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
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-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of jenny clarke
Sent: Friday, September 7, 2018 1:10 PM
To: Angela Craig <[email protected]>
Cc: [email protected]
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 <[email protected]> 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 [email protected] |
> crmchealth.org |Facebook | Twitter Cookeville Regional Medical Center:
> Building Healthier Communities
>
> -----Original Message-----
> From: Sepsisgroups
> [mailto:[email protected]] On Behalf Of
> Bankert, Eve
> Sent: Wednesday, September 05, 2018 11:39 AM
> To: jenny clarke; [email protected]
> Subject: Re: [Sepsis Groups] Blood cultures false positive
>
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>
> 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:[email protected]] On Behalf Of
> jenny clarke
> Sent: Tuesday, September 04, 2018 12:42 PM
> To: [email protected]
> 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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