Test Title here

Test Name:    VRE Culture
Alternate Name (s):    Vancomycin Resistant Enterococcus
Laboratory Module:    Category: MIC
Ordering Mnemonic:  

Admissions/sweeps: OE order set/MRSAV (Combo nasal/rectal see below)

Refer to ELM surveillance chart

 Other single source specimen testing: VRE

Select appropriate source

Specimen Type:   

Admissions/sweeps: order set MRSAV - Nasal/Rectal combination swab

Swab of any area of the body that may be of concern

Collection Container:   Amies Transport Media 
Amies Transport Media 
Collection Information:  

 The nurse or physician will take a swab of the area in question. The swab is then quickly transferred to the transport media, then labeled appropriately and then sent to the laboratory

 

Admissions/sweeps. Nasal/Rectal Combo:Insert swab into the nostril, until white cotton tips is inside the nose. Gently rotate ths swab so that all surfaces of the mucosa are touched twice. Repeat in the other nostril, using the same swab. Proceed with swabbing the rectal area. Insert the swab into rectum enought to fecally stain the swab, Place swab into the transport media tube and label with the lab-generated label containing patient information and label nasal/rectal.

 

Rectal Swab- Swab around the rectal area. Insert the swab into rectume enough to fecall stain the swab Place swab into transport media tube and label with the lab-generated label containing patient information and marked rectal.

Test Schedule:  

 Daily

Turnaround Time:   Routine

Preliminary: 24 hours

Final: 72 hours

Stat / Urgent

Preliminary: 24 hours

Final: 72 hours

Reference Interval:  

 

Critical Values:    As growth is detected and identified the information is made available to the health care provider
Lab Process Notes :    If VRE is detected notify immediately that ward that the patient is on (if an in-patient), patient registration (so a flag may be created) and infection control. (MRSAV order set not orderable through lab. Order each test separately)
Storage & Transport:    The swab should be maintained at room temperature until transport to the lab. Once in the lab the specimen will be stored at room temperature in the microbiology rack
Test Referred to :    On site, BGH laboratory

                 

Updated: Nov 29, 2016

 
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