Re: Sepsis and antibiotic core measure pneumonia Our severe sepsis septic shock antibiotic orders are broken up by suspected source. If community acquired pneumonia is suspected, source antibiotics are appropriate for core measurement and severe sepsis, they really are not conflicting imperatives
Daniel Gerard RPh Critical Care Pharmacist McLaren-Northern Michigan Petoskey, MI 231-487-4770 FAX 231-487-4817 [email protected] > On Feb 5, 2014, at 10:44 AM, "[email protected]" > <[email protected]> wrote: > > Send Sepsisgroups mailing list submissions to > [email protected] > > To subscribe or unsubscribe via the World Wide Web, visit > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > or, via email, send a message with subject or body 'help' to > [email protected] > > You can reach the person managing the list at > [email protected] > > When replying, please edit your Subject line so it is more specific > than "Re: Contents of Sepsisgroups digest..." > > > Today's Topics: > > 1. Sepsis and Pneumonia Antibiotic Core Measure (Andrew Markowski) > 2. Choice of IV fluids (Mary Kay Bader) > 3. Re: Sepsisgroups Digest, Vol 95, Issue 1 > (Robyn Haddock Crosswhite) > 4. Re: flu and choice of antibiotic or not to give one? > ([email protected]) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Tue, 04 Feb 2014 15:39:37 -0500 > From: Andrew Markowski <[email protected]> > To: [email protected] > Subject: [Sepsis Groups] Sepsis and Pneumonia Antibiotic Core Measure > Message-ID: <[email protected]> > Content-Type: text/plain; charset=us-ascii > > Our hospital is beginning a sepsis clinical pathway. Up until now, we have > been near 100% with our antibiotic selection choice for the community > acquired pneumonia core measure. There is a great deal of institutional > concern that we might begin failing this metric if we give broad spectrum > antibiotics to our severe sepsis/septic shock patients and they are > ultimately diagnosed with CAP. How are other institutions dealing with the > conflicting imperatives? > > > -Andy > > __________________________ > Andrew Markowski, M.D., M.P.H. > Department of Emergency Medicine > Suburban Hospital > 214-766-0665 > > > > ------------------------------ > > Message: 2 > Date: Tue, 4 Feb 2014 08:07:49 -0800 > From: Mary Kay Bader <[email protected]> > To: Sue Beswick <[email protected]> > Cc: "[email protected]" > <[email protected]> > Subject: [Sepsis Groups] Choice of IV fluids > Message-ID: <[email protected]> > Content-Type: text/plain; charset="us-ascii" > > Greetings all > With e nation wide shortage of IV Normal Saline....which IV fluids are you > using. I've heard a few lectures by international and national speakers > recommending IV lactated ringers (except for renal failure). Is anyone using > LR? > > Mary Kay Bader RN, MSN, CCNS,FAHA, FNCS > Neuro/Critical Care CNS > Mission Hospital > Sent from my iPad > >> On Feb 4, 2014, at 7:53 AM, "Sue Beswick" <[email protected]> wrote: >> >> With our severe sepsis flu admits, a number are being admitted without a >> broad spectrum antibiotics - only getting tamiflu. >> We aren't using the sepsis database yet but hope to soon - would that be a >> fail? >> >> Thanks >> Sue >> >> Sue Beswick RN, MS, CCNS, CCRN >> Clinical Nurse Specialist - MSICU >> Greenville Health System >> 701 Grove Road l Greenville, SC 29605 >> Office: 864-455-4884 >> >> If not this, then what? If not now, then when? If not me, then who? >> >> - John Lewis >> >> >> -----Original Message----- >> From: [email protected] >> [mailto:[email protected]] On Behalf Of >> [email protected] >> Sent: Friday, January 31, 2014 3:08 PM >> To: [email protected] >> Subject: Sepsisgroups Digest, Vol 94, Issue 8 >> >> Send Sepsisgroups mailing list submissions to >> [email protected] >> >> To subscribe or unsubscribe via the World Wide Web, visit >> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org >> >> or, via email, send a message with subject or body 'help' to >> [email protected] >> >> You can reach the