Re: [Sepsis Groups] Sepsisgroups Digest, Vol 219, Issue 7

[Sue Beswick]

Our lab norm goes up to 2.2. Any thing above that gets called. We had our 
sepsis team lead physician talk to lab about the importance of severe sepsis 
before it gets worse (4.0 or hypotension).  Lab was concerned about too many 
extra calls but it's worked out fine

Sue

Sent from my iPad

> On Sep 10, 2016, at 3:10 PM, "sepsisgroups-requ...@lists.sepsisgroups.org" 
>  wrote:
> 
> CAUTION: This Email is from an EXTERNAL source. Ensure you trust this sender 
> before clicking on any links or attachments.
> 
> 
> Send Sepsisgroups mailing list submissions to
>sepsisgroups@lists.sepsisgroups.org
> 
> To subscribe or unsubscribe via the World Wide Web, visit
>
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
> 
> or, via email, send a message with subject or body 'help' to
>sepsisgroups-requ...@lists.sepsisgroups.org
> 
> You can reach the person managing the list at
>sepsisgroups-ow...@lists.sepsisgroups.org
> 
> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of Sepsisgroups digest..."
> 
> 
> Today's Topics:
> 
>   1. Lactic Acid alerts from Lab (Pender.Linda)
> 
> 
> --
> 
> Message: 1
> Date: Tue, 6 Sep 2016 19:37:24 +
> From: Pender.Linda 
> To: "'sepsisgroups@lists.sepsisgroups.org'"
>
> Subject: [Sepsis Groups] Lactic Acid alerts from Lab
> Message-ID:
>
> Content-Type: text/plain; charset="us-ascii"
> 
> What level of Lactic Acid does lab call to the Bedside nurse at your 
> Hospital? I am in great need of this information because our hospital lab 
> currently only calls for critical results which are > 4.0 mmol. We are 
> requesting lab to change their practice and call for all Lactic Acid levels 
> of > 2.0 mmol.
> Please let me know what your hospital is doing so I can help guide my 
> hospital in the right direction.
> Thanks,
> 
> Linda G. Pender RRT-NPS
> Sepsis Coordinator
> Patient Care Services  Administration
> phone: 478-633-6806  pager: 
> KNOW Sepsis: Inside & Out
> [MCCG...World Class Care!  See our website...]
> Email: pender.li...@navicenthealth.org
> 
> 
> CONFIDENTIALITY NOTICE: The information transmitted in this e-mail message, 
> including any attachments, is for the sole use of the intended recipient(s) 
> or entity to which it is addressed and may contain confidential, privileged, 
> and/or proprietary information. Any unauthorized review, retransmission, use, 
> disclosure, dissemination, or other use of, or taking any action in reliance 
> upon this information by persons or entities other than the intended 
> recipient is prohibited. If you are not the intended recipient, you are 
> hereby notified that any reading, dissemination, distribution, copying, or 
> other use of this message or its attachments is strictly prohibited. If you 
> have received this message in error, please notify the sender immediately by 
> reply e-mail, or by calling (478) 633-7272, and destroy the original message, 
> attachments, and all copies thereof on all computers and in any other form. 
> Thank you. Navicent Health. http://www.navicenthealth.org/
> -- next part --
> An HTML attachment was scrubbed...
> URL: 
> 
> -- next part --
> A non-text attachment was scrubbed...
> Name: image001.png
> Type: image/png
> Size: 9451 bytes
> Desc: image001.png
> URL: 
> 
> 
> --
> 
> Subject: Digest Footer
> 
> ___
> Sepsisgroups mailing list
> Sepsisgroups@lists.sepsisgroups.org
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
> 
> 
> --
> 
> End of Sepsisgroups Digest, Vol 219, Issue 7
> 

___
Sepsisgroups mailing list
Sepsisgroups@lists.sepsisgroups.org
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

Re: [Sepsis Groups] Sepsisgroups Digest, Vol 172, Issue 8

[Sue Beswick]

My understanding is that they need the fluid challenge and then recheck the LA 
(or continued hypotension) to be septic shock.  Some patients respond and 
improve with the fluids so our mantra is "it isn't septic shock till after 
initial fluids".

