We changed our Critical Value for lactates to * 2.0 in March this year... this was due in part to the number of patients who seemed to fall gray area of 2-4. Many providers seemed perplexed when it came to how they should react and/or treat these patients. This has not proven to be any more work for us, and has in fact helped us to see a trending decrease in mortality overall in our Severe Sepsis with or without Septic Shock patients. mg
Leah "Michelle" Garrison, RN Facility Sepsis Coordinator Coliseum Medical Center [email protected] Office: 478-765-4164 Cell: 478-256-9848 "It is not our condition, but the caliber of our soul, that makes us happy" ~Voltaire~ This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email. From: [email protected] [mailto:[email protected]] On Behalf Of Fay Shinder Sent: Tuesday, June 18, 2013 1:13 PM To: Lindsay Hindin; Sullivan, Cynthia; [email protected] Subject: Re: [Sepsis Groups] Lactate levels The lab calls the ED with any value for Lactic Acid >2.2 which is the upper limit of normal at our facility. Fay Shinder, RN, BSN Sepsis Program Coordinator Long Beach Memorial Medical Center 2801 Atlantic Ave. Long Beach, CA 90806-1737 Tel: (562) 933-7032 Fax: (562) 933-7109 From: [email protected] [mailto:[email protected]] On Behalf Of Lindsay Hindin Sent: Monday, June 17, 2013 9:53 AM To: Sullivan, Cynthia; [email protected] Subject: Re: [Sepsis Groups] Lactate levels In our ED the lab calls if the lactate is < 2.5 as a critical value. We are about to lower the threshold to 2.0. Lindsay Hindin, BSN,RN Director of Emergency Services [cid:[email protected]] [cid:[email protected]] 6200 SW 73 Street South Miami, Florida 33143 T: 786-662-2933 F: 786-662-5101 [email protected]<mailto:[email protected]> [cid:[email protected]] [cid:[email protected]] From: [email protected]<mailto:[email protected]> [mailto:[email protected]] On Behalf Of Sullivan, Cynthia Sent: Sunday, June 16, 2013 5:33 PM To: [email protected]<mailto:[email protected]> Subject: Re: [Sepsis Groups] Lactate levels Hello all: I'm canvasing the group to find out at what is the cut off result that the lab is required to call a Lactate level to the primary RN? I'm pushing our lab to call if it's greater than 2.5 and I'm curious as to what the norm of it being a critical/panic result is. It's a time delay in our ER when the nurse has to constantly be checking for the results (because they aren't panic). Thank-you, Cynthia Cynthia Sullivan RN, VA-BC, CCRN, MSN PICC Team Coordinator (607) 274-4466 From: [email protected]<mailto:[email protected]> [mailto:[email protected]] On Behalf Of Lindsay Hindin Sent: Friday, June 07, 2013 12:41 PM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Code sepsis in ED I am looking at who you use for a Code sepsis team in the ED ? We are currently using lactates at triage via Advanced Nursing Interventions (ANI's) and include lactic acid testing on several presentations such as AMS, fever, CHF, suspected pneumonia and abdominal pain. Lab is calling a critical results if the lactate is > 2.5. This process is hardwired; we lack the second phase of implementation of the treatment bundle. How do you do this effectively and quickly? Thanks Lindsay Hindin, BSN, RN Director of Emergency Services South Miami Hospital 6200 SW 73 Street | Miami, FL 33143 Direct: 786-662-4301| Fax: 786-662-5101 | Ascom: 786-662-2933 Learn more: www.baptisthealth.net<http://www.baptisthealth.net/> ________________________________ This message originates from Baptist Health South Florida (BHSF). It contains information that may be confidential or privileged and is intended only for the individuals or entity named above. It is prohibited for anyone else to disclose, copy, distribute or use the contents of this message. This message may not be copied or distributed without this disclaimer. All personal messages express views solely of the sender, which are not to be attributed to BHSF. If you received this message in error, please notify us immediately at [email protected]<mailto:[email protected]>. 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