ED Pathway for the Evaluation/Treatment of the Oncology Patient with Fever

RN/MD/CRNP Rapid Assessment, Line Access, Orders

Bedside Procedure

CBC Purple top
Blood culture* One specimen from each lumen
BMP Light-green top
Others as necessary
* One culture from each lumen (note color of lumen in lab order)
Peripheral cultures are indicated only if the patient does not have a central line, failed access

IF CENTRAL ACCESS HAS NOT BEEN OBTAINED WITHIN 45 MINUTES OF ARRIVAL TO ROOM, THE PATIENT SHOULD HAVE PERIPHERAL IV PLACED AT THAT TIME.