worksafe blood culture collection procedure 1broch

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1. Skin Preparation PDI ® Chlorascrub™ Swabstick Afte rloc ation ofthe vein,vigorousl yscr ubthe veni puncture   site with PDI ® Chlorascrub™Swabstickfor30seconds. 1 All ow the si te to air dry be for e v eni punc tur e. Do not re-palpate the vein. 2.BottlePreparation Inspec teac hbloodcult urebo ttle befor euse toe nsure inte grit y   ofbottleandsensoronbottomofbottleisintact. Thesensor   isnormallyauniformgrayish-gree ncolorandayellowcolor   wouldindicatecontaminationofthebroth.Discardanybottle   foundtobedamagedorwithasensorthatis yellow. Remove protecti ve ip top ov ercap. NOTE :The sept umis nots teril eand mustb edis infec ted. Cle ans e t he septum wi th 70 % a lcoh ol. The bottle has been pre-ma rked with 5mli ncrements.  Markthedesiredll volumelevelonthebottlefor1 0ml. 3.VenipunctureandBottleInoculation  Direct Draw with Blood Collection Set or WorkSafe™ Blood Culture Collection Kit Collect all nec ess ary materials for a direct d raw : BacT/ALERT ® Blood Culture Collection Procedure Availability  WorkSafeBloodCultureCollectionKit 279 102-2791 05 * Saf-THolder ® Blood Cul tur e Devic e ( Ada ptor Ca p a nd Ins ert ) 1 00/ cas e 96004 **  * seebioMérieuxcatalogue  ** seeSmithsMedicalcatalogue bioMérieux, Inc. 100RodolpheStreet bioMérieux Canada, Inc. 7815Henri-BourassaBoulevardOuest    ©     2    0    0    8    B    I    O    M     É    R    I    E    U    X  ,    I    N    C  .    B    A    C    T    /    A    L    E    R    T    ®     A    N    D    B    A    C    T    /    A    L    E    R    T    ®     3    D    A    R    E    R    E    G    I    S    T    E    R    E    D    T    R    A    D    E    M    A    R    K    S    O    F    B    I    O    M     É    R    I    E    U    X  .    S    A    F      T    H    O    L    D    E    R    ®     I    S    A    R    E    G    I    S    T    E    R    E    D    T    R    A    D    E    M    A    R    K    O    F    T    H    E    S    M    I    T    H    S    M    E    D    I    C    A    L    F    A    M    I    L    y    O    F    C    O    M    p    A    N    I    E    S  .    C    H    L    O    R    A    S    C    R    U    B       I    S    A    T    R    A    D    E    M    A    R    K    O    F    p    D    I  .    p    R    I    N    T    E    D    I    N    U    S    A  .    B    T    A      1    2    5      0    8  . Tips ’n’ Hints Recommendedbloodtobrothratiois1:5 to1 :1 0.Asthevolumeofblooddrawnis increased,theyieldofpositivecultures increases.Optimally,20mlofbloodshould bedrawnfromadults(10mlperbottle). Whenlabelingthebottles,donotcoverthe peel-offsectionofthebarcodelabelsorthe  lotnumbers. Orientadditionalpatientlabelverticallyfor scanningefciency. Forbestvolumecontrol,marklllevelon sideofbottlepriortocollection. Donotoverllthebottles,asthismaycause  falsepositivereadings. WhenusingtheSaf-THolder ® BloodCulture Device(AdaptorCapandInsert),besure luerisconnectedrmlyandtheneedle isstraightwhenenteringandleavingthe septum.Twistingorturningthebottlemay increasethechancethatthesheathmaynot retractandreseal. Toavoidcontaminationofthebloodculture sample,inoculatebloodculturebottlesrst. Thenlladditionalbloodcollectiontubes. Septicemiaoccursinapproximately200,000patie ntseachyear,andbetween30and50%ofthosepatients die.Becausethe  consequencesofsepticemiaaresoserious,rapidandaccuratediagnosisofthisdisorderiscritical. TheBloodCultureisthebestdiagnosti ctoolfordetectingsepticemia,andit’s absolutelyimperativethatthebloodspecimenbe collectedproperlytoprovideclinicallyvaluableresults. BacT/ALERT ® 3Dinstrumentsareautomatedsystemsthatincubate,shakeandmonitorculturebottlesforsignsofmicrobialgrowth.  Samplesfrompatientssuspectedforsepti cemiaareinoculatedintoBacT/ALERTculturebottlesfor monitoring.Thebottlesarecolor  codedforeasyidenticationofmediatypeandaremadeofplasticforaddedsafety. Performvenipuncture.  Whentheneedleisin thevein,secureitwith tapeorholditinplace. 2. PlaceAdaptercaponthe aerobic(blueorgreenlabel) BacT/ALERTculturebottle septumandpressdown topenetrateandobtain bloodow.Holdthe AdapterCapdownon thebottle. 3. ECI E G I H Usingthellindicator linesonthelabel,obtain 8-10mlofblood.Move theAdapterCapfrom theaerobicbottletothe anaerobic(purpleor orangelabel)bottle(if required)andcontinue thecollection. 4. ECIE G I H Ifadditionalbloodis requiredforothertests, placetheAdapterInsert intotheAdapterCap andsnapintoplace. Thismakesthecap compatiblewithvacuum collectiontubes. 5.  Whennaltubeislled, removetourniquet. Terminatethe venipuncture,activate thesafetyshield,grab thewingwithonehand andslidethewingsback untilitlocksinplace. 6. ECIE G I H Disposeofwing andadaptercapin  asharpscontainer. 7 . SPECIMENBAG BIOHAZARD Labelspecimensandplace inplasticbiohazardzip lockbag.Bottlescannow besafelytransportedvia pneumatictubesystem. 8. OR GatherTourniquet,BacT/ALERT ® bottles, Saf-THolder ® Adapter,wing,Chlorascrub™ Swabstick,gauze,alcoholpreppads. 1a. OpentheWorkSafeBloodCultureCollection Kitwhichcontainsallthenecessarymaterials inasingle,convenientpackage. 1b.