Sue

Sue Beswick APRN, MS, CCNS, CCRN
CNS Critical Care
Greenville Health System
701 Grove Road l Greenville, SC 29605
Office:  864-455-4884


-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of sepsisgroups-requ...@lists.sepsisgroups.org
Sent: Saturday, September 26, 2015 7:46 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Sepsisgroups Digest, Vol 172, Issue 8

Send Sepsisgroups mailing list submissions to
sepsisgroups@lists.sepsisgroups.org

To subscribe or unsubscribe via the World Wide Web, visit
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

or, via email, send a message with subject or body 'help' to
sepsisgroups-requ...@lists.sepsisgroups.org

You can reach the person managing the list at
sepsisgroups-ow...@lists.sepsisgroups.org

When replying, please edit your Subject line so it is more specific than "Re: 
Contents of Sepsisgroups digest..."


Today's Topics:

   1. Re: Shock clock (CARIANN M DAHLQUIST)
   2. Physician/APN/PA Assessment (gayle.por...@hcahealthcare.com)
   3. Re: stroke volume index (Kramer, George C.)


--

Message: 1
Date: Fri, 25 Sep 2015 14:13:07 -0500
From: "CARIANN M DAHLQUIST" <cdahlqu...@altru.org>
To: <sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] Shock clock
Message-ID: <560556730268000fd...@gwmail.altru.org>
Content-Type: text/plain; charset="utf-8"


 

Just for clarification purposes-

A patient comes in at 2000 with SIRS criteria + documented pneumonia + lactate 
level of 5.47 = severe sepsis, however wouldn't this also be the time clock for 
the septic shock due to the lactate level > 4? I was thinking that both severe 
sepsis and septic shock time clocks would had started at the same time due to 
the lactate level.
Thanks,

CariAnn




 

CariAnn Dahlquist RN

Quality Management

Altru Health System | Grand Forks, ND

701.780.5339 phone | 701.780.1942 fax | cdahlqu...@altru.org ( 
mailto:lhelle...@altru.org) 

>>> "Jennifer L Halligan [SJGH]" <jhalli...@sjgh.org> 9/23/2015 1:42 PM
>>>
> 

Hi Dr. Townsend,
 
I completely understand now the CMS SEP-1 measure ?shock clock? time zero 
starts when the you have tissue hypoperfusion, evidenced by either initial 
lactate > 4 or persistent hypotension in the hour after crystalloids fluids 
given. Am I the only one that was totally mixed up thinking the shock clock 
started with severe sepsis with hypotension or lactate greater than 4? I feel a 
little foolish as I posted a few things. I am now cleared up but just wondering 
if you can help explain if there was/is a difference at all with how the SSC 
did ?shock clock time zero? and how CMS is doing shock clock time zero.
Thank you so much for all your hard work!
 
Jennifer Halligan, RN
Quality Review Nurse
San Joaquin General Hospital
Tel: 209-468-7471
Fax: 209-468-7011
 
 
---

CONFIDENTIAL & PRIVILEGED COMMUNICATION This email and any files transmitted 
with it are confidential, may contain privileged or copyright information, and 
are intended solely for the use of the intended recipient. If you are not the 
intended recipient of this email, you are required to notify the sender 
immediately and delete this email from your system. You may not copy, 
distribute or use this email or the information contained in it for any purpose 
other than to notify the sender. 
We do not guarantee that this material is free from viruses or any other 
defects although due care has been taken to minimize the risk. 
Any views expressed in this message are those of the individual sender, except 
where the sender specifically states them to be the views of Altru Health 
System. 

