
> culture this would probably not be the case.
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of jenny clarke
> Sent: Wednesday, September 05, 2018 1:28 PM
> To: Angela Craig
> Cc: sepsisgroups@lists.sepsisgroups.org
> Subject: Re: [Sepsis Groups] Blood cultures false positive
> 
> Yes and also ones that come back positive because they were contaminated from 
> just way lab or staff did them. 
> 
> Sent from my iPhone
> 
>> On Sep 5, 2018, at 12:16 PM, Angela Craig  wrote:
>> 
>> Are you talking about contaminated cultures that will count as a positive??  
>> If so we are working on this issue.  
>> 
>> Angela Craig APN,MS,CCNS
>> ICU Clinical Nurse Specialist
>> 1 Medical Center Boulevard, Cookeville, TN 38501 
>> Phone: 931-783-5035 Fax: 931-783-5039 
>> acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
>> Cookeville Regional Medical Center: Building Healthier Communities
>> 
>> -Original Message-
>> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
>> Behalf Of jenny clarke
>> Sent: Tuesday, September 04, 2018 11:42 AM
>> To: sepsisgroups@lists.sepsisgroups.org
>> Subject: [Sepsis Groups] Blood cultures false positive
>> 
>> *** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's 
>> Email System. Do not click any links or open any attachments unless you 
>> trust the sender and know the content is safe. ***
>> 
>> 
>> Anyone have any help to curb this issue? I have even tried to make it 
>> sterile process and still running into issues.  Thanks ahead
>> 
>> Sent from my iPhone
>> ___
>> Sepsisgroups mailing list
>> Sepsisgroups@lists.sepsisgroups.org
>> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
>> 
>> This email message has been delivered safely and archived online by 
>> Mimecast.  For more information please visit http://www.mimecast.com
>> 
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Re: [Sepsis Groups] Early identification in the ED

[Boyer, Suzette K]

Question:  Where did you see that nurse assessment of suspected infection can't 
be used?
This is in the specifications manual for 7/1/18 - 12/31/18
[cid:image003.jpg@01D44508.BDB15F40]



Suzette Boyer RN, BSN
Clinical Effectiveness Specialist
St. Mary-Corwin Medical Center
719-557-5337
1008 Minnequa Ave.
Pueblo, CO  81004
suzettebo...@centura.org
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Jeanie Bollinger
Sent: Wednesday, September 05, 2018 8:48 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Early identification in the ED

Now that the measure does not use a nurse assessment of "suspect infection" as 
a component in establishing time zero, we are missing this measure as time zero 
is identified by CMS criteria later than our ED nurse triage process with 
automated labs.  ED providers document later which is resulting in us missing 
the measure.  Sepsis is being identified earlier and all appropriate bundle 
care is completed.  Is anyone else recognizing this as an issue?


Jeanie Bollinger MSN,RN, ACCNS-AG, CCRN-K
Clinical Nurse Specialist
Acute Medicine
Mission Health
509 Biltmore Avenue
Asheville, NC 28801

Office: 828-213-7171
Cell: 828-400-1194


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Re: [Sepsis Groups] Early identification in the ED

[PAMELA J. ANDERSON]

>From v5.4 r/t Sepsis Present Criteria:

  "...Documentation of an infection. Physician/APN/PA or nursing 
documentation referencing the presence of an infection is acceptable."






Pamela Anderson, BSN, RN
Clinical Data Abstractor
NSQIP-Pediatric SCR
Center for Clinical Effectiveness
Maguire Bldg 105-3914
Loyola University Medical Center

pand...@lumc.edu
Office 708-216-5228
Fax 708-216-7867

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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Jeanie Bollinger
Sent: Wednesday, September 05, 2018 9:48 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [External] [Sepsis Groups] Early identification in the ED

Warning:  This email originated from the Internet!
DO NOT CLICK links if the sender is unknown, and NEVER provide your password.
Now that the measure does not use a nurse assessment of "suspect infection" as 
a component in establishing time zero, we are missing this measure as time zero 
is identified by CMS criteria later than our ED nurse triage process with 
automated labs.  ED providers document later which is resulting in us missing 
the measure.  Sepsis is being identified earlier and all appropriate bundle 
care is completed.  Is anyone else recognizing this as an issue?


