Re: [Sepsis Groups] lactic acid reflex time

[Shepherd, Stacey]

Good Morning,

We reflex ours at 2 hours


Stacey Shepherd MSN, RN, ACNS-BC, CCNS, CCRN
Critical Care Services CNS
Texas Health Presbyterain Hospital Denton
staceysheph...@texashealth.org
Ph: 940-323-5756



From: Sepsisgroups  On Behalf Of 
Mancuso Teresa
Sent: Thursday, June 13, 2019 2:45 PM
To: Laura Soares ; 
'sepsisgroups@lists.sepsisgroups.org' 
Subject: Re: [Sepsis Groups] lactic acid reflex time

Sent Externally From: 
sepsisgroups-boun...@lists.sepsisgroups.org
Our elevated lactate reflexes at four hours, but I educate on re-drawing after 
two hours.

From: Sepsisgroups 
mailto:sepsisgroups-boun...@lists.sepsisgroups.org>>
 On Behalf Of Laura Soares
Sent: Thursday, June 06, 2019 4:50 PM
To: 'sepsisgroups@lists.sepsisgroups.org' 
mailto:sepsisgroups@lists.sepsisgroups.org>>
Subject: {EXTERNAL} [Sepsis Groups] lactic acid reflex time

Good afternoon,

Currently we reflex any lactic acid that is > 2 to be re-drawn in 2 hrs.

I'm wondering what others' practices are when reflexing the lactic acid - do 
you use a 2 hr timeframe, or 3 hr, or?

Thanks so much!

Laura Soares MSN RN SCRN
Sepsis & Stroke Program Coordinator
559.788.6067 Office
559.280.2036 Cell

"Teamwork is the ability to work together toward a common vision--the ability 
to direct individual accomplishments toward organizational objectives. It is 
the fuel that allows common people to attain uncommon results"- Andrew Carnegie

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Re: [Sepsis Groups] lactic acid reflex time

[Pamela Green]

I am wondering if anyone is currently using a POC testing  device for Lactic 
acid using Finger stick blood levels how accurate is it? Pam

From: Sepsisgroups  On Behalf Of 
Pamela Green
Sent: Thursday, June 13, 2019 1:25 PM
To: Laura Soares ; 
'sepsisgroups@lists.sepsisgroups.org' 
Subject: Re: [Sepsis Groups] lactic acid reflex time


We reflex if LA >2 also. Usually 3 hours from initial draw regardless what 
result is.  This helps to not miss in repeats  most of the time.

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Pam Green BSN RN CCRN
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From: Sepsisgroups 
mailto:sepsisgroups-boun...@lists.sepsisgroups.org>>
 On Behalf Of Laura Soares
Sent: Thursday, June 06, 2019 3:50 PM
To: 'sepsisgroups@lists.sepsisgroups.org' 
mailto:sepsisgroups@lists.sepsisgroups.org>>
Subject: [Sepsis Groups] lactic acid reflex time

Good afternoon,

Currently we reflex any lactic acid that is > 2 to be re-drawn in 2 hrs.

I'm wondering what others' practices are when reflexing the lactic acid - do 
you use a 2 hr timeframe, or 3 hr, or?

Thanks so much!

Laura Soares MSN RN SCRN
Sepsis & Stroke Program Coordinator
559.788.6067 Office
559.280.2036 Cell

"Teamwork is the ability to work together toward a common vision--the ability 
to direct individual accomplishments toward organizational objectives. It is 
the fuel that allows common people to attain uncommon results"- Andrew Carnegie

[SVMC Logo]
465 W. Putnam Ave
Porterville, CA  93257
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Re: [Sepsis Groups] Sepsisgroups Digest, Vol 326, Issue 1

[Lux Meghan]

We do not wait for a specific time.
The nurse calls the respiratory therapist as soon as the fluid bolus is 
infused. RT uses the ePOC to do the point of care initial lactate, hangs a 
laminated sign reminding the nurse to call when the fluid bolus is complete for 
any lactate >2, and then returns to do the repeat lactate when called. 

Thanks
Meghan Lux, BSN, RN, CPHQ
Sepsis Coordinator
Clinical Outcomes Department
Metropolitan Methodist Hospital, a campus of Methodist Hospital
1310 McCullough Avenue
San Antonio, TX 78212
(210) 757-2341 (Office)
(210) 857-5751 (Cell)



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Today's Topics:

   1. Re: lactic acid reflex time (Angela Craig)


--

Message: 1
Date: Fri, 14 Jun 2019 18:29:05 +
From: Angela Craig 
To: 'Laura Soares' ,
"'sepsisgroups@lists.sepsisgroups.org'"

Subject: Re: [Sepsis Groups] lactic acid reflex time
Message-ID: <62a88778fbd14b229ade4b385d8c9...@crmchealth.org>
Content-Type: text/plain; charset="utf-8"


We use the 2 hour timeframe as well

Angela Craig APN,MS,CCNS
ICU Clinical Nurse Specialist
1 Medical Center Boulevard, Cookeville, TN 38501
Phone: 931-783-5035 Fax: 931-783-5039
acr...@crmchealth.org | crmchealth.org |Facebook | Twitter Cookeville Regional 
Medical Center: Building Healthier Communities

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Laura Soares
Sent: Thursday, June 06, 2019 3:50 PM
To: 'sepsisgroups@lists.sepsisgroups.org'
Subject: [Sepsis Groups] lactic acid reflex time

*** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's Email 
System. Do not click any links or open any attachments unless you trust the 
sender and know the content is safe. *** Good afternoon,

Currently we reflex any lactic acid that is > 2 to be re-drawn in 2 hrs.

I'm wondering what others' practices are when reflexing the lactic acid - do 
you use a 2 hr timeframe, or 3 hr, or?

Thanks so much!