-
CONFIDENTIAL & PRIVILEGED COMMUNICATION

This email and any files transmitted with it are confidential, may contain 
privileged or copyright information, and are intended solely for the use of the 
intended recipient. If you are not the intended recipient of this email, you 
are required to notify the sender immediately and delete this email from your 
system. You may not copy, distribute or use this email or the information 
contained in it for any purpose other than to notify the sender. 
We do not guarantee that this material is free from viruses or any other 
defects although due care has been taken to minimize the risk.

Re: [Sepsis Groups] Sepsisgroups Digest, Vol 162, Issue 3

[Sue Beswick]

If getting an ABG - will do an extended panel which includes LA
We can get a venous sample and run it on our ABG analyzer in the ED or can send 
a venous sample to Lab but it takes longer to get results. 
EMS providers will get a tube on patients in the field.  Techs or RN's can get 
the sample.

We did evaluate running LA with venous sample and running on the ABG analyzer.  
We checked tourniquet time impact and matched values to assure accuracy.  

Repeat values can be done either of the three ways.  What's chosen depends on 
how sick the patient is and how quickly it's needed.  

Sue Beswick - just down the road in Greenville SC
sbesw...@ghs.org

-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of sepsisgroups-requ...@lists.sepsisgroups.org
Sent: Wednesday, June 24, 2015 3:13 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Sepsisgroups Digest, Vol 162, Issue 3

Send Sepsisgroups mailing list submissions to
sepsisgroups@lists.sepsisgroups.org

To subscribe or unsubscribe via the World Wide Web, visit
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

or, via email, send a message with subject or body 'help' to
sepsisgroups-requ...@lists.sepsisgroups.org

You can reach the person managing the list at
sepsisgroups-ow...@lists.sepsisgroups.org

When replying, please edit your Subject line so it is more specific than Re: 
Contents of Sepsisgroups digest...


Today's Topics:

   1. POC lactates (Jeanie Bollinger)
   2. Mortality rate measure with ICD-10 migration
  (Clement, Joseph (DPH))
   3. Standard deviations and Heart rate (shelley storozuk)


--

Message: 1
Date: Tue, 23 Jun 2015 17:06:38 +
From: Jeanie Bollinger jeanie.bollin...@msj.org
To: 'sepsisgroups@lists.sepsisgroups.org'
sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] POC lactates
Message-ID:
430268719029d749a5e049bded7be5dd91f12...@mbxarc11.msj.org
Content-Type: text/plain; charset=us-ascii

Who is doing POC lactates in the emergency department?  How are you doing 
repeat lactates?  Do you have any accuracy data or cost data to do POC 
lactates?  Jeanie Bollinger

Jeanie Bollinger RN,MSN,ACCNS-AG, CCRN
Sepsis Clinical Nurse Specialist
Center For Nursing Excellence
Mission Health
Asheville, NC.

Phone 828-213-7171
Pager 207-2363




This message and its attachments may contain confidential and/or 
legally-sensitive information that is intended for the sole use of the 
addressee(s). Any unauthorized review, use, disclosure, or distribution of the 
information contained in this message and its attachments is prohibited. If you 
have received this message or any of its attachments in error, please destroy 
all originals and copies of the same and notify the sender immediately.  
-- next part --
An HTML attachment was scrubbed...
URL: 
http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150623/9e2351ba/attachment.html

--

Message: 2
Date: Tue, 23 Jun 2015 16:59:00 +
From: Clement, Joseph (DPH) joseph.clem...@sfdph.org
To: sepsisgroups@lists.sepsisgroups.org
sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Mortality rate measure with ICD-10 migration
Message-ID:

dm2pr09mb0447658c487e7e6ab42081d99a...@dm2pr09mb0447.namprd09.prod.outlook.com

Content-Type: text/plain; charset=iso-8859-1

Hello,


I'm curious what other systems are contemplating regarding sepsis mortality 
measurement after the transition to ICD-10?


We have been using the Dombrovskiy criteria as our main outcome metric for many 
years now. After ICD-10, which code(s) will people use?


