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

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

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

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

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

. 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

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

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

[Sepsis Groups] EMS and early identification of Sepsis

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

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

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

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

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

[Sepsis Groups] Changing ED sepsis screen during flu season

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

[Sepsis Groups] mortality

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