Re: [Sepsis Groups] Septic Shock Present [Incident: 151007-000178]

So should we go by what Bob said in the presentation, or what Qnet says below? They directly contradict each other. Bob said not to abstract septic shock if lactate is >4 without crystalloids, but below says the opposite. Thanks, Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical

Re: [Sepsis Groups] Septic Shock Present [Incident: 151007-000178]

There is a bullet point in the specification manual that states: If crystalloid fluids were not administered after the presentation date and time of severe sepsis, choose value "2", which is No. This was confirmed by Bob Dickerson in his presentation on October 26. He stated: "Now please note,

Re: [Sepsis Groups] Persistent Hypotension

A more common issue is that the pt develops hypotension >1 hour after the initial 30ml/Kg, we usually give more fluid first and then start pressors if needed. The goal is still to get mean BP >65 but because the hypotension occurs greater than 60 min after the initial 30kml/kg bolus, then the

Re: [Sepsis Groups] Septic Shock Present [Incident: 151007-000178]

Karen, I don't see that crystalloids need to be given if the lactate if > 4. There is an "or" between the fluids and the lactate > 4. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373

[Sepsis Groups] VBG for screening

Hello all, My hospital is considering expanding our sepsis screening so that a VBG+Lactate is checked for every patient with a positive sepsis screen (instead of lactate alone). Have any other hospitals done this? Does anyone have a second set of criteria for sicker patients for whom VBG is

Re: [Sepsis Groups] Septic Shock Present [Incident: 151007-000178]

This is the latest response we have received. Hope it helps! Subject Septic Shock Present Discussion Thread Response Via Email (Mary Cox) 11/17/2015 03:44 PM Please refer to the specifications notes for abstraction. Based on V5.0b, Septic Shock - We are aware there are some cases

Re: [Sepsis Groups] Administrative contraindications to care

Thanks for your input. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 mary.dra...@johnmuirhealth.com “O, let us always have a mountain within our