Laura Soares MSN RN SCRN
Sepsis & Stroke Program Coordinator
559.788.6067 Office
559.280.2036 Cell

"Teamwork is the ability to work together toward a common vision--the ability 
to direct individual accomplishments toward organizational objectives. It is 
the fuel that allows common people to attain uncommon results"- Andrew Carnegie

[SVMC Logo]
465 W. Putnam Ave
Porterville, CA  93257
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[Sepsis Groups] POC Lactate

[Mary Draper]

Are any of your facilities using a "code sepsis" blast page for your inpatient 
population? If so, do you use POC (iSTAT) testing for the lactate?
Thanks for your feedback.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
JMH Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com
[cid:image003.png@01D52811.FC4F2CE0]
"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top... For then we will always strive for greater things 
and will not be content  with merely climbing hills." Ardath Rodale

From: Lorena Tilton
Sent: Friday, June 21, 2019 8:34 AM
To: Baraka Peterman ; Mary Draper 

Subject: POC Lactate

Good Morning,

Do either of you have any information on how the lactates are run for 
facilities that have code sepsis. I know Sutter uses iSTAT but I need more 
information. I having trouble making this a smooth transition.

Thank you,

Lorena Tilton, RN, MSN, CCRN
Professional Development Specialist
John Muir Health
925-674-2060 Ext. 22060
lorena.til...@johnmuirhealth.com

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[Sepsis Groups] Lactic acid reflex times

[Jeanie.Bollinger]

The repeat lactate lab order is timed for three hours which means the actual 
collect time is somewhere between 3 and 4 hours. 

Jeanie Bollinger MSN, RN, ACCNS-AG, CCRN-K
APRN | Clinical Nurse Specialist-Acute Medicine
Mission Health

Mission Hospital| Mission Health
509 Biltmore Avenue, Asheville, NC 28801
P 828-213-7171 | M 828-400-1194

missionhealth.org
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Today's Topics:

   1. Re: [External]  lactic acid reflex time (Mary Draper)


--

Message: 1
Date: Thu, 13 Jun 2019 16:38:03 +
From: Mary Draper 
To: Laura Soares ,
"'sepsisgroups@lists.sepsisgroups.org'"

Subject: Re: [Sepsis Groups] [External]  lactic acid reflex time
Message-ID:



Content-Type: text/plain; charset="us-ascii"


We use 4 hours. Our intensivists think that any time earlier (i.e. 3 hours) 
isn't enough time to see clinical significance.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
JMH Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com
[cid:image003.png@01D521CB.B16DF9F0]
"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top... For then we will always strive for greater things 
and will not be content  with merely climbing hills." Ardath Rodale

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Laura Soares
Sent: Thursday, June 06, 2019 1:50 PM
To: 'sepsisgroups@lists.sepsisgroups.org' 
Subject: [External] [Sepsis Groups] lactic acid reflex time


Caution: This email originated outside JMH. Do not open attachments or click on 
links if you do not recognize the sender.

Good afternoon,

Currently we reflex any lactic acid that is > 2 to be re-drawn in 2 hrs.

I'm wondering what others' practices are when reflexing the lactic acid - do 
you use a 2 hr timeframe, or 3 hr, or?

Thanks so much!

Laura Soares MSN RN SCRN
Sepsis & Stroke Program Coordinator
559.788.6067 Office
559.280.2036 Cell

"Teamwork is the ability to work together toward a common vision--the ability 
to direct individual accomplishments toward organizational objectives. It is 
the fuel that allows common people to attain uncommon results"- Andrew Carnegie

[SVMC Logo]
465 W. Putnam Ave
Porterville, CA  93257
DISCLAIMER: The information contained in this email transmission is 
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Attorney/Client Privilege and protected from disclosure under California 
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transmission shall continue to be protected and will not be negated by virtue 
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Re: [Sepsis Groups] lactic acid reflex time

[Carissa Hicks]

Our Lactate  order is Stat and then q 3 hours times 2 no matter what the 
initial lactate level is. We have found (with the help of Wolters Kluwer Health 
and the Point of Care Advisor) that about 5% (4.7%) of our patients with an 
initial lactate less than 2 go on to develop septic SHOCK. 
- Original Message -

From: "Mancuso Teresa"  
To: "Laura Soares" , 
"sepsisgroups@lists.sepsisgroups.org"  
Sent: Thursday, June 13, 2019 2:45:21 PM 
Subject: Re: [Sepsis Groups] lactic acid reflex time 
WARNING : This email originated outside of the Huntsville Hospital Health 
System. DO NOT CLICK links or attachments unless you recognize the sender and 
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Please forward all suspicious email messages to phish...@hhsys.org. 
Our elevated lactate reflexes at four hours, but I educate on re-drawing after 
two hours.  
  
From: Sepsisgroups  On Behalf Of 
Laura Soares 
Sent: Thursday, June 06, 2019 4:50 PM 
To: 'sepsisgroups@lists.sepsisgroups.org'  
Subject: {EXTERNAL} [Sepsis Groups] lactic acid reflex time 
  
Good afternoon, 
  
Currently we reflex any lactic acid that is > 2 to be re-drawn in 2 hrs. 
  
I’m wondering what others’ practices are when reflexing the lactic acid – do 
you use a 2 hr timeframe, or 3 hr, or? 
  
Thanks so much! 
  
Laura Soares MSN RN SCRN 
Sepsis & Stroke Program Coordinator 
559.788.6067 Office 
559.280.2036 Cell 
  
"Teamwork is the ability to work together toward a common vision--the ability 
to direct individual accomplishments toward organizational objectives. It is 
the fuel that allows common people to attain uncommon results"- Andrew Carnegie 
  
SVMC Logo 
465 W. Putnam Ave 
Porterville, CA  93257 
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