Re: [Sepsis Groups] 30ml/kg

[Shoup, Mary]

We encountered a glitch with the calculation in the electronic system when 
using 30mL/kg that resulted in an inadequate fluid bolus and resulted in an 
OFI. Subsequently, we changed our organizational process to make the calc 
31mL/kg for the fluid bolus.

Mary Shoup
Clinical Quality Specialist
Tel: (517) 205-1358
Cell: (269) 967-0210
Fax: (517) 841-1322
mary.sh...@allegiancehealth.org
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of anita.siscoehaps...@hcahealthcare.com
Sent: Tuesday, April 26, 2016 6:33 PM
To: mary.dra...@johnmuirhealth.com; sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] 30ml/kg

Yes, it is an opportunity.

Anita Siscoe-Hapshie

Anita Siscoe-Hapshie, RN, MSN, CCRN
Sepsis Coordinator
anita.siscoehaps...@hcahealthcare.com
Citrus Memorial Hospital
502 W. Highlands Blvd.
Inverness, FL 34452
Office 352.560.6214
Fax 352.726.9119

Nurses are true
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Mary Draper
Sent: Tuesday, April 26, 2016 3:54 PM
To: 
sepsisgroups@lists.sepsisgroups.org
Subject: [EXTERNAL] [Sepsis Groups] 30ml/kg
Importance: High

Does anyone know if there is any leeway with the calculated volume? For example 
pt weighs 107 kg which requires 3210ml. Pt only receives 3000. Does this become 
an opportunity for improvement? Clinically I doubt an extra 210 ml would have 
made an impact on the patients hemodynamics.
Thanks for your feedback.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
Quality Management JMH
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com
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"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


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Re: [Sepsis Groups] 2016 SSC Guidelines and materials

[Shoup, Mary]

Happy to share my draft.

Mary Shoup
Clinical Quality Specialist
Tel: (517) 205-1358
Cell: (269) 967-0210
Fax: (517) 841-1322
mary.sh...@allegiancehealth.org
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Tillman, Natalie
Sent: Wednesday, July 19, 2017 11:22 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] 2016 SSC Guidelines and materials

Hello,
Is anyone willing to share job descriptions for a sepsis coordinator or share 
with me how you manage the project and data collection?
If you don't have a dedicated FTE:

1.   Do you have someone who reviews the cases?

2.   Do you have an clinical resource for sepsis cases?

3.   Who manages the data?

Thank You,
Natalie Tillman, RN, BSN, CPPS| Manager of Patient Safety and Clinical 
Effectiveness | Children's Healthcare of Atlanta | Quality Department | 
404.785.5055 |: natalie.till...@choa.org


Confidential Privileged Quality Peer Review Material Pursuant to GPR Statue 
Georgia, Code Sections 31-7-130 to 133.




Sepsis Coordinator Role.draft.032817.docx
Description: Sepsis Coordinator Role.draft.032817.docx
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Re: [Sepsis Groups] Evaluation for Severe Sepsis Screening Tool HMH revised

[Shoup, Mary]

Here is what we follow per the CMS standards:
Lactate greater than (not equal to) 2.0 and up to 4.0 indicates severe 
sepsis--> Lactate of 2.0 or less does not indicate severe sepsis.
Lactate equal to or greater than 4.0 indicates septic shock.

Mary Shoup
Clinical Quality Specialist
Tel: (517) 205-1358
Cell: (269) 967-0210
Fax: (517) 841-1322
mary.sh...@allegiancehealth.org
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Pamela Green
Sent: Wednesday, August 09, 2017 9:38 AM
To: sepsisgroups@lists.sepsisgroups.org
Cc: HMH Directors
Subject: [Sepsis Groups] Evaluation for Severe Sepsis Screening Tool HMH revised

After meeting with HIM and coding yesterday it was brought to my attention that 
the Lab normal range high is 2. Our screening form had only the > 4 mmol/L 
under #3. Criteria for Severe Sepsis. So I went back to the original form the 
actual value is supposed to be >2 . The edited form had the wrong  value of >4. 
So I have made that change on the screening form as indicated. I also, have a 
question out to the Sepsis Groups to understand how other facilities are using 
this measurement. Please make copies for your dept. and make changes to your 
existing forms thanks. Pam
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Re: [Sepsis Groups] Lab times

[Shoup, Mary]

Your lab range is correct. Severe sepsis is indicated for lactate greater than 
2.0 to less than 4.0. Lactate of 4.0 & higher=shock.

Mary Shoup
Clinical Quality Specialist
Tel: (517) 205-1358
Cell: (269) 967-0210
Fax: (517) 841-1322
mary.sh...@allegiancehealth.org
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Pamela Green
Sent: Tuesday, August 08, 2017 1:30 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] Lab times

We have been utilizing our Sepsis Protocol for the last Month and have been 
screening and intervening on several patients. There is one Level that we need 
clarification for. Our Protocol says any Lactate Level ≥2 is considered to 
indicate sepsis, but our lab range is Normal for 0.4- 2.0. Would like to know 
how everyone is using this? Thanks Pam

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Belfi, Karen
Sent: Thursday, August 03, 2017 12:27 PM
To: 
sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Lab times

Hi, we are confused about something here.
On our lab report in our EMR, it lists a time. It's the draw time, not report 
time, though it doesn't say draw time. We just know it is.
Can we use that for severe sepsis criteria since it doesn't specify draw time?
Thank you.

Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092

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