Sputum C+S: Difference between revisions
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Counted manually off EPR. | Counted manually off EPR. | ||
* Note, C+S report can take 1-3 days, so keep this in mind when doing your counts. | * Note, C+S report can take 1-3 days, so keep this in mind when doing your counts. | ||
** is that still relevant with EPR? Do you see that a sample was sent, or only when it is returned? Do you go back to every ICU patient three days after discharge to check for this? Ttenbergen 17:05, 2016 November 28 (CST) | ** is that still relevant with EPR? Do you see that a sample was sent, or only when it is returned? Do you go back to every ICU patient three days after discharge to check for this? Ttenbergen 17:05, 2016 November 28 (CST) | ||
***no longer an issue as we do not manually count Sputum C&S[[User:Lkaita|Lisa Kaita]] 12:51, 2017 May 4 (CDT) | |||
* is culture fluid included in the sputum count?[[User:Jvelasco|Jvelasco]] 10:51, 2016 December 15 (CST) | * is culture fluid included in the sputum count?[[User:Jvelasco|Jvelasco]] 10:51, 2016 December 15 (CST) | ||
** if it is pleural fluid than we do not count[[User:Lkaita|Lisa Kaita]] 12:51, 2017 May 4 (CDT) | |||
=== BALs don't imply C+S === | === BALs don't imply C+S === | ||
When a BAL (Bronchial Aspiration and Lavage) is done, and a '''specimen is sent''' for bacterial or fungal cultures, then include in count for C+S. Don't assume when BAL is done that a culture for C&S is sent. Check the EPR. | When a BAL (Bronchial Aspiration and Lavage) is done, and a '''specimen is sent''' for bacterial or fungal cultures, then include in count for C+S. Don't assume when BAL is done that a culture for C&S is sent. Check the EPR. | ||
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*cytology | *cytology | ||
*rejected specimens are not included in lab counts | *rejected specimens are not included in lab counts | ||
* pleural fluid | |||
Revision as of 11:51, 4 May 2017
| Data Element (edit) | |
| Field Name: | Sputum_CS |
| CCMDB Label: | not stated |
| CCMDB tab: | not stated |
| Table: | L_Labs_Flowsheet |
| Data type: | integer |
| Length: | integer |
| Program: | CC |
| Created/Raw: | Raw |
| Start Date: | 1988-07-11 |
| End Date: | 2300-01-01 |
| Sort Index: | 21 |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
Contains the number of any sputum specimens (including endotracheal secretions) sent for "culture and sensitivity" for bacteria or fungus.
Counted manually off EPR.
- Note, C+S report can take 1-3 days, so keep this in mind when doing your counts.
- is that still relevant with EPR? Do you see that a sample was sent, or only when it is returned? Do you go back to every ICU patient three days after discharge to check for this? Ttenbergen 17:05, 2016 November 28 (CST)
- no longer an issue as we do not manually count Sputum C&SLisa Kaita 12:51, 2017 May 4 (CDT)
- is that still relevant with EPR? Do you see that a sample was sent, or only when it is returned? Do you go back to every ICU patient three days after discharge to check for this? Ttenbergen 17:05, 2016 November 28 (CST)
- is culture fluid included in the sputum count?Jvelasco 10:51, 2016 December 15 (CST)
- if it is pleural fluid than we do not countLisa Kaita 12:51, 2017 May 4 (CDT)
BALs don't imply C+S
When a BAL (Bronchial Aspiration and Lavage) is done, and a specimen is sent for bacterial or fungal cultures, then include in count for C+S. Don't assume when BAL is done that a culture for C&S is sent. Check the EPR.
not included
Counts not included as sputum for C+S:
- AFB - test done differently and in separate medium so not counted under C+S
- Viral - totally different testing method, so not counted under C+S. - Dr. Kumar. - Trish Ostryzniuk 17:55, 2014 October 21 (CDT)
- cytology
- rejected specimens are not included in lab counts
- pleural fluid