Looking forward to hearing people's thoughts


Joe


Joseph Clement, MS, RN, CCNS
Clinical Nurse Specialist
San Francisco General Hospital
ph: 415206-6174
pg: 415 327-0220
-- next part --
An HTML attachment was scrubbed...
URL: 
http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150623/2fbc1913/attachment-0001.htm

--

Message: 3
Date: Tue, 23 Jun 2015 20:28:51 -0600
From: shelley storozuk shelleystorozu...@hotmail.com
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Standard deviations and Heart rate
Message-ID: blu436-smtp102f5d166678adf29a99d40bc...@phx.gbl
Content-Type: text/plain; charset=us-ascii

There is much written about standard deviation and how it relates to the heart 
rate when in sepsis, but where can this information be found? As an emergency 
nurse I do not know what the numerical range for 2 standard deviations outside 
of a normal heart rate for an adult is? Or for children? Can someone explain 
this or provide some reference material

Re: [Sepsis Groups] Sepsisgroups Digest, Vol 133, Issue 1

[Sue Beswick]

1. yes
2. All are on the list even though WBC's are not available yet
3. No, although BP would factor in for severe sepsis criteria
4. yes
5. automatic goes along side putting the info that we have a suspected case to 
the physician
6. both.  There is a screen on the EMR asking if patient meets criteria but we 
use a paper tool to track time to LA, abx, etc.


Sue Beswick APRN, MS, CCNS, CCRN
CNS Critical Care
Greenville Health System
701 Grove Road l Greenville, SC 29605
Office:  864-455-4884


-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of sepsisgroups-requ...@lists.sepsisgroups.org
Sent: Friday, November 14, 2014 3:09 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Sepsisgroups Digest, Vol 133, Issue 1

Send Sepsisgroups mailing list submissions to
sepsisgroups@lists.sepsisgroups.org

To subscribe or unsubscribe via the World Wide Web, visit
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

or, via email, send a message with subject or body 'help' to
sepsisgroups-requ...@lists.sepsisgroups.org

You can reach the person managing the list at
sepsisgroups-ow...@lists.sepsisgroups.org

When replying, please edit your Subject line so it is more specific than Re: 
Contents of Sepsisgroups digest...


Today's Topics:

   1. Sepsis screening in the ED (Jeanie Bollinger)


--

Message: 1
Date: Fri, 14 Nov 2014 13:39:16 +
From: Jeanie Bollinger jeanie.bollin...@msj.org
To: sepsisgroups@lists.sepsisgroups.org
sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Sepsis screening in the ED
Message-ID: 430268719029d749a5e049bded7be5dd87073...@mbx11.msj.org
Content-Type: text/plain; charset=us-ascii

I would like to ask a question concerning your sepsis screening process during 
triage in the ED.  This would include triage prior to arriving in an ED 
treatment room and all EMS arrivals.


1.Does the triage nurse screen for sepsis?

2.   If so, how many SIRS criteria are included?

3.   Are any other criteria included that are not the SCCM SIRS criteria: 
glucose, SPO2, BP

4.   Is suspect or documented infection included in the screen?

5.   If the screen is positive, are any labs automatically ordered or does 
a MD have to see the patient first?

6.   Is this screen completed electronically or on a paper form?

Thank-you so much for your input.

Jeanie Bollinger MSN,RN,ACCNS-AG, CCRN
Sepsis Clinical Nurse Specialist
Nursing Department of Excellence
Mission Health
Asheville, NC

Phone: 828-213-5878
Beeper: 828-207-2363




This message and its attachments may contain confidential and/or 
legally-sensitive information that is intended for the sole use of the 
addressee(s). Any unauthorized review, use, disclosure, or distribution of the 
information contained in this message and its attachments is prohibited. If you 
have received this message or any of its attachments in error, please destroy 
all originals and copies of the same and notify the sender immediately.  
-- next part --
An HTML attachment was scrubbed...
URL: 
http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20141114/a9af7148/attachment.html

--

Subject: Digest Footer

___
Sepsisgroups mailing list
Sepsisgroups@lists.sepsisgroups.org
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org


--

End of Sepsisgroups Digest, Vol 133, Issue 1


___
Sepsisgroups mailing list
Sepsisgroups@lists.sepsisgroups.org
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

[Sepsis Groups] EMS and early identification of Sepsis

[Sue Beswick]

To continue improving our sepsis outcomes, we are looking at our EMS.

