[Maretta Vincart]

Hello Aspasia

It is essential to take cultures from all possible sources. Infection could be brewing in any of the lumens hence why they take from all linens. Blood loss should be negligible unless they are repeating cultures on a regular basis. It’s common practice particularly for oncology patients.

Kind Regards
Maretta

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Maretta Vincart
Clinical Educator

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Hi all,
Febrile neutropenia patient that has 3 lumen Picc- line insitu, what is the rationale of taking blood cultures of EACH lumen please?

as per eviQ on management febrile neutropenia, 1 set blood cultures (aerobic and anaerobic bottles) from each lumen of central venous access device (CVAD) (if in situ)

What about the blood loss?

Aspasia Kordanouli
Infection Control Nurse

Calvary North Adelaide Hospital
89 Strangways Terrace North Adelaide SA 5006

E: Aspasia.Kordanouli@calvarycare.org.au
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[Maretta Vincart]

Hi Jenny

There isn’t a huge amount of literature to be found regarding Lanyards but here is one from the Australian Medical Journal from 2008 (super old!). It suggests that lanyards carry a higher risk than name badges.

https://www.mja.com.au/journal/2008/188/1/whats-hanging-around-your-neck-pathogenic-bacteria-identity-badges-and-lanyards

The main reason why most sites eliminated lanyards was because of the fact there was no way to monitor if they were ever cleaned. It was also a safety risk due to patients grabbing onto the lanyards and I have seen a few skin tears from them as well.
I would do a risk assessment and present to executive. You will be relying on staff to clean their own lanyards, how is this monitored? Why is there need for a change? What are you currently using and why isn’t this working?

Sorry I don’t have a clear answer but as an RN working with patients, I would never wear a lanyard again regardless of the material its made of.

Kind Regards
Maretta

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Maretta Vincart
Clinical Educator

Please note: Olympus email addresses are changing to @olympus.com

Olympus Australia

3 Acacia Place
Notting Hill, Victoria, Australia

Olympus Australia

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Good morning all
Just after some advice on lanyards – yes or no?
We have not used them here in years, but our relatively new exec team want to reintroduce them.
They have said they will be of a silicone material and can be wiped down regularly (not sure how that will go!!!)
Does anyone have any recent articles/research regarding this that I could use?
Thanks
Jenny

Jenny McCarthy
Infection Prevention and Control Coordinator

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