Re: [Sepsis Groups] Fluid management

[Jenny Clarke]

Yes agree bp is not a good one to follow.

On Mon, Dec 2, 2019, 11:55 AM Angela Craig  wrote:

>
>
> Yes we volume optimize at our hospital.  There are noninvasive and less
> invasive systems out there.  We have made this nurse driven – this is very
> helpful so we are not just basing on B/P which can be deceiving.
>
>
>
> Angela Craig APN,MS,CCNS
>
> ICU Clinical Nurse Specialist
>
> 1 Medical Center Boulevard, Cookeville, TN 38501
>
> Phone: 931-783-5035 Fax: 931-783-5039
>
> acr...@crmchealth.org | crmchealth.org |Facebook | Twitter
>
> *Cookeville Regional Medical Center: Building Healthier Communities*
>
>
>
> *From:* Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] *On
> Behalf Of *Jenny Clarke
> *Sent:* Friday, November 22, 2019 1:59 PM
> *To:* Pamela Green
> *Cc:* sepsisgroups@lists.sepsisgroups.org
> *Subject:* Re: [Sepsis Groups] Fluid management
>
>
>
>  WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC’s
> Email System. Do not click any links or open any attachments unless you
> trust the sender and know the content is safe. 
>
> We are looking into the Argos monitor to help Decide if fluid or pressors
> but wanted to see if others use advance hemodynamic??
>
>
>
> On Fri, Nov 22, 2019, 8:15 AM Pamela Green 
> wrote:
>
> Maintenance 150 ml/hr Unless Fluid responsive continues then 500 ml bolus
> over 15 to 30 min. And reassess. Vasopressor if continues to be hypotensive
> after fluid resuscitation of course and continue with boluses as indicated.
> Pam
>
>
>
> *From:* Sepsisgroups  *On
> Behalf Of *Jenny Clarke
> *Sent:* Tuesday, November 12, 2019 3:43 PM
> *To:* sepsisgroups@lists.sepsisgroups.org
> *Subject:* [Sepsis Groups] Fluid management
>
>
>
> What is everyone using for fluid management after the 30 ml/kg? Thanks for
> help
>
> Confidentiality Notice: This e-mail message, including any attachments, is
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Re: [Sepsis Groups] Fluid management

[Jenny Clarke]

We are looking into the Argos monitor to help Decide if fluid or pressors
but wanted to see if others use advance hemodynamic??

On Fri, Nov 22, 2019, 8:15 AM Pamela Green  wrote:

> Maintenance 150 ml/hr Unless Fluid responsive continues then 500 ml bolus
> over 15 to 30 min. And reassess. Vasopressor if continues to be hypotensive
> after fluid resuscitation of course and continue with boluses as indicated.
> Pam
>
>
>
> *From:* Sepsisgroups  *On
> Behalf Of *Jenny Clarke
> *Sent:* Tuesday, November 12, 2019 3:43 PM
> *To:* sepsisgroups@lists.sepsisgroups.org
> *Subject:* [Sepsis Groups] Fluid management
>
>
>
> What is everyone using for fluid management after the 30 ml/kg? Thanks for
> help
>
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[Sepsis Groups] Fluid management

[Jenny Clarke]

What is everyone using for fluid management after the 30 ml/kg? Thanks for
help
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Re: [Sepsis Groups] Procalcitonin in Sepsis Order Set?

[Jenny Clarke]

I had it in my 3 hr bundle and again in my 12 hr bundle.

On Tue, Oct 15, 2019, 2:01 PM Rosemary Grant  wrote:

> Hello!  I’m curious how many hospitals include procalcitonin in their
> sepsis order set (both for ED and inpatient if you have different order
> sets?)
>
>
>
> How many beds does your hospital have and do you include procalcitonin in
> sepsis order sets?
>
>
>
> Thank you!
>
> Rosemary
>
>
>
> *Rosemary Mitchell Grant, BSN, RN, CPHQ*
>
> Director, Safety and Quality- Sepsis and Readmissions
>
>
>
> Washington State Hospital Association
>
> 999 Third Avenue, Suite 1400
>
> Seattle, WA   98104
>
> Phone:  206-216-2516
>
> Email:  rosema...@wsha.org
>
>
>
> [image: WSHA_logo_blue_SignatureFriendlySize--2_PhotoGalleryReSize]
>
>
>
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Re: [Sepsis Groups] Blood cultures false positive