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Page 1: Worksafe Blood Culture Collection Procedure 1broch

8/3/2019 Worksafe Blood Culture Collection Procedure 1broch

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1. Skin PreparationPDI® Chlorascrub™ Swabstick

• Afterlocationofthevein,vigorouslyscrubthevenipuncture  sitewithPDI®Chlorascrub™Swabstickfor30seconds.1

• Allowthesitetoairdrybeforevenipuncture.

•Do not re-palpate the vein.

2.BottlePreparation • Inspecteachbloodculturebottlebeforeusetoensureintegrity 

ofbottleandsensoronbottomofbottleisintact.Thesensor  isnormallyauniformgrayish-greencolorandayellowcolor  wouldindicatecontaminationofthebroth.Discardanybottle  foundtobedamagedorwithasensorthatisyellow.

• Removeprotectiveiptopovercap.

•NOTE:Theseptumisnotsterileandmustbedisinfected.

• Cleansetheseptumwith70%alcohol.

•Thebottlehasbeenpre-markedwith5mlincrements.  Markthedesiredllvolumelevelonthebottlefor10ml.

3.VenipunctureandBottleInoculation  Direct Draw with Blood Collection Set or WorkSafe™ Blood Culture Collection Kit

• Collectallnecessarymaterialsforadirectdraw:

from diagnosis,the seeds of better health

BacT/ALERT®

Blood Culture Collection Procedure

Availability WorkSafeBloodCultureCollectionKit 279102-279105*

Saf-THolder®BloodCultureDevice(AdaptorCapandInsert) 100/case 96004**

  *seebioMérieuxcatalogue

  **seeSmithsMedicalcatalogue

bioMérieux, Inc.100RodolpheStreetDurham,NC27712U.S.A.Tel: (800)682-2666Fax: (800)968-9494

bioMérieux Canada, Inc.7815Henri-BourassaBoulevardOuestSt.Laurent(Québec)Canada H4S 1P7Tel:(514)336-7321Fax:(514)807-0015

1-800-361-7321ext.221 www.biomérieux-usa.com

   ©    2

   0   0   8   B   I   O   M    É   R   I   E   U   X ,

   I   N   C .

   B   A   C   T   /   A   L   E   R   T   ®    A

   N   D

   B   A   C   T   /   A   L   E   R   T   ®    3

   D   A   R   E   R   E   G   I   S   T   E   R   E   D   T   R   A   D   E   M   A   R   K   S   O   F   B   I   O   M    É   R   I   E   U   X .

