how to draw blood cultures from a picc line
Since some of the catheters are many months old the hubs may be contaminated and since you must attach the syringe onto the hub to draw the blood culture whatever grows on to the hub will grow in the. Instead of flushing or drawing in one single movement of the hand you flush or draw in 1-2mL increments pause and continue.
Understanding the rationale of NOT drawing regular blood cultures through the central line based on our blood culture procedure for adult patients CM B08.
. Remove syringe and attach saline syringe. Place arm on drape provided in dressing change kit. Dispose the used syringe promptly.
Flush the PICC line with a 10 to 20-ml normal saline. Open StatLock and Biopatch packages into the dressing change kit box. In our institusion blood.
Our system says to remove the end cap and flush before drwing any blood. Attach blunt needle to your syringes and fill up your lab tubes. Other sources that outline blood draw from PICC line provide a similar process but more extensive and specific.
I am having trouble finding any literature regarding guidelinesbest practice with drawing blood cultures fro the pICC line. Central line infections can present as blood stream infection andor local phlebitis. Also staff are to draw 5 mls for waste then draw the 8-10 mls for each aerobic and anaerobic bottle place a new endcap and flush with 20 mls.
The final option for collecting blood from patients with lines is venipuncture. And as I mentioned earlier venipuncture avoids contamination with materials that can adsorb to vascular lines such as certain drugs. If necessary clamp the catheter when flushing is complete.
Heres a link for Picc lines we use at my facilitythey have nursing info that may help. In our institusion blood cultures from PICC can be done only during insertions by the PICC nurse one set of culture from the stick second set from the newly inserted PICC. If the central line is the source of blood stream infection ie central line associate blood stream.
As we just discussed the lower risk of hemolysis is a major advantage to using venipuncture even in patients with lines. One thing to keep in mind is that on some Picc lines you should only use a 10 cc syringe to draw back withhas to do with the pressure exerted on the line. Reattach prior tubing to line if applicable and restart IV drips.
The turbulence created within the lumen of the PICC helps to ensure a more homogenous. At least threefold higher number of organisms grown from the catheter versus the peripheral blood culture on simultaneously drawn cultures. If done properly you can definitely draw from a Picc line unless its against policy of course.
They are vacuum sealed so they will suck the blood right out of your syringe if you poke it with a needle. Catheter tipsegment culture that matches organism grown from blood. The PumpPause method is considered to be the gold standard.
When procedure is complete perform hand hygiene. Growth from the catheter-drawn blood culture occurs at least two hours before growth of the same organism from a percutaneously-drawn blood. With gloves on pull up edges of StatLock.
Proper flushing and proper drawing technique is important. After the PICC was used we do not allow blood culture from the line because after the hub has been accessed it is considered contaminated and the results would. NO blood culture from venous catheters.
Shows how to withdraw blood and then replace old RED cap with new pair of Maxplus caps on a PICC line. Flush line with the full 10 mL saline flush. After many discussios and unnecessary removals of PICC lines our institurion developed the Policy set by ID IC.
With gloves on remove the occlusive dressing by pulling up the edges and then pulling the dressing toward the midline. PICC and Midline Flushing Sodium Chloride- 5cc before and after routine IVmedications 10cc NS before and after blood draws PICC only-10cc Sodium Chloride ba TPN 20cc NS after blood product administration Heparin 100 unitscc 25cc final flush in absence of continuous infusion and daily when line not in use.
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