[jenny clarke]

That is a great idea. Thanks 

Sent from my iPhone

> On Sep 7, 2018, at 1:02 PM, Angela Craig  wrote:
> 
> We are working on this exact issue at our hospital.  We are about to go to a 
> process where we will post all names and contamination rates and celebrate 
> those who do well and those who have a 3% or greater contamination rate will 
> have to go to a blood culture refresher class.  Hope that helps.  
> 
> 
> 
> Angela Craig APN,MS,CCNS
> ICU Clinical Nurse Specialist
> 1 Medical Center Boulevard, Cookeville, TN 38501 
> Phone: 931-783-5035 Fax: 931-783-5039 
> acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
> Cookeville Regional Medical Center: Building Healthier Communities
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of Bankert, Eve
> Sent: Wednesday, September 05, 2018 11:39 AM
> To: jenny clarke; sepsisgroups@lists.sepsisgroups.org
> Subject: Re: [Sepsis Groups] Blood cultures false positive
> 
> *** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's 
> Email System. Do not click any links or open any attachments unless you trust 
> the sender and know the content is safe. ***
> 
> 
> I would recommend extensive education/training for all personnel collecting 
> blood cultures.  As the microbiology supervisor in a community hospital in NY 
> that had a 10% contamination rate, we used a multidisciplinary approach and 
> brought the rate down to 2% in a year's time.
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of jenny clarke
> Sent: Tuesday, September 04, 2018 12:42 PM
> To: sepsisgroups@lists.sepsisgroups.org
> Subject: [Sepsis Groups] Blood cultures false positive
> 
> Anyone have any help to curb this issue? I have even tried to make it sterile 
> process and still running into issues.  Thanks ahead
> 
> Sent from my iPhone
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Re: [Sepsis Groups] Blood cultures false positive

[jenny clarke]

Yes the contaminated ones. 

Sent from my iPhone

> On Sep 7, 2018, at 10:23 AM, Bankert, Eve  
> wrote:
> 
> When you say "false positives" I assumed you meant the contaminated cultures. 
>   If not, would you please clarify?  Thanks!
> Eve
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of Angela Craig
> Sent: Wednesday, September 05, 2018 1:17 PM
> To: 'jenny clarke'; sepsisgroups@lists.sepsisgroups.org
> Subject: Re: [Sepsis Groups] Blood cultures false positive
> 
> Are you talking about contaminated cultures that will count as a positive??  
> If so we are working on this issue.  
> 
> Angela Craig APN,MS,CCNS
> ICU Clinical Nurse Specialist
> 1 Medical Center Boulevard, Cookeville, TN 38501 
> Phone: 931-783-5035 Fax: 931-783-5039 
> acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
> Cookeville Regional Medical Center: Building Healthier Communities
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of jenny clarke
> Sent: Tuesday, September 04, 2018 11:42 AM
> To: sepsisgroups@lists.sepsisgroups.org
> Subject: [Sepsis Groups] Blood cultures false positive
> 
> *** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's 
> Email System. Do not click any links or open any attachments unless you trust 
> the sender and know the content is safe. ***
> 
> 
> Anyone have any help to curb this issue? I have even tried to make it sterile 
> process and still running into issues.  Thanks ahead
> 
> Sent from my iPhone
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Re: [Sepsis Groups] Blood cultures false positive

[jenny clarke]

But if they are on abx already then the culture are not going to be accurate 

Sent from my iPhone

> On Sep 7, 2018, at 10:28 AM, Bankert, Eve  
> wrote:
> 
> Contamination during collection would most likely be reproducible in the 
> microbiology lab by re-culturing the specimen and obtaining the same results. 
>  If the specimen was contaminated during the (microbiologist) workup of the 
> culture this would probably not be the case.
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of jenny clarke
> Sent: Wednesday, September 05, 2018 1:28 PM
> To: Angela Craig
> Cc: sepsisgroups@lists.sepsisgroups.org
> Subject: Re: [Sepsis Groups] Blood cultures false positive
> 
> Yes and also ones that come back positive because they were contaminated from 
> just way lab or staff did them. 
> 
> Sent from my iPhone
> 
>> On Sep 5, 2018, at 12:16 PM, Angela Craig  wrote:
>> 
>> Are you talking about contaminated cultures that will count as a positive??  
>> If so we are working on this issue.  
>> 
>> Angela Craig APN,MS,CCNS
>> ICU Clinical Nurse Specialist
>> 1 Medical Center Boulevard, Cookeville, TN 38501 
>> Phone: 931-783-5035 Fax: 931-783-5039 
>> acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
>> Cookeville Regional Medical Center: Building Healthier Communities
>> 
>> -Original Message-
>> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
>> Behalf Of jenny clarke
>> Sent: Tuesday, September 04, 2018 11:42 AM
>> To: sepsisgroups@lists.sepsisgroups.org
>> Subject: [Sepsis Groups] Blood cultures false positive
>> 
>> *** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's 
>> Email System. Do not click any links or open any attachments unless you 
>> trust the sender and know the content is safe. ***
>> 
>> 
>> Anyone have any help to curb this issue? I have even tried to make it 
>> sterile process and still running into issues.  Thanks ahead
>> 
>> Sent from my iPhone
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>> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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Re: [Sepsis Groups] Blood cultures false positive