Our EMS county providers are interested in doing lactates in the field and 
possibly giving a broad spectrum antibiotic based on an algorithm.

Is anyone else doing either of these?

Thanks
Sue

Sue Beswick APRN, MS, CCNS, CCRN
CNS Critical Care
Greenville Health System
701 Grove Road l Greenville, SC 29605
Office:  864-455-4884

___
Sepsisgroups mailing list
Sepsisgroups@lists.sepsisgroups.org
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

Re: [Sepsis Groups] Sepsisgroups Digest, Vol 105, Issue 1 - point of care lab testing

[Sue Beswick]

We worked out a process with our lab.  The sick patients need an ABG anyway - 
so we draw with extended panel.  The patients with less severe symptoms, the ED 
RN or Tech adds an ABG syringe to their venous lab draws and RT runs it on the 
ABG analyzer in ED. We did testing to assure the process works well, that the 
tourniquet doesn't impact values, etc. The process works quite well.

Sue   

Sue Beswick RN, MS, CCNS, CCRN
Clinical Nurse Specialist - MSICU
Greenville Health System
701 Grove Road l Greenville, SC 29605
Office:  864-455-4884

-Original Message-
From: sepsisgroups-boun...@lists.sepsisgroups.org 
[mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of 
sepsisgroups-requ...@lists.sepsisgroups.org
Sent: Wednesday, April 16, 2014 3:08 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Sepsisgroups Digest, Vol 105, Issue 1

Send Sepsisgroups mailing list submissions to
sepsisgroups@lists.sepsisgroups.org

To subscribe or unsubscribe via the World Wide Web, visit
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

or, via email, send a message with subject or body 'help' to
sepsisgroups-requ...@lists.sepsisgroups.org

You can reach the person managing the list at
sepsisgroups-ow...@lists.sepsisgroups.org

When replying, please edit your Subject line so it is more specific than Re: 
Contents of Sepsisgroups digest...


Today's Topics:

   1. Point of care lactate testing (Boros, Candi)
   2. Re: field resuscitation (Joseph Clement)


--

Message: 1
Date: Tue, 15 Apr 2014 15:52:58 +
From: Boros, Candi candice.bo...@alexian.net
To: sepsisgroups@lists.sepsisgroups.org
sepsisgroups@lists.sepsisgroups.org
Cc: Pfeifer, Carol carol.pfei...@alexian.net, Johns,   Christine
christine.jo...@alexian.net
Subject: [Sepsis Groups] Point of care lactate testing
Message-ID:

ff021604acb4d84893d983d153e94bc55d3e4...@tx1p03dag0303.apptixhealth.net

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

Good Morning,

Can anyone share their experience with point of care lactate testing?  We are 
currently evaluating our processes and examining the pros and cons associated 
with various techniques (venous draw to lab vs ABG vs POC).

Thank you!