   S   A   F  -   T

   H   O   L   D   E   R   ®    I   S

   A   R   E   G   I   S   T   E   R   E   D   T   R   A   D   E   M   A   R   K   O   F   T   H   E   S   M   I   T   H   S   M   E   D   I   C   A   L   F   A   M   I   L   y   O   F   C   O   M   p   A   N   I   E   S .

   C   H   L   O   R   A   S   C   R   U   B   ™   I   S   A   T   R   A   D   E   M   A   R   K   O   F   p   D   I .   p   R   I   N   T   E   D   I   N

   U   S   A .

   B   T   A  -   1   2   5  -   0   8 .

Tips ’n’ Hints•Recommendedbloodtobrothratiois1:5to1:10.Asthevolumeofblooddrawnisincreased,theyieldofpositiveculturesincreases.Optimally,20mlofbloodshouldbedrawnfromadults(10mlperbottle).

•Whenlabelingthebottles,donotcoverthe peel-offsectionofthebarcodelabelsorthe lotnumbers.

•Orientadditionalpatientlabelverticallyfor scanningefciency.

•Forbestvolumecontrol,marklllevelonsideofbottlepriortocollection.

•Donotoverllthebottles,asthismaycause falsepositivereadings.

•WhenusingtheSaf-THolder®BloodCultureDevice(AdaptorCapandInsert),besureluerisconnectedrmlyandtheneedleisstraightwhenenteringandleavingtheseptum.Twistingorturningthebottlemayincreasethechancethatthesheathmaynotretractandreseal.

•Toavoidcontaminationofthebloodculturesample,inoculatebloodculturebottlesrst. Thenlladditionalbloodcollectiontubes.

Septicemiaoccursinapproximately200,000patientseachyear,andbetween30and50%ofthosepatientsdie.Becausethe consequencesofsepticemiaaresoserious,rapidandaccuratediagnosisofthisdisorderiscritical.

TheBloodCultureisthebestdiagnostictoolfordetectingsepticemia,andit’sabsolutelyimperativethatthebloodspecimenbecollectedproperlytoprovideclinicallyvaluableresults. BacT/ALERT®3Dinstrumentsareautomatedsystemsthatincubate,shakeandmonitorculturebottlesforsignsofmicrobialgrowth. SamplesfrompatientssuspectedforsepticemiaareinoculatedintoBacT/ALERTculturebottlesformonitoring.Thebottlesarecolor codedforeasyidenticationofmediatypeandaremadeofplasticforaddedsafety.

Performvenipuncture. Whentheneedleisinthevein,secureitwith

tapeorholditinplace.

2.

PlaceAdaptercapontheaerobic(blueorgreenlabel)BacT/ALERTculturebottle

septumandpressdowntopenetrateandobtainbloodow.HoldtheAdapterCapdownon thebottle.

3.

E CI E G

F RZ E REFRIGERTE

R T E P ER T U RE

I H

Usingthellindicatorlinesonthelabel,obtain8-10mlofblood.Move

theAdapterCapfromtheaerobicbottletotheanaerobic(purpleororangelabel)bottle(ifrequired)andcontinuethecollection.

4.

E CI E G

F RZ E RE F RI GE RTE

R T E P ER T U RE

I H

Ifadditionalbloodisrequiredforothertests,placetheAdapterInsert

intotheAdapterCapandsnapintoplace.Thismakesthecapcompatiblewithvacuumcollectiontubes.

5.

 Whennaltubeislled,removetourniquet.Terminatethe

venipuncture,activatethesafetyshield,grabthewingwithonehandandslidethewingsbackuntilitlocksinplace.

6. E CI E G

F RZ E RE F RIGE RTE

R T E P ER T U RE

I H

Disposeofwing andadaptercapin asharpscontainer.

7. SPECIMENBAG

F RO ZE N RE F RIGE RA TE

ROOM TEMPERATURE

BIOHAZARD

Labelspecimensandplaceinplasticbiohazardziplockbag.Bottlescannow

besafelytransportedviapneumatictubesystem.

8.

OR

GatherTourniquet,BacT/ALERT®bottles, Saf-THolder®Adapter,wing,Chlorascrub™Swabstick,gauze,alcoholpreppads.

1perbioMérieux/Cumitechguidelinesasthemanufacturercannotmakethispreptimerecommendation

1a.

OpentheWorkSafeBloodCultureCollectionKitwhichcontainsallthenecessarymaterialsinasingle,convenientpackage.

1b.