[jenny clarke]

Yes and also ones that come back positive because they were contaminated from 
just way lab or staff did them. 

Sent from my iPhone

> On Sep 5, 2018, at 12:16 PM, Angela Craig  wrote:
> 
> Are you talking about contaminated cultures that will count as a positive??  
> If so we are working on this issue.  
> 
> Angela Craig APN,MS,CCNS
> ICU Clinical Nurse Specialist
> 1 Medical Center Boulevard, Cookeville, TN 38501 
> Phone: 931-783-5035 Fax: 931-783-5039 
> acr...@crmchealth.org | crmchealth.org |Facebook | Twitter 
> Cookeville Regional Medical Center: Building Healthier Communities
> 
> -Original Message-
> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
> Behalf Of jenny clarke
> Sent: Tuesday, September 04, 2018 11:42 AM
> To: sepsisgroups@lists.sepsisgroups.org
> Subject: [Sepsis Groups] Blood cultures false positive
> 
> *** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC's 
> Email System. Do not click any links or open any attachments unless you trust 
> the sender and know the content is safe. ***
> 
> 
> Anyone have any help to curb this issue? I have even tried to make it sterile 
> process and still running into issues.  Thanks ahead
> 
> Sent from my iPhone
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[Sepsis Groups] Blood cultures false positive

[jenny clarke]

Anyone have any help to curb this issue? I have even tried to make it sterile 
process and still running into issues.  Thanks ahead 

Sent from my iPhone
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Re: [Sepsis Groups] Core Measure Data

[jenny clarke]

https://www.medicare.gov/hospitalcompare/search.html
Is this what you are talking about?

Sent from my iPhone

On Aug 24, 2018, at 8:31 AM, Rutherford, Richard 
mailto:richard.rutherf...@ventura.org>> wrote:


Hello All,


At SCCM, Dr Townsend alluded to national data, soon to be released, showing the 
correlation between Sep-1 bundle compliance and mortality reduction.  Does 
anyone know if this data is public and if so, how to access it?


Thanks,


Rick Rutherford, MD

Sepsis Chair

Ventura County Medical Center

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Re: [Sepsis Groups] [External] Antibiotics Admin/ Dialysis

[jenny clarke]

We have to remind ourselves to do what is best for patients first and worry 
about CMS guidelines second. Which I am sometimes struggling with because I 
know by watching the stroke volume the patient just can’t handle anymore fluid 
but guidelines say give it.   Good luck. We all feel the same pressure

Sent from my iPhone

On Aug 8, 2018, at 1:46 PM, Mary Draper 
mailto:mary.dra...@johnmuirhealth.com>> wrote:

I have not run across this issue. Tough scenario. It was probably best for the 
patient to receive the dialysis first and then be given the antibiotic.

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Tara Miller
Sent: Tuesday, August 07, 2018 10:52 AM
To: 
'sepsisgroups@lists.sepsisgroups.org'
 
mailto:sepsisgroups@lists.sepsisgroups.org>>
Subject: [External] [Sepsis Groups] Antibiotics Admin/ Dialysis


Caution: This email originated outside JMH. Do not open attachments or click on 
links if you do not recognize the sender.

Good afternoon.

We had a scenario of a patient who was in “septic shock” along with severe 
hyperkalemia with EKG changes. The patient had to go on emergent hemodialysis 
in the emergency room. The physician, pharmacist, and nursing staff did not 
want to give the antibiotics due to having it pulled right back out with 
dialysis. Once the patient was removed from dialysis machine, the antibiotics 
was given which was on hour 4.

