To Report All Bloods: For GS only, do not report rare organisms/bacteria under

RESULT ENTRY report but under “Free Text”—Rare GNR/GPC/Yeast etc

-Scan and in “entry” type “bgs” for blood gram stain
-Type “GPCCL or nomenclature” enter, next row gnr: gram neg rods
-Type “called” enter, edit free text gpccl: gpc clusters
Called to RN/MD etc gpccn: in chains
By EMM gpcp: in pairs
F5 for date/time gpcpc: in pairs and chains
Call log Floor or place called ie 2G.
FUNGAL SMEAR
Verify
In ‘Entry’ window type “smear” then enter
STEP 2: NOW
Go to “smear report” enter
In ENTRY type “Pre” enter
Then type “NoFe” for —no fungal element then verify
Pos enter, next row type CIP and it will now read
‘positive culture in progress’ To Report India Ink ---type smera in entry window, enter
Verify then type ‘negative’ if negative etc., verify.
STEP3: Entry window type GPC, GNR, Yeast etc
In media Description type All GUH GS
Generic XAer GPCCL (from aerobic gram positive In Entry window hit F3.
cocci in clusters etc) Now type “gs reviewed---XAer XXX” if see same thing as
If it is 2 slides from Aero and Anaerobic, on the GUH; -XAna or Xaer
second entry type “Obs”
SPUTUM POOR SQ:
BLOOD bottle/BLOOD SMEAR -entry type “reject” then verify
FOR NOS (No organism seen), Scan accession
-now type “Final” and in free text type “end” and
In Entry window “Obs”
called.
Media Description text “end”
Generic XAer NOS -F3 “called to, floor #, time etc”
“Add” CHOCOLATE PLATE
On label write “Aero/Ana NOS”
TO REJECT SPUTUM:
Find bottle inoculate chocolate plate (Put back Bactec)
Type “Reject” on entry window then “verify”.
Then on entry window type “Final” and on free-text window
Verigene for Deceased Pats--Positive Bloods: type “End”—culture ended. Now “verify”
Entry: bgs
GPCCL
Free text “Report to Chart”

READING GRAM STAINS

Body F/CSF/Device/Eye/Ear: WBC, Org, direct/conc
Wound/Drain/Abscess: WBC, Epi, Org
Tissue: WBC, Organism, tissue processing?
Bronch Wash: WBC, Sq Epi, Bron Cili, Org (No S. Qu)
Nonsurgical Wound/Abscess/ Eye: WBC, Epi, Org
Bronch Brush: WBC, Sq epi, Bron Cili, Org, SQG,
Sputum: WBC, Epi, Org, SQG, MBF (mix bac flora)

For body fluids and bloods, you need to call and report to
the floor.
Low magn High magn
Rare < 1 <1
Few 1-9 1-15
Mod 10-25 16-30
Many >25 >30