Sue Beswick RN, MS, CCNS, CCRN MSICU Greenville Health System 701 Grove Road l Greenville, SC 29605 Office: 864-455-4884
During flu season - for those patients that meet SIRS/Sepsis but don't look that sick, we ask for the lactate level at a minimum to help guide next decision. We can do them quickly in the ED. Some of the other ED docs also use LA in this fashion. Sue Today's Topics: 1. Screening (William Haik) 2. Re: Repeat sepsis screens. (Angela Craig) ---------------------------------------------------------------------- Message: 1 Date: Mon, 9 Jun 2014 10:16:49 -0500 From: William Haik <[email protected]> Cc: "<[email protected]>" <[email protected]> Subject: [Sepsis Groups] Screening Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" So if you have a patient who has two criteria for sepsis (pulse 90 and RR 20) and an underlying infection such as a urinary track infection are we all saying that we going to draw lactate levels, blood cultures, and begin antibiotics with fluids. Don't you think this is overkill since we do not have confirmatory studies for sepsis. Using this screening criteria I would suspect every patient I have in the office with an exacerbation of COPD related to a bacterial bronchitis would be "septic". William E. Haik, M.D., F.C.C.P., C.D.I.P. AHIMA Approved ICD-10-CM/PCS Trainer Office: (850) 863-2110 Cell: (850) 803-5854 Fax: (850) 864-4438 > On Jun 5, 2014, at 4:59 PM, idiesca <[email protected]> wrote: > > No we do not include the antibiotics. > > Sincerely, > Carina RN BSN CCRN > > > Sent from my Verizon Wireless 4G LTE Smartphone > > > -------- Original message -------- > From: [email protected] > Date:06/05/2014 3:07 PM (GMT-05:00) > To: [email protected] > Subject: Sepsisgroups Digest, Vol 112, Issue 4 > > 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.o > rg > > 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. IVF and Abx's during resuscitation (Hussey, Joann) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Wed, 4 Jun 2014 18:37:52 +0000 > From: "Hussey, Joann" <[email protected]> > To: "[email protected]" > <[email protected]> > Subject: [Sepsis Groups] IVF and Abx's during resuscitation > Message-ID: > > <[email protected]> > Content-Type: text/plain; charset="us-ascii" > > Good afternoon, > Can anyone tell me, during initial resuscitation, if the amount of IV fluid > administered as an antibiotic piggyback be counted toward the of 30 ml/kg > fluid challenge? > > JoAnn Hussey, BSN, RN > PI Coordinator > Robert Wood Johnson University Hospital Ext. 8210 > > > -------------- next part -------------- An HTML attachment was > scrubbed... > URL: > <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org > /attachments/20140604/868a178e/attachment.html> > > ------------------------------ > > Subject: Digest Footer > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o > rg > > > ------------------------------ > > End of Sepsisgroups Digest, Vol 112, Issue 4 > ******************************************** > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o > rg -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140609/c1d54650/attachment.html> ------------------------------ Message: 2 Date: Mon, 9 Jun 2014 13:26:13 -0500 From: Angela Craig <[email protected]> To: "Holton, Wilma S." <[email protected]> Cc: "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] Repeat sepsis screens. Message-ID: <[email protected]> Content-Type: text/plain; charset="utf-8" We continue to screen. We want to see a trend down in their SIRS criteria and their lactic acid so our thoughts are if they are truly getting better they will not screen positive over and over. If they do we have to look and see if we need to change up our antibiotics or treatment plan. The positive screen should keep us on our toes to make sure we are on track. Hope that helps Angela Craig APN, MS, CCNS CRMC ICU CNS Sent from my iPhone On Jun 9, 2014, at 7:47 AM, "Holton, Wilma S." <[email protected]><mailto:[email protected]>> wrote: Can anyone tell me what they do about pt who have repeat positive screens within 24 hrs of the first screen? Do you stop screening once a patient screens positive? If so how long do you stop screens? How do you track and restart the screens when the time period is over? Wilma Holton, RN CCRN Medical Emergency Team Important Notice: This e-mail message and any attachments are from the above sender at St. Mary's Medical Center and are intended solely for the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. 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