Has anyone else had this same situation? What are you doing about it? Are you 
just taking the fallout for sepsis or are you administering the antibiotic 
regardless?


Thanks.

Tara R Miller, RN, BSN
Team Leader, Quality Management
Mobile Infirmary Medical Center
Office: 435-5109
Cell: 605-8270



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Re: [Sepsis Groups] Fluids for the Septic Patient

[jenny clarke]

We use LR   And do a lot of PLR to balance fluid and pressure. We use a non 
invasive SVI  monitor to do that

Sent from my iPhone

On Jul 6, 2018, at 9:44 AM, Angela Craig 
mailto:acr...@crmchealth.org>> wrote:



In Lieu of all the recent research regarding fluids and which to use in the 
septic population – Is there any idea what the guidelines will be promoting 
with the next update?  I try to stick with the guidelines for changes in 
practice but wondered if this is something we should change moving forward 
immediately??  What are others doing?  Do we just say used a more balanced 
solution of LR or Plasmalyte??

Angela Craig APN,MS,CCNS
ICU Clinical Nurse Specialist
1 Medical Center Boulevard, Cookeville, TN 38501
Phone: 931-783-5035 Fax: 931-783-5039
acr...@crmchealth.org<mailto:acr...@crmchealth.org> | 
crmchealth.org<http://crmchealth.org> |Facebook | Twitter
Cookeville Regional Medical Center: Building Healthier Communities

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Woodruff, Whitney S
Sent: Thursday, July 05, 2018 12:47 PM
To: jenny clarke; Pesek, Betsy
Cc: 
sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] Fluid resuscitation in Septic Neuro patients?

*** WARNING: This is an EXTERNAL EMAIL that originated outside of CRMC’s Email 
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Swedish is participating in a study led by UW. I have attached the entire 
presentation for your reference. We have since promoted using LR.



Thanks,

Whitney Woodruff, MPH
Senior Quality Program Manager
Sepsis & Readmissions
First Hill Medical Pavilion – 7th Floor
Phone: 206-386-6583


Whitney

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of jenny clarke
Sent: Tuesday, June 19, 2018 12:45 PM
To: Pesek, Betsy 
mailto:elizabeth.pe...@overlakehospital.org>>
Cc: 
sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] Fluid resuscitation in Septic Neuro patients?

Just depends on sodium level for neuro patients
Sent from my iPhone

On Jun 19, 2018, at 2:27 PM, Pesek, Betsy 
mailto:elizabeth.pe...@overlakehospital.org>>
 wrote:
HI,
Is there a recommendation on what isotonic fluid is best in a neurologically 
compromised sepsis patient?
LR? Or NS? Or PlasmaLyte?

Thank you for your help,


Betsy
Betsy Pesek MN, BSN, RN, CPHQ |
Quality Improvement Consultant| Quality
direct: 425.688.5935 |
betsy.pe...@overlakehospital.org<mailto:betsy.pe...@overlakehospital.org>|

"We must become the change we wish to see in the world."
~Mahatma Gandhi





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Re: [Sepsis Groups] Fluid resuscitation in Septic Neuro patients?

[jenny clarke]

Just depends on sodium level for neuro patients

Sent from my iPhone

On Jun 19, 2018, at 2:27 PM, Pesek, Betsy 
mailto:elizabeth.pe...@overlakehospital.org>>
 wrote:

HI,
Is there a recommendation on what isotonic fluid is best in a neurologically 
compromised sepsis patient?
LR? Or NS? Or PlasmaLyte?

Thank you for your help,


Betsy
Betsy Pesek MN, BSN, RN, CPHQ |
Quality Improvement Consultant| Quality
direct: 425.688.5935 |
betsy.pe...@overlakehospital.org|

"We must become the change we wish to see in the world."
~Mahatma Gandhi





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Re: [Sepsis Groups] Procalcitonin

[jenny clarke]

I have used it in the ER setting during nasty flu season to help Id if patients 
maybe at risk for needing an abx.  I have also used it post op In a 3 series to 
determine if the post op patient might develop an infection

Sent from my iPhone

On Mar 12, 2018, at 2:07 PM, Culver, Danette 
>
 wrote:

Hello,

I’ve seen some literature supporting the use of procalcitonin to determine 
acuity of patients who may or may not be septic. Is anyone using this lab test 
for more than antibiotic de-escalation? What is the rationale if so?

