Very valid point. To whom does the septic
patient belong? Where should be a
septic patient treated?
The septic patient belongs to intensivist Ownership should be with ICU team.
This will give them much deserved comprehensive care.
They should be treated in ICU inclined to aggresive sepsis care
On 28-Sep-2013, at 0:49, "Rohrbach, Dawn" <[email protected]>
wrote:
> We recommend admitting patients with a lactate> 3 to our ICU in our facility.
> Most of the time this is the case. The other elements are only if patient is
> ubstable.
>
> -----Original Message-----
> From: [email protected]
> [mailto:[email protected]] On Behalf Of
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> Sent: Friday, September 27, 2013 1:09 PM
> To: [email protected]
> Subject: Sepsisgroups Digest, Vol 76, Issue 3
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> 1. Re: Where Does Severe Sepsis Belong? (Jamie Roney)
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> ----------------------------------------------------------------------
>
> Message: 1
> Date: Thu, 26 Sep 2013 16:05:06 -0500
> From: Jamie Roney <[email protected]>
> To: "Townsend, Sean, M.D." <[email protected]>,
> "'[email protected]'"
> <[email protected]>
> Subject: Re: [Sepsis Groups] Where Does Severe Sepsis Belong?
> Message-ID:
> <cb901ca1ec8d2340a5cc967135b59200013a5a2...@sjsnt-txmail01.stjoe.org>
> Content-Type: text/plain; charset="us-ascii"
>
> Dr. Townsend,
> Is there a sepsis specific risk/treatment stratification tool available to
> assist in answering your question of placement in a possible lower level of
> care? Or is there a tool to assist with septic patients who can be discharged
> home versus admitted due to probable deterioration into severe sepsis?
>
> Thank you,
> Jamie
>
> Jamie Roney, BSN, RN-BC, BSHCM, CCRN
> COVENANT HEALTH SEPSIS COORDINATOR
> "Be a yardstick of quality. Some people aren't used to an environment where
> excellence is expected." ~Steve Jobs
>
> 3615 19th Street, Lubbock, TX 79410
> T: (806) 725-4689 C: (806) 773-1914
> www.covenanthealth.org
> ......................................................................................
>
>
>
> -----Original Message-----
> From: [email protected]
> [mailto:[email protected]] On Behalf Of Townsend,
> Sean, M.D.
> Sent: Friday, March 15, 2013 1:32 AM
> To: '[email protected]'
> Subject: [Sepsis Groups] Where Does Severe Sepsis Belong?
>
> It's been a long time since I've had to ask this question. I used to think I
> knew the answer.
>
> Here it is: do all patients who meet severe sepsis criteria need to be
> admitted to the ICU ?
>
> Examples:
>
> 1. Pneumonia, fever, tachycardia, INR 1.5.
> 2. Cellulitis, leukocytosis, fever, creatinine 2.0.
> 3. UTI, leukocytosis, fever, lactate 3.0.
>
> Where do people put these patients in reality? What mind of monitoring do
> they deserve?
>
> By prevailing bundles, each gets lactate checked, blood cultures, broad
> spectrum antibiotics. That's it. Good enough? Good enough for the floor? Need
> the ICU? Why?
>
> Sean
>
>
> Sean R. Townsend, M.D.
> Vice President of Quality & Safety
> California Pacific Medical Center
> 2330 Clay Street, #301
> San Francisco, CA 94115
> email [email protected]
> office (415) 600-5770
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