-Candi

Candi Boros, RN, BSN
Sepsis Clinical Coordinator
Alexian Brothers Health System
candice.bo...@alexian.net



CONFIDENTIALITY NOTICE:
This email message and any accompanying data or files is confidential and may 
contain privileged information intended only for the named recipient(s). If you 
are not the intended recipient(s), you are hereby notified that the 
dissemination, distribution, and or copying of this message is strictly 
prohibited. If you receive this message in error, or are not the named 
recipient(s), please notify the sender at the email address above, delete this 
email from your computer, and destroy any copies in any form immediately. 
Receipt by anyone other than the named recipient(s) is not a waiver of any 
attorney-client, work product, or other applicable privilege.
-- next part --
An HTML attachment was scrubbed...
URL: 
http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140415/43ebb1d5/attachment.html

--

Message: 2
Date: Tue, 15 Apr 2014 15:21:38 -0700
From: Joseph Clement joseph.clem...@sfdph.org
To: Barnes-Daly, Mary Ann barne...@sutterhealth.org
Cc: sepsisgroups-boun...@lists.sepsisgroups.org,'Dian Nuxoll'
ddnux...@evergreenhealthcare.org,
'sepsisgroups@lists.sepsisgroups.org'
sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] field resuscitation
Message-ID:
ofab1a19d7.3059b9e0-on88257cbb.007aaebc-88257cbb.007ad...@sfgov.org
Content-Type: text/plain; charset=windows-1256

Us to.  If the field fluids were used in the decision about fluid dosage in the 
ED, then it must be counted. It's similar to AMI metrics - if the aspirin was 
given by the medics we don't ask that it be given again...

Joseph Clement RN, MS, CCNS
Clinical Nurse Specialist

San Francisco General Hospital
phone: (415) 206-6174
pager: (415) 327-0220
joseph.clem...@sfdph.org




Barnes-Daly, Mary Ann barne...@sutterhealth.org Sent by: 
sepsisgroups-boun...@lists.sepsisgroups.org
04/09/2014 10:43 AM

To
'Dian Nuxoll' ddnux...@evergreenhealthcare.org,
'sepsisgroups@lists.sepsisgroups.org' 
sepsisgroups@lists.sepsisgroups.org
cc

Subject
Re: [Sepsis Groups] field resuscitation






In some of our EMS groups, we have taught them to screen for severe sepsis, and 
if hypotension is present, they begin a fluid bolus. 
We count this fluid.  Assuming that the ride is not 3 hours, it is in close 
enough proximity to time zero to be counted
 
Thanks,
Mary Ann Barnes-Daly, RN BSN CCRN DC
Regional Clinical Initiative Lead-Sepsis and ICU Liberation (ABCDE) Gordon and 
Betty Moore

Re: [Sepsis Groups] flu and choice of antibiotic or not to give one?

[Sue Beswick]

With our severe sepsis flu admits, a number are being admitted without a broad 
spectrum antibiotics - only getting tamiflu.
We aren't using the sepsis database yet but hope to soon - would that be a fail?

Thanks
Sue

Sue Beswick RN, MS, CCNS, CCRN
Clinical Nurse Specialist - MSICU
Greenville Health System
701 Grove Road l Greenville, SC 29605
Office:  864-455-4884

If not this, then what?  If not now, then when?  If not me, then who?

 - John Lewis


-Original Message-
From: sepsisgroups-boun...@lists.sepsisgroups.org 
[mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of 
sepsisgroups-requ...@lists.sepsisgroups.org
Sent: Friday, January 31, 2014 3:08 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Sepsisgroups Digest, Vol 94, Issue 8

Send Sepsisgroups mailing list submissions to
sepsisgroups@lists.sepsisgroups.org

To subscribe or unsubscribe via the World Wide Web, visit
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

or, via email, send a message with subject or body 'help' to
sepsisgroups-requ...@lists.sepsisgroups.org

You can reach the person managing the list at
sepsisgroups-ow...@lists.sepsisgroups.org

When replying, please edit your Subject line so it is more specific than Re: 
Contents of Sepsisgroups digest...


Today's Topics:

   1. Sepsis tool APACHE question (Dian Nuxoll)
   2. severe sepsis screening tool question (Dian Nuxoll)


--

Message: 1
Date: Thu, 30 Jan 2014 18:00:54 +
From: Dian Nuxoll ddnux...@evergreenhealthcare.org
To: 'sepsisgroups@lists.sepsisgroups.org'
sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Sepsis tool APACHE question
Message-ID:

943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org

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

Under oxygenation, am I correct to assume this pertains to intubated patients 
only?