Thanks!
Danette


Danette Culver, MSN, APRN, ACNS-BC, CCRN-K, RN-BC
Sepsis Coordinator, Facility Stroke Program Coordinator
Clinical Nurse Specialist, Intensive Care Unit & Transitional Care Unit
Norton Women’s & Children’s Hospital, St. Matthews
O: 502.899.6776
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 
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Re: [Sepsis Groups] Persistent Hypotension

[jenny clarke]

We have every 15 min while titrating vasopressors but I also have to remind 
them after the fluid to set the monitor for q 15 min so we can get the bp.

Sent from my iPhone

On Mar 12, 2018, at 6:25 PM, Tara Miller 
> wrote:

For the measure element of Persistent hypotension, if only one BP is recorded 
within the one hour after crystalloid fluid administration and SBP < 90 or MAP 
< 65, you are to check “persistent hypotension is not assessed.” This would 
create a fallout for the sepsis core measure.

Is anyone else having these issues? We do have a policy for every 1 hr vitals 
in the ICU setting with Vasopressors or hypotension. Does everyone have a 
different interval for vital signs? Any assistance to help would be appreciated.


Thanks.

Tara R Miller, RN
Team Leader, Quality Management
Mobile Infirmary Medical Center
Office: 435-5109
Cell: 605-8270



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Re: [Sepsis Groups] Pre hospital screening

[jenny clarke]

Yes we also had our fire department do a screen with EMt calls.

Sent from my iPhone

On Nov 29, 2017, at 12:57 PM, Angela Craig 
> wrote:



I am working with our area Nursing homes and we are starting a very similar 
screening process that we do in the hospital.  They are increasing their vital 
signs they take and it is working well so far – fairly new with this outpatient 
area.

Angela Craig APN,MS,CCNS
Clinical Nurse Specialist
Intensive Care Unit
Cookeville Regional Medical Center
931-783-5035


From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Chatten, Lori
Sent: Friday, November 17, 2017 8:58 AM
To: 
'sepsisgroups@lists.sepsisgroups.org'
Subject: [Sepsis Groups] Pre hospital screening

Can anyone tell me if they are working on outpatient screening for sepsis with 
SIRS screening or other tools.
I am from an Urgent care that is hospital based and we are bringing sepsis 
screening to our area.


Lori Chatten BSN RN1 CVRN-BC CMSRN
Charge Nurse
NWM Convenient Care Bartlett
820 Route 59
Bartlett, IL  60103
630-213-9600

lori.chat...@cadencehealth.org

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Re: [Sepsis Groups] Sepsis Best Practice Alerts

[jenny clarke]

We set it up to not fire again once cleared by the nurse. But it will still 
fire for Dr and residents. Then ever 8 hours it reset. But I will say I am not 
sure it is helping.  We did add GCS score to take into account neuro status. 
But it is still very hard to get nurses on floor to enter that with all vital 
signs.  Still a struggle!!

Sent from my iPhone

On Nov 6, 2017, at 1:42 PM, Tara Miller 
> wrote:

We use EPIC as our EMR. We currently are using best practice alerts to fire off 
to the nursing staff when a patient meets SIRS criteria and then we have the 
nurse assess the patient and review the record for possible source of infection 
prior to initiating the sepsis code/ alert.

Does anyone else use best practice alerts and use something other than SIRS 
criteria? We would like to make the alert more specific and cut down on all the 
firings throughout the day.

Thanks.

Tara R Miller, RN
Team Leader, Quality Management
Mobile Infirmary Medical Center
Office: 435-5109
Cell: 605-8270



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Re: [Sepsis Groups] Sepsis-3 Definition

[jenny clarke]

What kind of screen are you looking for?

Sent from my iPhone

On Sep 21, 2017, at 9:44 AM, Angela Craig 
> wrote:



Can you share your screening tool please??

Angela Craig APN,MS,CCNS
Clinical Nurse Specialist
Intensive Care Unit
Cookeville Regional Medical Center
931-783-5035


From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Pamela Green
Sent: Monday, September 18, 2017 8:12 AM
To: Vovan, Andre; Emily C. McKinney; Sims, Chadrick L; 
'sepsisgroups@lists.sepsisgroups.org'
Subject: Re: [Sepsis Groups] Sepsis-3 Definition

We are using the qSOFA in our screening also.

