Re: [Sepsis Groups] Procalcitonin and Lactate Questions
Sorry I was referring to initial Lactate on the second statement From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Pamela Green Sent: Tuesday, January 09, 2018 8:43 AM To: Robert Hattabaugh <rhattaba...@johnsonmemorial.org>; 'sepsisgroups@lists.sepsisgroups.org' <sepsisgroups@lists.sepsisgroups.org> Subject: Re: [Sepsis Groups] Procalcitonin and Lactate Questions We use it for ABX stewardship on all patients for Antibiotic effectiveness. We count as meeting the compliance if it was attempted within the 3 and 6 hour time frame, however our expectation is that we document a result if at all possible in presence of Sever or Septic Shock. From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Robert Hattabaugh Sent: Wednesday, January 03, 2018 12:03 PMmeasured To: 'sepsisgroups@lists.sepsisgroups.org' <sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org>> Subject: [Sepsis Groups] Procalcitonin and Lactate Questions 1. Procalcitonin: is anyone using this in their sepsis protocol, as a routine lab with Sepsis patients or how is it being used in your facility overall; ABX stewardship... 2. If the provider or nurse is unable to obtain blood for initial or repeat lab work, lactate, etc..., secondary to shock, etc... are you abstracting the cases as meeting the measure or falling out of the measure. CMS SEP-1 notes for Abstraction- "if a lactate level is ordered and there is an attempt to collect it, but the attempt results in failure to collect the specimen (too dehydrated to get a vein) or the specimen was contaminated during or after the draw." Thanks in advance for your response Robert Hattabaugh MSN, RN, ACNS-BC, CMSRN Adult Health Clinical Nurse Specialist ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
Re: [Sepsis Groups] Procalcitonin and Lactate Questions
We use it for ABX stewardship on all patients for Antibiotic effectiveness. We count as meeting the compliance if it was attempted within the 3 and 6 hour time frame, however our expectation is that we document a result if at all possible in presence of Sever or Septic Shock. From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Robert Hattabaugh Sent: Wednesday, January 03, 2018 12:03 PMmeasured To: 'sepsisgroups@lists.sepsisgroups.org' <sepsisgroups@lists.sepsisgroups.org> Subject: [Sepsis Groups] Procalcitonin and Lactate Questions 1. Procalcitonin: is anyone using this in their sepsis protocol, as a routine lab with Sepsis patients or how is it being used in your facility overall; ABX stewardship... 2. If the provider or nurse is unable to obtain blood for initial or repeat lab work, lactate, etc..., secondary to shock, etc... are you abstracting the cases as meeting the measure or falling out of the measure. CMS SEP-1 notes for Abstraction- "if a lactate level is ordered and there is an attempt to collect it, but the attempt results in failure to collect the specimen (too dehydrated to get a vein) or the specimen was contaminated during or after the draw." Thanks in advance for your response Robert Hattabaugh MSN, RN, ACNS-BC, CMSRN Adult Health Clinical Nurse Specialist ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
[Sepsis Groups] Procalcitonin and Lactate Questions
1. Procalcitonin: is anyone using this in their sepsis protocol, as a routine lab with Sepsis patients or how is it being used in your facility overall; ABX stewardship... 2. If the provider or nurse is unable to obtain blood for initial or repeat lab work, lactate, etc..., secondary to shock, etc... are you abstracting the cases as meeting the measure or falling out of the measure. CMS SEP-1 notes for Abstraction- "if a lactate level is ordered and there is an attempt to collect it, but the attempt results in failure to collect the specimen (too dehydrated to get a vein) or the specimen was contaminated during or after the draw." Thanks in advance for your response Robert Hattabaugh MSN, RN, ACNS-BC, CMSRN Adult Health Clinical Nurse Specialist ___ Sepsisgroups mailing list Sepsisgroups@lists.sepsisgroups.org http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
