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The page below is a sample from the LabCE course
Phlebotomy
. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.
Learn more about Phlebotomy (online CE course)
Discussion
This phlebotomist violated hospital procedures in several ways that could adversely impact patient care:
Cleaning the site only with alcohol, not iodine, could result in a false-positive contaminated blood culture. This might result in the patient receiving unnecessary intravenous antibiotics, and could prolong the patients hospital stay unnecessarily.
Drawing both cultures at the same time lessens the chance of recovering a bloodstream organism.
Drawing both cultures from the same site might result in both of them being contaminated, making it very difficult for the physician to distinguish contamination from a "real" bloodstream infection.
Relevant topics:
Blood cultures: introduction, Avoid skin contamination, Blood culture site preparation 1, Blood culture site preparation 2
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