We determine from both subjective signs (breathing patterns, changes in LOC, UOP-which are totally dependent on documentation), as well as lab values and VS. For example, if a patient has a morning CMP drawn and the bili and/or creat has a new value >2 and there is not any history of liver or renal disease, then this is organ dysfunction. Same for the BP, Respiratory needs, etc. If you waited until WBC/lactic acid, other specific labs, more specific to sepsis are resulted, this might be a delay in recognition.
Sara Valentine, BSN, RN, CNRN Clinical Sepsis Coordinator Medical Center Hospital ph: 432.640.2198 From: [email protected] [mailto:[email protected]] On Behalf Of Sullivan, Cynthia Sent: Monday, June 17, 2013 5:51 PM To: 'Rohrbach, Dawn'; [email protected] Cc: Estill, Pamela Subject: Re: [Sepsis Groups] How do you determine the time zero for " not present on arrival patients" I would be interested in member response as well. We recently had this happen, so do you go by the WBC? The webinars discourage this though because they want the early recognition. 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 Rohrbach, Dawn Sent: Tuesday, June 11, 2013 4:08 PM To: [email protected]<mailto:[email protected]> Cc: Estill, Pamela Subject: [Sepsis Groups] How do you determine the time zero for " not present on arrival patients" Can anyone tell us what you use to determine the time zero for your not present on arrival severe sepsis patients? Dawn Rohrbach RN/ CCRN Assistant Clinical Manager ICU/ STAT RNS Saint Patrick Hospital 500 West Broadway Missoula , MT. 59802 [email protected]<mailto:[email protected]> 406 329-2814 " The single most problem with communication is the illusion that it has taken place" ________________________________ This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message. CONFIDENTIALITY NOTICE: The documents accompanying this email transmission contain confidential information belonging to the sender that is legally privileged. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this email in error, please notify the sender immediately to arrange for return of these documents.
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