[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

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 ;

Re: [Sepsis Groups] posting on the ssc list serv

From: Pamela Green Sent: Friday, August 25, 2017 2:39 PM To: 'Surviving Sepsis' <s...@sccm.org>; sepsisgroups@lists.sepsisgroups.org Subject: RE: posting on the ssc list serv I would like to know how other facilities are defining that Code Sepsis alert is initiated and how do you have

Re: [Sepsis Groups] posting on the ssc list serv

I would like to know how other facilities are defining that Code Sepsis alert is initiated and how do you have staff document that a Sepsis alert has been communicated. From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Surviving Sepsis Sent: Tuesday, August

[Sepsis Groups] Sepsis Readmissions

What is the threshold for sepsis readmissions percentage? Pam Green BSN RN CCRN Clinical Informatics [cid:image001.png@01D0FCE5.2E7479C0] 130 Medical Circle Nashville, Ark. 71852 Work-870-845-4400 (ext. 8918) Cell-870-703-1360 Email: pa...@howardmemorial.com

Re: [Sepsis Groups] severe sepsis presentation

We use the initial Triage Vital Signs, Elevated Lactate etc... as Time zero if they meet criteria for Severe Sepsis or Septic Shock. The Criteria for Screening is any of those Vitals that screen Sepsis is present or Labs etc.. that have a time stamp. If you are waiting until the doctor decides

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>; 'sepsis

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:

Re: [Sepsis Groups] [External] Sepsis Validation

I was wondering if anyone has a "Sepsis ruled out" checkbox and time or indicator included in their screening forms or systems. We use Screening form in the system that screens for patients who are at risk for Severe Sepsis and/or Septic Shock. The Staff are asking if we can add a checkbox to

Re: [Sepsis Groups] ideas for September Sepsis Awareness Month

We have a hospital wide hunt for the Sepsis bug (stuffed toy bug) for a prize! We use clues that lead to sepsis! Also we are ordering a sepsis awareness banner and set up a table with questions for test your knowledge about sepsis and put in a drawing for prize. We are planning to make bug and

Re: [Sepsis Groups] Question re: documentation of attestation that focused exam was completed

Good afternoon everyone, We are having a difficult time getting the appropriate documentation to meet the bundle compliance even though everything is done correctly! Use of our Sepsis Screening and Evaluation Documentation tool is hit and missed although I can see by the labs and treatment

Re: [Sepsis Groups] Vasopressor administration

Our Sepsis protocol at HMH uses "Initiate Vasopressors for persistent Hypotension <90 syst or MAP<65 after initial Fluid Resuscitation of 30 ml/kg". Either measure meets the Bundle compliance Goals of therapy. Pam From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On

[Sepsis Groups] Total Bundle compliance

We are having trouble getting consistent 3 and 6 hr documentation of tissue perfusion status. So I fail the bundle compliance if there is no documentation found at 3 hr and 6 hr. Even though all other components are present. Most times the patient is leaving the ER before or at 3 hours and by

Re: [Sepsis Groups] [External Email] Re: Sepsis Screening

1. Are you screening every patient? Not always 2. Are they screened in Triage or not until they are in a room? both 3. If not screening every patient, what are the triggers for screening? Based on Suspect infection and q SOFA 4. Is the screen on paper or electronic?

Re: [Sepsis Groups] lactic acid reflex time

We reflex if LA >2 also. Usually 3 hours from initial draw regardless what result is. This helps to not miss in repeats most of the time. [cid:image003.png@01D521EB.76A76250] http://www.sepsis.org/sepsis-heroes/ Pam Green BSN RN CCRN Clinical Informatics / Sepsis Team Leader /Coordinator

Re: [Sepsis Groups] lactic acid reflex time

I am wondering if anyone is currently using a POC testing device for Lactic acid using Finger stick blood levels how accurate is it? Pam From: Sepsisgroups On Behalf Of Pamela Green Sent: Thursday, June 13, 2019 1:25 PM To: Laura Soares ; 'sepsisgroups@lists.sepsisgroups.org' Subject: Re

Re: [Sepsis Groups] Procalcitonin in Sepsis Order Set?

We are CAH 20 Bed Inpatient and * Bed ER. PCT is included in both order sets. WE use this to Differentiate if Infection is suspected but unconfirmed. Also as part of our AB Stewardship. [cid:image002.png@01D58372.E1327B30] http://www.sepsis.org/sepsis-heroes/ Pam Green BSN RN CCRN Clinical

Re: [Sepsis Groups] Fluid management

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,