Staph Culture
PATIENT INFO |
Patient Name: |
Medical Record #: |
BD: / / Sex: F M |
PHYSICIAN INFO |
Physician Name : |
Address: |
Ph: ( ) - Fax: ( ) - |
Additional Report to: |
Ph: ( ) - Fax: ( ) - |
TESTS REQUESTED | |
Test Name: | ICD9 Code: (required) |
1. Staph Culture | |
2. | |
3. | |
4. | |
5. | |
6. |
SPECIMEN INFO |
Collection Date & Time: |
Collected By: |
Hospital: |
For nasal/nasopharyngeal collections:
Insert the swab into a nare until resistance is met at the level of the turbinate (nasal) or beyond to the nasopharynx (nasopharyngeal). Rotate the swab against the mucosa.
For skin collections:
Swab the surface of the skin or wound, collecting exudate if present.
For all swabs:
Break swab head off into the transport tube containing 1.0mL of liquid media.
For tracheal aspirates:
1. Connect suction catheter to rubber tubing side on aspirating trap and connect the other side of aspirating trap to the tubing from wall suction.
2. Draw up the appropriate amount of preservative free sterile saline for irrigation into a syringe. Under 1 year: 0.5ml; 1-3 years: 1ml;
3 years and older: 2ml. Pour the remaining normal saline for irrigation into graduated cup.
3. Instill saline from syringe (without needle), and suction patient while keeping the aspirating trap in a vertical position.
4. If the specimen is in the catheter, suction a small amount of normal saline for irrigation from graduated cup to move secretions into aspirating trap.
5. Disconnect aspirating trap from suction tubing and catheter. Remove the tubing cap and affix the flat transport cap to the specimen for transport.