Under FIO2 0.5 or more, A-aDO-is that the same as A-a Grad? What is this 
exactly?
 .05, use PAo-is this the same as PO2?, if not, what is it and how do I find 
it?

Appreciate your help!


Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management
425.899.2359  I  EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA 98034
Follow EvergreenHealth on 
Facebookhttp://www.facebook.com/evergreenhospital.org and 
Twitterhttp://twitter.com/  |   
www.evergreenhealthcare.orghttp://www.evergreenhealthcare.org/


Please note: My e-mail address has changed to ddnux...@evergreenhealth.com


DISCLAIMER:
EvergreenHealth Confidentiality Notice: This email message, including any 
attachments, is for the sole use of the intended recipient(s) and may contain 
confidential and privileged information. Any unauthorized review, use, 
disclosure or distribution is prohibited. If you are not the intended 
recipient, please contact the sender by e-mail and destroy all copies of the 
original message or you may call EvergreenHealth in Kirkland, WA U.S.A at 
(425)899-1740.
-- next part --
An HTML attachment was scrubbed...
URL: 
http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment.html
-- next part --
A non-text attachment was scrubbed...
Name: Picture (Device Independent Bitmap) 1.jpg
Type: image/jpeg
Size: 2471 bytes
Desc: Picture (Device Independent Bitmap) 1.jpg
URL: 
http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment-0001.jpg

--

Message: 2
Date: Thu, 30 Jan 2014 23:00:41 +
From: Dian Nuxoll ddnux...@evergreenhealthcare.org
To: 'sepsisgroups@lists.sepsisgroups.org'
sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] severe sepsis screening tool question
Message-ID:

943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org

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

Regarding #3. On screen 2: in evaluating the acute lung injury, does the 
patient have to be intubated for this or just have an ABG?

Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management
425.899.2359  I  EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA 98034
Follow EvergreenHealth on 
Facebookhttp://www.facebook.com/evergreenhospital.org and 
Twitterhttp://twitter.com/  |   
www.evergreenhealthcare.orghttp://www.evergreenhealthcare.org/


Please note: My e-mail address has changed to ddnux...@evergreenhealth.com


DISCLAIMER:
EvergreenHealth Confidentiality Notice: This email message, including any 
attachments, is for the sole use of the intended recipient(s) and may contain 
confidential and privileged information. Any unauthorized review, use, 
disclosure or distribution is prohibited. If you are not the intended 
recipient, please

[Sepsis Groups] Changing ED sepsis screen during flu season

[Sue Beswick]

There are some concerns that we will be doing extra/unnecessary testing (blood 
culture, Lactate, etc) with all of the flu patients who have a temp and 
increased heart rate during the flu season.

Do any of your facilities, modify your sepsis screen in ED for flu?   Do you 
look at the known or suspected infection and say probable flu so does not meet 
sepsis screen?

Thanks
Sue

Sue Beswick RN, MS, CCNS, CCRN
Clinical Nurse Specialist - MSICU
Greenville Hosptial System
University Medical Center
Greenville, SC
Office:  864-455-4884

AACN Theme Dare To  What are you going to dare to do this year?

___
Sepsisgroups mailing list
Sepsisgroups@lists.sepsisgroups.org
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

[Sepsis Groups] mortality

[Sue Beswick]

When counting mortality, how do you then account for the coding issues?  We 
find there are severe sepsis pts that get coded for other things and some that 
get coded for severe sepsis that really don't meet the criteria.

Sue

Sue Beswick RN, MS, CCNS, CCRN
CNS Critical Care
Greenville Hospital System
Greenville, SC
Office: 864-455-4884

___
Sepsisgroups mailing list
Sepsisgroups@lists.sepsisgroups.org
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org