Our ER is ordering more lactic acid levels and sometimes these are completed 
before we determine a time of presentation for the sepsis bundle to start in 
the in-patient setting. Is there a standard amount of time prior to the time of 
presentation that you can use the lactic acid level for the 3 hour bundle? 
Should we count only those that are completed after the time of presentation is 
established? Some of our physicians would like the previous lactic acid level 
to count if it was completed within 3 hours prior.

Gerri Buss, MS, RN
Consultant
Performance Excellence Department
Blessing Hospital
Quincy,Il 62305
217-223-8400 ext 6894
[email protected]
[cid:[email protected]]
"There's nothing so useless as doing efficiently that which should not be done 
at all"
Peter Drucker

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