Blood Culture Contamination Rates In The Emergency Department Case Study

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Blood Culture Contamination Rates in the Emergency Department:
Issues and Resolutions for Improvement Blood culture (BC) contamination is a common, yet preventable problem for emergency departments (EDs) across the country (Self et al., 2014). Erlanger Hospital’s ED is no different and being the region’s only Level 1 Trauma Center, it is called to an excellent standard of practice. BC testing is a routinely applied intervention used to diagnose infections in symptomatic patients who arrive at the ED (Denno & Gannon, 2013). BCs are essential as they help identify accurate pathogens and provide targeted antibiotic therapy (Denno & Gannon, 2013). They are often viewed as the standard for diagnosing illnesses such as septicemia and other
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She also responded that to be in compliance with Joint Commission guidelines Erlanger is required to adhere to a strict standard of practice ensuring the safest and most competent care of patients. A second question was asked: “Have causative issues been identified for the increased rates of BC contamination in the ED?” She responded stating that BC contamination is an ongoing issue and while many ideas have been presented, a single factor cannot be narrowed down specifically. A third question was posed: “What is involved in an official change process at Erlanger and is the staff allowed to have input on change processes needed in the ED?” Her response was that staff is encouraged input and there is formal chain of command that they must go through. First, staff must present their issues to their Charge Nurse who is then responsible to relay the information to the ED Manager or herself. Issues warranting a need for change are then brought before an internal review committee. A fourth question was presented: “Does upper management support change processes backed by evidence-based practice (EBP)?” She responded that all upper management are supportive of change processes when backed with proper research and statistics which warrant a change in the department. Finally, a fifth question was asked: “What are the current protocols for BC collection
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