I am looking for clarification on the correct process for drawing blood cultures from a CVAD (only as a last resort, not as a regular practice). INS states that the needleless connector should be removed prior to collection. Some clinicians interpret this to mean that you remove the needleless connector, clean the line with CHG and then do a direct hook-up. Others interpret this to mean you remove the old connector, clean, apply a new connector, clean again, and then draw the culture.
Also, do you innoculate the aerobic or anaerobic culture bottle first? Everything I have read states aerobic due to the possibility of there being a small amount of air in the syringe. Our facility's policy is to collect the anerobic specimen first?
Looking to update some education and policies and want to ensure we are current in our practice.