Re: [Sepsis Groups] Blood cultures false positive
We had the same issue at a hospital I previously worked for, especially in the ED where we were responsible for drawing our own labs. We found the following contributed to the contaminated specimen: 1. Cultures were being drawn from the IV site which caused them to often be contaminated. (Site cleansed with Chloraprep thoroughly before anything else was set up allowing for the proper drying time between cleansing and sticking) 2. Nurses would draw both sets from the same site (in serviced on 2 sets = 2 sites unless extremely hard stick then only 1 set was obtained) 3. When doing blood cultures, the bottles were often uncapped and left sitting at the bedside while finishing setting up to drawn them. This left them exposed in the room (corrected by when uncapped an alcohol prep was placed over the cap until ready to place the blood) Every month on the BULLETIN BOARD in our breakroom, were the names of all nurses along with their contamination percentage, if we had X amount of contaminates we had to do an in service with 15 of our Co-workers reviewing the proper way to draw a blood culture. Have a Blessed Day. Philippians 4:13 (NKJV)1 " I can do all things through Christ who strengthens me." Thank you. Vickie Robertson, RN, Case Manager Unity Health | Harris Medical Center 1205 McLain St. | Newport, AR 72112 P (870) 512-3224 | F (870) 523-0395 www.Unity-Health.org Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or Legally privileged or protected. It is intended only for the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. -Original Message- From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of jenny clarke Sent: Friday, September 7, 2018 1:10 PM To: Angela Craig Cc: sepsisgroups@lists.sepsisgroups.org Subject: Re: [Sepsis Groups] Blood cultures false positive That is a great idea. Thanks Sent from my iPhone > On Sep 7, 2018, at 1:02 PM, Angela Craig wrote: > > We are working on this exact issue at our hospital. We are about to go to a > process where we will post all names and contamination rates and celebrate > those who do well and those who have a 3% or greater contamination rate will > have to go to a blood culture refresher class. Hope that helps. > > > > 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 > Bankert, Eve > Sent: Wednesday, September 05, 2018 11:39 AM > To: jenny clarke; sepsisgroups@lists.sepsisgroups.org > Subject: Re: [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. *** > > > 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 > ___ > Sepsisgroups mailing list > Sepsisgroups@lists.sepsisgroups.org > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o > rg ___ > Sepsisgroups mailing list > Sepsisgroups@lists.sepsisgroups.org > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o > rg > > This email message has been delivered safely and archived online by > Mimecast. For more information please visit http://www.mimecast.com > ___ Sepsisgr
Re: [Sepsis Groups] Blood cultures false positive
That is a great idea. Thanks Sent from my iPhone > On Sep 7, 2018, at 1:02 PM, Angela Craig wrote: > > We are working on this exact issue at our hospital. We are about to go to a > process where we will post all names and contamination rates and celebrate > those who do well and those who have a 3% or greater contamination rate will > have to go to a blood culture refresher class. Hope that helps. > > > > 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 Bankert, Eve > Sent: Wednesday, September 05, 2018 11:39 AM > To: jenny clarke; sepsisgroups@lists.sepsisgroups.org > Subject: Re: [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. *** > > > 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 > ___ > Sepsisgroups mailing list > Sepsisgroups@lists.sepsisgroups.org > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > ___ > 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 > ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
Re: [Sepsis Groups] Blood cultures false positive
We are working on this exact issue at our hospital. We are about to go to a process where we will post all names and contamination rates and celebrate those who do well and those who have a 3% or greater contamination rate will have to go to a blood culture refresher class. Hope that helps. 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 Bankert, Eve Sent: Wednesday, September 05, 2018 11:39 AM To: jenny clarke; sepsisgroups@lists.sepsisgroups.org Subject: Re: [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. *** 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 ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ___ 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 ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
Re: [Sepsis Groups] Blood cultures false positive
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 > ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
Re: [Sepsis Groups] Blood cultures false positive
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 ___ 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 ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
Re: [Sepsis Groups] Blood cultures false positive
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 > ___ > 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 > > ___ > Sepsisgroups mailing list > Sepsisgroups@lists.sepsisgroups.org > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
Re: [Sepsis Groups] Blood cultures false positive
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 >> > ___ > Sepsisgroups mailing list > Sepsisgroups@lists.sepsisgroups.org > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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 > ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
Re: [Sepsis Groups] Blood cultures false positive
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 ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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 ___ 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 ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
[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 ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
