Optimizing Blood Culture Collection Volumes.
| Autor: | Smith L; Leslie Smith is an oncology/cellular therapy clinical nurse specialist at the National Institutes of Health Clinical Center in Bethesda, MD, where Ruth Ali-Napo and Justina Olawuyi are clinical research nurses and Deborah Ben-Zeev is a clinical manager. Contact author: Leslie Smith, leslie.smith2@nih.gov. The authors have disclosed no potential conflicts of interest, financial or otherwise., Ali-Napo R, Ben-Zeev D, Olawuyi J |
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| Jazyk: | angličtina |
| Zdroj: | The American journal of nursing [Am J Nurs] 2023 Nov 01; Vol. 123 (11), pp. 53-56. |
| DOI: | 10.1097/01.NAJ.0000995368.45516.ec |
| Abstrakt: | Abstract: Infection in an immunocompromised person can be a life-threatening emergency. Collection of blood culture specimens is an important method for detecting organisms when infection is suspected. One aspect of proper blood culture collection is obtaining an accurate blood volume in the sample in accordance with the blood culture bottle manufacturer's recommendation. Underfilling the culture bottle can lead to false-negative results, while overfilling it can lead to false-positive results. At our institution, the Department of Laboratory Medicine (DLM) routinely monitors blood culture bottle volumes and notifies the nursing department of underfill/overfill events, which the department then reviews. Over several years, the DLM and the nursing department noted an increase in these events. A clinical nurse specialist and three staff nurses in the oncology/critical care services area partnered with the DLM to determine why. Upon investigation, two key issues-imprecise weighing of bottles and staff misunderstanding of the proper blood culture collection technique-were discovered. In response, the nursing standard of practice and guidance on the DLM webpage were updated and nursing education was performed. As a result, underfill/overfill events decreased by 71% in a little over a year. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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