We tally as an all-or-nothing pass/fail, but also share a composite score made up of the following - initial lactate, blood cultures, antibiotic, IVF bolus, repeat lactate. You'll note vasopressors and fluid volume reassessment are not included, so it's not a stellar composite and doesn't capture fully the complexity of the measure.
We've most recently started sharing the misses as "treatment" vs "documentation" opportunity. This has proven very helpful to focus on issues. Danette Culver, MSN, APRN, ACNS-BC, CCRN-K, RN-BC Clinical Nurse Specialist, Sepsis Coordinator Norton Healthcare, Louisville KY O: 502.629.4058 C: 812.881.0080 A Clinical Nurse Specialist (CNS) is a Master's prepared Advance Practice Nurse whose function is to improve outcomes in patient care. The CNS is a clinical practice expert, an educator, a researcher, and a consultant who influences the three spheres of practice: patient care, nursing, and systems. - National Association of Clinical Nurse Specialists From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Coolidge, Diane Sent: Monday, November 12, 2018 11:28 AM To: 'Pamela Green' <pa...@howardmemorial.com>; sepsisgroups@lists.sepsisgroups.org Subject: [EXTERNAL] Re: [Sepsis Groups] Total Bundle compliance CAUTION: **EXTERNAL EMAIL** Do NOT click links or open attachments unless you recognize the sender and know the content is safe. If you are not sure, please forward the email to askissecur...@nortonhealthcare.org<mailto:askissecur...@nortonhealthcare.org> for review. ________________________________ Unfortunately this is a measure in which it is "all or nothing"; so, yes, we consider it an opportunity for improvement when this element is not met. Diane Diane Coolidge RN Quality Review Specialist Community Hospital Division, Quality & Performance Improvement Phone: 262-257-3419 Fax: 262-257-2620 E-mail: diane.cooli...@froedtert.com<mailto:diane.cooli...@froedtert.com> Froedtert & The Medical College of Wisconsin Community Memorial Hospital W180 N8085 Town Hall Road Menomonee Falls, WI 53051 froedtert<http://www.froedterthealth.org/>.com This document is a confidential peer review document that records the investigations, proceedings and evaluations of Froedtert Hospital and Medical College of Wisconsin for the purpose of reviewing or evaluating the quality of health care and services provided by Froedtert Hospital and Medical College of Wisconsin. Medical College of Wisconsin Medical Staff This document may not be disclosed or released except as specifically provided in Section 146.38(3) of the Wisconsin Statutes. The unauthorized disclosure or release of this document or the information contained in this document may result in civil liability pursuant to Section 146.38(4) of the Wisconsin Statutes From: Sepsisgroups <sepsisgroups-boun...@lists.sepsisgroups.org<mailto:sepsisgroups-boun...@lists.sepsisgroups.org>> On Behalf Of Pamela Green Sent: Thursday, November 08, 2018 2:35 PM To: sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org> Subject: [Sepsis Groups] Total Bundle compliance We are having trouble getting consistent 3 and 6 hr documentation of tissue perfusion status. So I fail the bundle compliance if there is no documentation found at 3 hr and 6 hr. Even though all other components are present. Most times the patient is leaving the ER before or at 3 hours and by the time the Attending if admitted sees it is outside of 3 hr parameter. I was wondering if anyone else counts the entire bundle compliance as fail if the documentation is not there at the accurate parameter for Focused re-exam. It's frustrating because we don't get credit for what is being done for Bundle compliance for these patients. Would appreciate other observations. Thanks Pam [cid:image001.png@01D47FF6.47601AB0][cid:image002.png@01D47FF6.47601AB0] Pam Green BSN RN CCRN Clinical Informatics / Sepsis Team Leader /Coordinator [cid:image003.png@01D47FF6.47601AB0] 130 Medical Circle Nashville, Ark. 71852 Work-870-845-4400 (ext. 8918) Cell-870-703-1360 Email: pa...@howardmemorial.com<mailto:pa...@howardmemorial.com> www.howardmemorial.com<http://www.howardmemorial.com/> Improving the Health of the Communities We Serve HIPAA PRIVACY NOTICE: The information contained in or attached to this email may be private, may contain Protected Health Information covered under the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and must be protected in accordance with its provisions. The information contained in or attached to this email may be personal and sensitive and you are obligated to maintain it in a safe, secure and confidential manner. Further disclosure without express written consent is prohibited. 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