Jeanie Bollinger MSN,RN, ACCNS-AG, CCRN-K
Clinical Nurse Specialist
Acute Medicine
Mission Health
509 Biltmore Avenue
Asheville, NC 28801

Office: 828-213-7171
Cell: 828-400-1194


This message and its attachments may contain confidential and/or 
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Re: [Sepsis Groups] Blood cultures false positive

[jenny clarke]

Yes and also ones that come back positive because they were contaminated from 
just way lab or staff did them. 

Sent from my iPhone

> On Sep 5, 2018, at 12:16 PM, Angela Craig  wrote:
> 
> Are you talking about contaminated cultures that will count as a positive??  
> If so we are working on this issue.  
> 
> Angela Craig APN,MS,CCNS
> ICU Clinical Nurse Specialist
> 1 Medical Center Boulevard, Cookeville, TN 38501 
> Phone: 931-783-5035 Fax: 931-783-5039 
> acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
> Cookeville Regional Medical Center: Building Healthier Communities
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of jenny clarke
> Sent: Tuesday, September 04, 2018 11:42 AM
> To: sepsisgroups@lists.sepsisgroups.org
> Subject: [Sepsis Groups] Blood cultures false positive
> 
> *** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's 
> Email System. Do not click any links or open any attachments unless you trust 
> the sender and know the content is safe. ***
> 
> 
> Anyone have any help to curb this issue? I have even tried to make it sterile 
> process and still running into issues.  Thanks ahead
> 
> Sent from my iPhone
> ___
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> Sepsisgroups@lists.sepsisgroups.org
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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Re: [Sepsis Groups] Blood cultures false positive

[Bankert, Eve]

I would recommend extensive education/training for all personnel collecting 
blood cultures.  As the microbiology supervisor in a community hospital in NY 
that had a 10% contamination rate, we used a multidisciplinary approach and 
brought the rate down to 2% in a year's time.

-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of jenny clarke
Sent: Tuesday, September 04, 2018 12:42 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Blood cultures false positive

Anyone have any help to curb this issue? I have even tried to make it sterile 
process and still running into issues.  Thanks ahead 

Sent from my iPhone
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Re: [Sepsis Groups] Early identification in the ED

[Belfi, Karen]

Why can't you use suspect infection by nursing anymore?

Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Jeanie Bollinger
Sent: Wednesday, September 05, 2018 10:48 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [EXTERNAL] [Sepsis Groups] Early identification in the ED


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Now that the measure does not use a nurse assessment of "suspect infection" as 
a component in establishing time zero, we are missing this measure as time zero 
is identified by CMS criteria later than our ED nurse triage process with 
automated labs.  ED providers document later which is resulting in us missing 
the measure.  Sepsis is being identified earlier and all appropriate bundle 
care is completed.  Is anyone else recognizing this as an issue?


Jeanie Bollinger MSN,RN, ACCNS-AG, CCRN-K
Clinical Nurse Specialist
Acute Medicine
Mission Health
509 Biltmore Avenue
Asheville, NC 28801

Office: 828-213-7171
Cell: 828-400-1194


This message and its attachments may contain confidential and/or 
legally-sensitive information that is intended for the sole use of the 
addressee(s). Any unauthorized review, use, disclosure, or distribution of the 
information contained in this message and its attachments is prohibited. If you 
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all originals and copies of the same and notify the sender immediately.
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Re: [Sepsis Groups] Blood cultures false positive

[Angela Craig]

Are you talking about contaminated cultures that will count as a positive??  If 
so we are working on this issue.  

Angela Craig APN,MS,CCNS
ICU Clinical Nurse Specialist
1 Medical Center Boulevard, Cookeville, TN 38501 
Phone: 931-783-5035 Fax: 931-783-5039 
acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
Cookeville Regional Medical Center: Building Healthier Communities

-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of jenny clarke
Sent: Tuesday, September 04, 2018 11:42 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Blood cultures false positive

*** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's Email 
System. Do not click any links or open any attachments unless you trust the 
sender and know the content is safe. ***


Anyone have any help to curb this issue? I have even tried to make it sterile 
process and still running into issues.  Thanks ahead

Sent from my iPhone
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