bioMerieux -- Be a Part of WorkSafe

bioMerieux is launching it's WorkSafe program with a strong focus on training and education for Blood Culture Collection. bioMerieux wants to partner with each of you and help you reduce blood culture contamination rates in your institution. We have a very exciting program made up of a series of newsletter articles, webinars, lectures and other educational opportunities to help you with the challenges you face with blood cultures. Please answer the survey to help us understand the nature of the challenges you face with blood culture contamination. Thank you for your dedication and support, we appreciate your business.

Required fields are indicated by an *

What type of institution do you work in? *

Private nonprofit
City, State, Country
Private, for profit
Government/Military
Other

Where is your hospital located? *

Rural
City
Suburban
Other

What is the bed size of your hospital? *

1-99
100-150
151-250
Greater than 250

Does your facility have a separate pediatric unit? (PICU, NICU) *

Yes
No

Which automated blood culture instrument does your laboratory use? *

BacT/ALERT 3D^®
VersaTREK^®
BD BACTEC™

Is your laboratory accredited by the College of American Pathologists? *

Yes
No

Does your facility participate in the Institute for Healthcare Improvement (IHI) 5 Million Lives Campaign? *

Yes
No

Who is primarily responsible for blood culture collection? *

Phlebotomist
Medical technologist
Nurse
Physician
Other

How are the majority and/or recommended practice of adult blood cultures collected at your facility? *

Two blood culture sets (2 bottles/set) per 24 hours or per septic event
One blood culture set (2 bottles/set) per 24 hours
Not sure

How are the majority and/or recommended practice of pediatric blood cultures collected at your facility? *

Two blood culture sets (1 bottles/set) per 24 hours or per septic event
One blood culture set (1 bottles/set) per 24 hours
Not sure

Do you collect each blood culture set from a separate venipuncture sites? *

Yes
No

What type of cleansing protocol do you use? *

An iodophor (eg: providone iodine, Betadine)
70% isopropyl alcohol
Tincture of iodine
Isopropyl alcohol/acetone
Ethanol
Green Soap
Chlorhexidine gluconate
Other

What is your monthly blood culture contamination rate? *

> 10%
5-10%
3-5%
3%
2-3%
1-2%
< 1%

What is the main organism contaminating your blood cultures? *

Staphylococcus, coagulase-negative
Corynebacterium sp. (not C. jekieum)
Viridans Streptococccus
Bacillus sp.

What would help you decrease the contamination rate in your facility? Check all that apply. *

In house training programs
Video/DVD Training
Online Training
Webinars
Easy to understand literature that we can distribute
White papers for our staff to read
Other

First Name: *
Last Name: *
Academic Title:
Job Title:
Institution: *
Phone: *
Email: *
Your address is?: *	Inside the United States Outside the United States
Inside the United States
Address: *

City: *
State: *
Zip: *
Outside the United States
Address: *

City: *
State/Province:
Zip/Postal Code:
Country: *
Please provide us with the following information if you are already a bioMérieux customer.
Account Name:
Site #:	Customer #:

Comments:

I would like to know more about bioMérieux:*	yes no
Please have a customer service representative contact me:*	yes no
Please email me information on new products, special offers, surveys or upcoming events: *	yes no

BacT/ALERT is a register trademark of bioMérieux, Inc. VersaTREK is a registered trademark of TREK Diagnostic Systems. BD BACTEC trademark is owned by Becton, Dickinson and Company.