person managing the list at >> [email protected] >> >> When replying, please edit your Subject line so it is more specific than >> "Re: Contents of Sepsisgroups digest..." >> >> >> Today's Topics: >> >> 1. Sepsis tool APACHE question (Dian Nuxoll) >> 2. severe sepsis screening tool question (Dian Nuxoll) >> >> >> ---------------------------------------------------------------------- >> >> Message: 1 >> Date: Thu, 30 Jan 2014 18:00:54 +0000 >> From: Dian Nuxoll <[email protected]> >> To: "'[email protected]'" >> <[email protected]> >> Subject: [Sepsis Groups] Sepsis tool APACHE question >> Message-ID: >> >> <943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org> >> >> Content-Type: text/plain; charset="us-ascii" >> >> Under "oxygenation", am I correct to assume this pertains to intubated >> patients only? >> >> Under "FIO2 0.5 or more, A-aDO"-is that the same as A-a Grad? What is this >> exactly? >> "< .05, use PAo"-is this the same as PO2?, if not, what is it and how do I >> find it? >> >> Appreciate your help! >> >> >> Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management >> 425.899.2359 I EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA >> 98034 >> Follow EvergreenHealth on >> Facebook<http://www.facebook.com/evergreenhospital.org> and >> Twitter<http://twitter.com/> | >> www.evergreenhealthcare.org<http://www.evergreenhealthcare.org/> >> >> >> Please note: My e-mail address has changed to [email protected] >> >> >> DISCLAIMER: >> EvergreenHealth Confidentiality Notice: This email message, including any >> attachments, is for the sole use of the intended recipient(s) and may >> contain confidential and privileged information. Any unauthorized review, >> use, disclosure or distribution is prohibited. If you are not the intended >> recipient, please contact the sender by e-mail and destroy all copies of the >> original message or you may call EvergreenHealth in Kirkland, WA U.S.A at >> (425)899-1740. >> -------------- next part -------------- >> An HTML attachment was scrubbed... >> URL: >> <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment.html> >> -------------- next part -------------- >> A non-text attachment was scrubbed... >> Name: Picture (Device Independent Bitmap) 1.jpg >> Type: image/jpeg >> Size: 2471 bytes >> Desc: Picture (Device Independent Bitmap) 1.jpg >> URL: >> <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment-0001.jpg> >> >> ------------------------------ >> >> Message: 2 >> Date: Thu, 30 Jan 2014 23:00:41 +0000 >> From: Dian Nuxoll <[email protected]> >> To: "'[email protected]'" >> <[email protected]> >> Subject: [Sepsis Groups] severe sepsis screening tool question >> Message-ID: >> >> <943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org> >> >> Content-Type: text/plain; charset="us-ascii" >> >> Regarding #3. On screen 2: in evaluating the acute lung injury, does the >> patient have to be intubated for this or just have an ABG? >> >> Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management >> 425.899.2359 I EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA >> 98034 >> Follow EvergreenHealth on >> Facebook<http://www.facebook.com/evergreenhospital.org> and >> Twitter<http://twitter.com/> | >> www.evergreenhealthcare.org<http://www.evergreenhealthcare.org/> >> >> >> Please note: My e-mail address has changed to [email protected] >> >> >> DISCLAIMER: >> EvergreenHealth Confidentiality Notice: This email message, including any >> attachments, is for the sole use of the intended recipient(s) and may >> contain confidential and privileged information. Any unauthorized review, >> use, disclosure or distribution is prohibited. If you are not the intended >> recipient, please contact the sender by e-mail and destroy all copies of the >> original message or you may call EvergreenHealth in Kirkland, WA U.S.A at >> (425)899-1740. >> -------------- next part -------------- >> An HTML attachment was scrubbed... >> URL: >> <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/300630c5/attachment-0001.htm> >> -------------- next