Clinical Nurse Specialist Practice: Impact on Emergency Department Blood Culture Contamination

Clin Nurse Spec. 2021 Nov-Dec;35(6):314-317. doi: 10.1097/NUR.0000000000000634.

Abstract

Purpose/objectives: Blood culture collection is a common procedure performed in emergency departments. Rate of blood culture contamination is a metric that is tracked by organizations to ensure appropriate treatment for patients suspected of having bacteremia and ensure appropriate use of hospital resources. A team of nurses and technicians undertook a quality improvement project to decrease blood culture contamination rates in a suburban emergency department.

Description of the project: The project included use of standardized blood culture collection kits, creation of a dedicated collection team, and implementation of a new blood culture collection device.

Outcome: Through this work, blood culture contamination rates decreased from greater than 3.0% to less than 1.5% consistently for nearly 24 months.

Conclusions: Providing feedback and continued monitoring has made this quality improvement initiative a success for the department and the organization and has resulted in cost savings of nearly 2 million dollars.

MeSH terms

  • Bacteremia / nursing
  • Blood Culture / methods*
  • Emergency Service, Hospital / organization & administration*
  • Equipment Contamination / prevention & control*
  • Equipment Contamination / statistics & numerical data
  • Humans
  • Nurse Clinicians*
  • Nursing Evaluation Research
  • Quality Improvement / organization & administration*