Hello. Have any of you implemented nurse-driven lactate evaluation based on
sepsis screen results in your organization? If so, how do you support this?
Standing orders, vs protocols vs standardized procedures?
Thank you,
Jessica Harkey, MSN, RN, ACCNS-AG
Manager, Sepsis Quality
Quality
as organ
dysfunction? I would say NO.
Historically in my sepsis work we only used this criteria if remote from the
site of infection. I am looking for validation of this and have a hard time
finding literature to support.
I would appreciate your thoughts.
Thanks!
Jessica Harkey, MSN, RN, ACCNS-AG
Would anyone be willing to share an admission order set for sepsis?
Thank you
Jessica Harkey, MSN, RN, ACCNS-AG
Manager, Sepsis Quality
Quality, Safety and Risk
2500 Grant Road, Mountain View, CA 94040
650-988-7968 Office
661-330-2396 Cell
jessica_har...@elcaminohealth.org<mailto:jessica_
PUIs.
But to Dr. Roney’s point, in practice we should not exclude suspicion of viral
illness from appropriate sepsis care. SEP-1 abstraction requirements do not
always align with delivery of care.
The SEP-1 measure does not guide treatment, it guides abstraction methods.
Jessica Harkey, MSN
Good morning. Are any of you using immature granulocyte index in their CBC
differentials as opposed to band cells? If so, what is the cutoff % and any
resources you can share on this?
Thank you
Jessica Harkey, MSN, RN, ACCNS-AG
Manager, Sepsis Quality
Quality, Safety and Risk
2500 Grant Road
Hi there. I'm concerned as to why a limit would be placed on initial
resuscitation? We have seen a few patients who have received 5-10 liters of
fluid before we began to see an improvement in their hypoperfused state and
began to see any urine output. It is my understanding that fluid resuscitat
data collection. Lots of work
ahead!
Good luck, I hope I was able to help.
Jessica Harkey, RN, BSN, CCRN
Sepsis Program Coordinator
San Joaquin Community Hospital
2615 Chester Avenue
Bakersfield, CA 93303
661-869-6874
harke...@ah.org
>>> "Dr.Mohan Ranganathan" 9/6/2012 6:23