part -------------- >> A non-text attachment was scrubbed... >> Name: Picture (Device Independent Bitmap) 1.jpg >> Type: image/jpeg >> Size: 2471 bytes >> Desc: Picture (Device Independent Bitmap) 1.jpg >> URL: >> <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/300630c5/attachment-0001.jpg> >> >> ------------------------------ >> >> _______________________________________________ >> Sepsisgroups mailing list >> [email protected] >> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org >> >> >> End of Sepsisgroups Digest, Vol 94, Issue 8 >> ******************************************* >> >> _______________________________________________ >> Sepsisgroups mailing list >> [email protected] >> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > Notice from St. Joseph Health System: > Please note that the information contained in this message may be privileged > and confidential and protected from disclosure. > > > ------------------------------ > > Message: 3 > Date: Tue, 4 Feb 2014 14:57:20 -0600 > From: Robyn Haddock Crosswhite <[email protected]> > To: "[email protected]" > <[email protected]> > Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 95, Issue 1 > Message-ID: > <[email protected]> > Content-Type: text/plain; charset="us-ascii" > > In a septic shock patient, does a PICC line count as far as for SCVO2 ? Is it > accurate and will NICOM suffice to replace CVP monitoring ? > > Thanks > Robyn Crosswhite > > -----Original Message----- > From: [email protected] > [mailto:[email protected]] On Behalf Of > [email protected] > Sent: Tuesday, February 04, 2014 2:08 PM > To: [email protected] > Subject: Sepsisgroups Digest, Vol 95, Issue 1 > > Send Sepsisgroups mailing list submissions to > [email protected] > > To subscribe or unsubscribe via the World Wide Web, visit > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > or, via email, send a message with subject or body 'help' to > [email protected] > > You can reach the person managing the list at > [email protected] > > When replying, please edit your Subject line so it is more specific than "Re: > Contents of Sepsisgroups digest..." > > > Today's Topics: > > 1. Re: flu and choice of antibiotic or not to give one? (Sue Beswick) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Mon, 3 Feb 2014 21:32:49 +0000 > From: Sue Beswick <[email protected]> > To: "'[email protected]'" > <[email protected]> > Subject: Re: [Sepsis Groups] flu and choice of antibiotic or not to > give one? > Message-ID: > <[email protected]> > Content-Type: text/plain; charset="us-ascii" > > With our severe sepsis flu admits, a number are being admitted without a > broad spectrum antibiotics - only getting tamiflu. > We aren't using the sepsis database yet but hope to soon - would that be a > fail? > > Thanks > Sue > > Sue Beswick RN, MS, CCNS, CCRN > Clinical Nurse Specialist - MSICU > Greenville Health System > 701 Grove Road l Greenville, SC 29605 > Office: 864-455-4884 > > If not this, then what? If not now, then when? If not me, then who? > > - John Lewis > > > -----Original Message----- > From: [email protected] > [mailto:[email protected]] On Behalf Of > [email protected] > Sent: Friday, January 31, 2014 3:08 PM > To: [email protected] > Subject: Sepsisgroups Digest, Vol 94, Issue 8 > > Send Sepsisgroups mailing list submissions to > [email protected] > > To subscribe or unsubscribe via the World Wide Web, visit > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > or, via email, send a message with subject or body 'help' to > [email protected] > > You can reach the person managing the list at > [email protected] > > When replying, please edit your Subject line so it is more specific than "Re: > Contents of Sepsisgroups digest..." > > > Today's Topics: > > 1. Sepsis tool APACHE question (Dian Nuxoll) > 2. severe sepsis screening tool question (Dian Nuxoll) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Thu, 30 Jan 2014 18:00:54 +0000 > From: Dian