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Matthias Maiwald (KKH).
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13/11/2014 at 9:47 am #71634
Dear Colleagues,
Does anyone know of a standard or have a policy for taking blood for culture? I recently observed ( during hand hygiene auditing) a blood collector take the blood then insert the blood into the collection bottles with the alcohol swab still on the top? As I cannot find a policy or work directive I was hoping the brains trust could enlighten me? My own practice be it a few years ago now I would have cleaned the top with the alco wipe then discarded it and allowed the alcohol to dry before then inserting the blood, am I just behind the times? More importantly would this skew the result?
Look forward to hearing your responses
Jayne
Jayne Oconnor RN, BSc IFC, Cert V TAE
CNC IPC
Sydney Adventist Hospital
185 Fox Valley Rd,
Wahroonga,
NSW 2126Tel (02) 9487 9433
Mob 0406752685
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14/11/2014 at 4:24 pm #71636Dear Jayne,
I know this may not be a nice comment — and I do apologise for this — but would it perhaps be possible in your setting to argue that it is common sense to not leave an alcohol pad on the blood culture bottle top, rather than adding to the (presumably already) high number of policy and procedure documents that are typical of most of our healthcare settings?
What saddens me — and this seems to be a global phenomenon — is that (a) good clinical instruction (e.g. someone simply showing a trainee how to take a blood culture when the trainee is supposed to do that for the first time ever), and (b) simple common sense, are increasingly replaced by formalistic rules and Policies and Procedures.
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Dear Colleagues,
Does anyone know of a standard or have a policy for taking blood for culture? I recently observed ( during hand hygiene auditing) a blood collector take the blood then insert the blood into the collection bottles with the alcohol swab still on the top? As I cannot find a policy or work directive I was hoping the brains trust could enlighten me? My own practice be it a few years ago now I would have cleaned the top with the alco wipe then discarded it and allowed the alcohol to dry before then inserting the blood, am I just behind the times? More importantly would this skew the result?
Look forward to hearing your responses
Jayne
Jayne Oconnor RN, BSc IFC, Cert V TAE
CNC IPC
Sydney Adventist Hospital
185 Fox Valley Rd,
Wahroonga,
NSW 2126Tel (02) 9487 9433
Mob 0406752685
Jayne.oconnor@sah.org.auIf you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
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