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Vovan, Andre
Sent: Thursday, September 14, 2017 2:22 PM
To: Emily C. McKinney 
>; Sims, 
Chadrick L >; 
'sepsisgroups@lists.sepsisgroups.org'
 
>
Subject: Re: [Sepsis Groups] Sepsis-3 Definition

Incorporated the qsofa in screening but not for defining until cms change.  Cms 
put out a  advisory that they are not yet ready to adopt.



Sent from my Verizon, Samsung Galaxy smartphone


 Original message 
From: "Emily C. McKinney" 
>
Date: 9/14/17 12:11 PM (GMT-05:00)
To: "Sims, Chadrick L" >, 
"'sepsisgroups@lists.sepsisgroups.org'"
 
>
Subject: Re: [Sepsis Groups] Sepsis-3 Definition


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We did not make the change. As CMS has not yet made the change.

Thank you,

Emily

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Sims, Chadrick L
Sent: Tuesday, September 12, 2017 9:14 AM
To: 
'sepsisgroups@lists.sepsisgroups.org'
Subject: [External] [Sepsis Groups] Sepsis-3 Definition

Warning:  This email originated from the Internet!
DO NOT CLICK links if the sender is unknown, and NEVER provide your Password.

Hello All:

Would love to get a sense of who has adopted the sepsis-3 definition and who 
has stayed with sepsis-2? I know this has been asked before, just trying to 
prepare for the future.

Chadrick Sims, BSN, RN, CFRN, SCRN
Sepsis and Rescue Coordinator
UT Medical Center

PerfectServe: Sepsis Care Coordinator

cs...@mc.utmck.edu

Office: (865)305-6497
Cell: (865)705-9996
Fax: (865) 305-6544





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Re: [Sepsis Groups] Sepsis-3 Definition

[jenny clarke]

Most of my hospital in Illinois are not changing. That is a lot to change over 
to a lactic acid of 2, we are still working on getting them to realize the 
lactic of 4 lol

Sent from my iPhone

On Sep 12, 2017, at 7:28 PM, Sims, Chadrick L 
> wrote:

Hello All:

Would love to get a sense of who has adopted the sepsis-3 definition and who 
has stayed with sepsis-2? I know this has been asked before, just trying to 
prepare for the future.

Chadrick Sims, BSN, RN, CFRN, SCRN
Sepsis and Rescue Coordinator
UT Medical Center

PerfectServe: Sepsis Care Coordinator

cs...@mc.utmck.edu

Office: (865)305-6497
Cell: (865)705-9996
Fax: (865) 305-6544




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[Sepsis Groups] Critical care Med journal

[jenny clarke]

Just read the new article about dynamics assessments.  They used all invasive 
monitors but very positive feedback. What you think about noninvasive monitors?

Sent from my iPhone
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Re: [Sepsis Groups] Core Measures for Sepsis

[jenny clarke]

Qualitynet.org

Sent from my iPhone

On Aug 9, 2017, at 3:14 PM, Tracie Hopkins 
> wrote:


Hello,
Does anyone know where I can find the details for Core Measure for Sepsis? Not 
what they are-but the threshold for payment? Is it just SEP-1 or is each 
element measured for compliance & payment?  What percentage is required?   I 
thought it might be in the 5.3 version-but cannot find the specifics for 
reimbursement.  Any information you can share would be appreciated.  Our 
compliance rate is just over 50% & am planning on next steps to improve our 
numbers.  Knowing the financial impact will help gain support.  Thank you-
Tracie L Hopkins RN, BSN, CCRN
Sepsis Program Administrator
Covenant Healthcare
Saginaw, MI 48602
989-583-6604 Office
989-258-8587 Pager


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Re: [Sepsis Groups] Nurse Driven Protocols

[jenny clarke]

I would love to hear this also

Sent from my iPhone

On Aug 7, 2017, at 1:07 PM, Jessica Slater 
> wrote:

I would be interested in these as well.

Thank you,

Jessica Slater, RN, BSN, CCRN

Sepsis Coordinator

Miami Valley Hospital

One Wyoming St

Dayton, OH 45409

josla...@premierhealth.com


On Aug 3, 2017 12:43 PM, "Gibbs, Katie" 
> wrote:
Would anyone be willing to share a nurse driven sepsis protocol for comparison.
Thank you,


Katie Gibbs, RN, BSN
Quality Improvement Specialist
Witham Health Services
PH 765-485-8459

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