Nuxoll <[email protected]> > To: "'[email protected]'" > <[email protected]> > Subject: [Sepsis Groups] Sepsis tool APACHE question > Message-ID: > > <943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org> > > Content-Type: text/plain; charset="us-ascii" > > Under "oxygenation", am I correct to assume this pertains to intubated > patients only? > > Under "FIO2 0.5 or more, A-aDO"-is that the same as A-a Grad? What is this > exactly? > "< .05, use PAo"-is this the same as PO2?, if not, what is it and how do I > find it? > > Appreciate your help! > > > Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management > 425.899.2359 I EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA 98034 > Follow EvergreenHealth on > Facebook<http://www.facebook.com/evergreenhospital.org> and > Twitter<http://twitter.com/> | > www.evergreenhealthcare.org<http://www.evergreenhealthcare.org/> > > > Please note: My e-mail address has changed to [email protected] > > > DISCLAIMER: > EvergreenHealth Confidentiality Notice: This email message, including any > attachments, is for the sole use of the intended recipient(s) and may contain > confidential and privileged information. Any unauthorized review, use, > disclosure or distribution is prohibited. If you are not the intended > recipient, please contact the sender by e-mail and destroy all copies of the > original message or you may call EvergreenHealth in Kirkland, WA U.S.A at > (425)899-1740. > -------------- next part -------------- > An HTML attachment was scrubbed... > URL: > <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment.html> > -------------- next part -------------- > A non-text attachment was scrubbed... > Name: Picture (Device Independent Bitmap) 1.jpg > Type: image/jpeg > Size: 2471 bytes > Desc: Picture (Device Independent Bitmap) 1.jpg > URL: > <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment-0001.jpg> > > ------------------------------ > > Message: 2 > Date: Thu, 30 Jan 2014 23:00:41 +0000 > From: Dian Nuxoll <[email protected]> > To: "'[email protected]'" > <[email protected]> > Subject: [Sepsis Groups] severe sepsis screening tool question > Message-ID: > > <943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org> > > Content-Type: text/plain; charset="us-ascii" > > Regarding #3. On screen 2: in evaluating the acute lung injury, does the > patient have to be intubated for this or just have an ABG? > > Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management > 425.899.2359 I EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA 98034 > Follow EvergreenHealth on > Facebook<http://www.facebook.com/evergreenhospital.org> and > Twitter<http://twitter.com/> | > www.evergreenhealthcare.org<http://www.evergreenhealthcare.org/> > > > Please note: My e-mail address has changed to [email protected] > > > DISCLAIMER: > EvergreenHealth Confidentiality Notice: This email message, including any > attachments, is for the sole use of the intended recipient(s) and may contain > confidential and privileged information. Any unauthorized review, use, > disclosure or distribution is prohibited. If you are not the intended > recipient, please contact the sender by e-mail and destroy all copies of the > original message or you may call EvergreenHealth in Kirkland, WA U.S.A at > (425)899-1740. > -------------- next part -------------- > An HTML attachment was scrubbed... > URL: > <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/300630c5/attachment-0001.htm> > -------------- next part -------------- > A non-text attachment was scrubbed... > Name: Picture (Device Independent Bitmap) 1.jpg > Type: image/jpeg > Size: 2471 bytes > Desc: Picture (Device Independent Bitmap) 1.jpg > URL: > <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/300630c5/attachment-0001.jpg> > > ------------------------------ > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > > End of Sepsisgroups Digest, Vol 94, Issue 8 > ******************************************* > > > > ------------------------------ > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > > End of Sepsisgroups Digest, Vol 95, Issue 1 > ******************************************* > > > 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. > > > > > ------------------------------ > > Message: 4 > Date: Tue, 4 Feb 2014 17:22:29 +0000 > From: <[email protected]> > To: <[email protected]>, <[email protected]> > Subject: Re: [Sepsis Groups] flu and choice of antibiotic or not to > give one? > Message-ID: > <[email protected]> > Content-Type: text/plain; charset="us-ascii" > > I would think not, if it's a viral sepsis. Treatment with Tamiflu is > appropriate care for it, and it isn't bacterial. > > > Susan M. McKinney, RN > Clinical Quality Coordinator-Sepsis > Clinical Documentation Specialist > Rapid City Regional Hospital > 605-719-4428 > 605-484-7381 > [email protected] > > > > -----Original Message----- > From: [email protected] > [mailto:[email protected]] On Behalf Of Sue Beswick > Sent: Monday, February 03, 2014 2:33 PM > To: '[email protected]' > Subject: Re: [Sepsis Groups] flu and choice of antibiotic or not to give one? > > With our severe sepsis flu admits, a number are being admitted without a > broad spectrum antibiotics - only getting tamiflu. > We aren't using the sepsis database yet but hope to soon - would that be a > fail? > > Thanks > Sue > > Sue Beswick RN, MS, CCNS, CCRN > Clinical Nurse Specialist - MSICU > Greenville Health System > 701 Grove Road l Greenville, SC 29605 > Office: 864-455-4884 > > If not this, then what? If not now, then when? If not me, then who? > > - John Lewis > > > -----Original Message----- > From: [email protected] > [mailto:[email protected]] On Behalf Of > [email protected] > Sent: Friday, January 31, 2014 3:08 PM > To: [email protected] > Subject: Sepsisgroups Digest, Vol 94, Issue 8 > > Send Sepsisgroups mailing list submissions to > [email protected] > > To subscribe or unsubscribe via the World Wide Web, visit > > https://urldefense.proofpoint.com/v1/url?u=http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org&k=gvSHeaFBHkYwSc4JvWghxQ%3D%3D%0A&r=egaKiPQ%2Brdwqr5Y0ugXX3GDQH6Tbc%2BHQdD8DIzjfxAc%3D%0A&m=KvAemLTet8mz2yjzvJZRPFRMOYdvXEvu2d05rm%2BJ1Dc%3D%0A&s=264ab120a21b69ffdb5400be85897bba2d955544ecbcdf5b4cdba11188b07586 > > or, via email, send a message with subject or body 'help' to > [email protected] > > You can reach the person managing the list at > [email protected] > > When replying, please edit your Subject line so it is more specific than "Re: > Contents of Sepsisgroups digest..." > > > Today's Topics: > > 1. Sepsis tool APACHE question (Dian Nuxoll) > 2. severe sepsis screening tool question (Dian Nuxoll) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Thu, 30 Jan 2014 18:00:54 +0000 > From: Dian Nuxoll <[email protected]> > To: "'[email protected]'" > <[email protected]> > Subject: [Sepsis Groups] Sepsis tool APACHE question > Message-ID: > > <943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org> > > Content-Type: text/plain; charset="us-ascii" > > Under "oxygenation", am I correct to assume this pertains to intubated > patients only? > > Under "FIO2 0.5 or more, A-aDO"-is that the same as A-a Grad? What is this > exactly? > "< .05, use PAo"-is this the same as PO2?, if not, what is it and how do I > find it? > > Appreciate your help! > > > Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management > 425.899.2359 I EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA 98034 > Follow EvergreenHealth on > Facebook<https://urldefense.proofpoint.com/v1/url?u=http://www.facebook.com/evergreenhospital.org&k=gvSHeaFBHkYwSc4JvWghxQ%3D%3D%0A&r=egaKiPQ%2Brdwqr5Y0ugXX3GDQH6Tbc%2BHQdD8DIzjfxAc%3D%0A&m=KvAemLTet8mz2yjzvJZRPFRMOYdvXEvu2d05rm%2BJ1Dc%3D%0A&s=3b35de904851eb91e3d45ca634838bab8ba9ca34fc55743cfae67a8929fd16cb> > and > Twitter<https://urldefense.proofpoint.com/v1/url?u=http://twitter.com/&k=gvSHeaFBHkYwSc4JvWghxQ%3D%3D%0A&r=egaKiPQ%2Brdwqr5Y0ugXX3GDQH6Tbc%2BHQdD8DIzjfxAc%3D%0A&m=KvAemLTet8mz2yjzvJZRPFRMOYdvXEvu2d05rm%2BJ1Dc%3D%0A&s=6b0144da39452d8e26e1b10886d93189488bb43183633961d63b1110616485b1> > | > www.evergreenhealthcare.org<https://urldefense.proofpoint.com/v1/url?u=http://www.evergreenhealthcare.org/&k=gvSHeaFBHkYwSc4JvWghxQ%3D%3D%0A&r=egaKiPQ%2Brdwqr5Y0ugXX3GDQH6Tbc%2BHQdD8DIzjfxAc%3D%0A&m=KvAemLTet8mz2yjzvJZRPFRMOYdvXEvu2d05rm%2BJ1Dc%3D%0A&s=1156521227ee03e04b5cf1bb2a2ec9091e2b9f45df0e862de2bc844655629104> > > > Please note: My e-mail address has changed to [email protected] > > > DISCLAIMER: > EvergreenHealth Confidentiality Notice: This email message, including any > attachments, is for the sole use of the intended recipient(s) and may contain > confidential and privileged information. Any unauthorized review, use, > disclosure or distribution is prohibited. If you are not the intended > recipient, please contact the sender by e-mail and destroy all copies of the > original message or you may call EvergreenHealth in Kirkland, WA U.S.A at > (425)899-1740. > -------------- next part -------------- > An HTML attachment was scrubbed... > URL: > <https://urldefense.proofpoint.com/v1/url?u=http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment.html&k=gvSHeaFBHkYwSc4JvWghxQ%3D%3D%0A&r=egaKiPQ%2Brdwqr5Y0ugXX3GDQH6Tbc%2BHQdD8DIzjfxAc%3D%0A&m=KvAemLTet8mz2yjzvJZRPFRMOYdvXEvu2d05rm%2BJ1Dc%3D%0A&s=55ae85e2df0b3327c455d1ed185f17159ae6cb5ee7775446035d3cc59fa8ed59> > -------------- next part -------------- > A non-text attachment was scrubbed... > Name: Picture (Device Independent Bitmap) 1.jpg > Type: image/jpeg > Size: 2471 bytes > Desc: Picture (Device Independent Bitmap) 1.jpg > URL: > <https://urldefense.proofpoint.com/v1/url?u=http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140130/5eef97f0/attachment-0001.jpg&k=gvSHeaFBHkYwSc4JvWghxQ%3D%3D%0A&r=egaKiPQ%2Brdwqr5Y0ugXX3GDQH6Tbc%2BHQdD8DIzjfxAc%3D%0A&m=KvAemLTet8mz2yjzvJZRPFRMOYdvXEvu2d05rm%2BJ1Dc%3D%0A&s=74f40e1e8bb8392e5abe2e4bb5938c0e448a3256f5d4d273db9b57e85bb75f66> > > ------------------------------ > > Message: 2 > Date: Thu, 30 Jan 2014 23:00:41 +0000 > From: Dian Nuxoll <[email protected]> > To: "'[email protected]'" > <[email protected]> > Subject: [Sepsis Groups] severe sepsis screening tool question > Message-ID: > > <943b1cfe9fc3db41ac39532172f66b1b71376...@exchmail3.evergreenhealthcare.org> > > Content-Type: text/plain; charset="us-ascii" > > Regarding #3. On screen 2: in evaluating the acute lung injury, does the > patient have to be intubated for this or just have an ABG? > > Dian Nuxoll, RN, BSN Clinical Quality Analyst - Quality Management > 425.899.2359 I EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA 98034 > Follow EvergreenHealth on > Facebook<https://urldefense.proofpoint.com/v1/url?u=http://www.facebook.com/evergreenhospital.org&k=gvSHeaFBHkYwSc4JvWghxQ%3D%3D%0A&r=egaKiPQ%2Brdwqr5Y0ugXX3GDQH6Tbc%2BHQdD8DIzjfxAc%3D%0A&m=KvAemLTet8mz2yjzvJZRPFRMOYdvXEvu2d05rm%2BJ1Dc%3D%0A&s=3b35de904851eb91e3d45ca634838bab8ba9ca34fc55743cfae67a8929fd16cb> > and > Twitter<https://urldefense.proofpoint.com/v1/url?u=http://twitter.com/&k=gvSHeaFBHkYwSc4JvWghxQ%3D%3D%0A&r=egaKiPQ%2Brdwqr5Y0ugXX3GDQH6Tbc%2BHQdD8DIzjfxAc%3D%0A&m=KvAemLTet8mz2yjzvJZRPFRMOYdvXEvu2d05rm%2BJ1Dc%3D%0A&s=6b0144da39452d8e26e1b10886d93189488bb43183633961d63b1110616485b1> > | > www.evergreenhealthcare.org<https://urldefense.proofpoint.com/v1/url?u=http://www.evergreenhealthcare.org/&k=gvSHeaFBHkYwSc4JvWghxQ%3D%3D%0A&r=egaKiPQ%2Brdwqr5Y0ugXX3GDQH6Tbc%2BHQdD8DIzjfxAc%3D%0A&m=KvAemLTet8mz2yjzvJZRPFRMOYdvXEvu2d05rm%2BJ1Dc%3D%0A&s=1156521227ee03e04b5cf1bb2a2ec9091e2b9f45df0e862de2bc844655629104> > > > Please note: My e-mail address has changed to [email protected] > > > DISCLAIMER: > EvergreenHealth Confidentiality Notice: This email message, including any > attachments, is for the sole use of the intended recipient(s) and may contain > confidential and privileged information. Any unauthorized review, use, > disclosure or distribution is prohibited. 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