??ࡱ?>?? ??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????O ??@bjbj(9(9 HSJSWiJSWiU ????????pp????8Nl???\FFF\\\777T\V\V\V\V\V\V\$C`??b?z\?77??z\\\??\2?!?!?!??\\T\?!?T\?!?!N?U?bZ\???????\F??????L?VW0@\?\<?\?W?{c ?{c`bZbZ&{c?Z?7K?!Y eY777z\z\? ?777?\????????????????????????????????????????????????????????????????????????{c777777777pX ?: Nursing Service Guidelines forHemodialysisTitle:Scheduled Water/Dialysate Culture and LAL SpecimensResponsibility:Hemodialysis RN/BiomedEquipment:Sterile 30ml syringe remove Biomed will revise this one.Sterile 10ml syringe removeChloraprep swabsSpecimen ContainerLAL test tubeSpectra Lab specimen slip and shipping containerProcedurePoint of EmphasisDialysate SpecimenCulture/LAL schedule list is located in the ?Hemo Log? book. Set up Dialysis machine to be in conductivity. Record samples taken in the Hemo log book.All machines are done on a rotating scheduled basis.Cleanse sampling port on venous line of Hanson with Chloraprep swab in a circular motion starting at the center and wiping outward.To cleanse bacteria off of port to prevent contamination of specimen.Withdraw Allow 30 ml of dialysate to flow into a container. and discard.To draw off any contaminants in the sample port.Withdraw 10 ml of dialysate for specimen and place in sterile specimen cup or LAL specimen test tube. Clean catch dialysate sample into sterile container. Transfer samples to test tubes.Maintain sterility to prevent contamination of specimen. Complete Spectra Lab form, label specimen and prepare to shipSpecify machine #, if sample is dialysate or R/O water and if specimen for culture or LAL. Specimens that cannot be shipped immediately will need to be refrigerated. Water SpecimenCulture/LAL schedule list is located in the ?Hemo Log? book for portable RO system.All stations portables are done on a rotating scheduled basis.Run water for 3 min. at a slow to mod. rate. In soiled and clean room, use portable hose to run water to drain and disconnect hose after the 3 min. flush.Verify the portable RO unit is making product water.To flush outlet of contaminants in the water system.Cleanse water outlet with Chloraprep swab. For R/O (reverse osmosis) units, soak dual line hose connection in solution of 10 parts water and 1 part bleach for 5 minutes To cleanse bacteria off of outlet to prevent contamina-tion of specimen. Rinse dual line hose connection and connector at end of dual line hose with R/O water after bleach water soak to remove residual bleach.Turn on water slowly and obtain a CCMS sample of R/O water (at least 10ml). For R/O unit, allow water to run for 15 minutes prior to obtaining CCMS sample from dual hose line (with dual hose connector connected). Allow 30ml or more water to flow into a bucket. Clean catch water sample into a sterile container. Transfer samples to test tubes. Maintain sterility.Complete Spectra Lab form, label specimen and prepare to ship.Be sure to specify station location and ifspecimen is R/O water or LAL. Specimens that cannot be shipped immediately will need to be refrigerated. .Revised by: Tom Shaw, Biomedical EngineeringResource Person: Reviewed by: Andrew P. 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