Juanita, We were using >2.1, but just recently changed it to align with our venous istat high normal which is >1.7. Laurie Laurie A. Hiebert, BSN, RN Clinical Process Improvement Analyst Critical Care Performance Improvement Florida Hospital System Office: 407-303-2800 ext 110-1572 Cell: 407-312-4294 Fax: 407-303-2865
From: Sepsisgroups [mailto:[email protected]] On Behalf Of Juanita Fernandes Sent: Tuesday, October 07, 2014 11:27 AM To: '[email protected]' Subject: [Sepsis Groups] Lactate critical value trigger for Sepsis Alert Hi Everyone, Our hospital is in the process of going live with an ED Sepsis Alert. We were able to get the lab to recognize a critical value for lactate that would trigger the lab to call the RN and the RN to notify the provider. My concern is that the level we chose was 4 or >. The data that we have collected on our own patients so far, even those in septic shock, rarely have a lactate as high as 4. What are other hospitals using for a lactate to trigger an alert? Juanita Juanita Fernandes, RN, BSN, CEN Emergency Department Nurse Educator Concord Hospital 250 Pleasant Street Concord, New Hampshire 03301 (603) 227-7000 ext. 3138 Pager (603) 221-1104 This message (including any attachments) is intended only for the use of the individual or entity to which it is addressed and may contain information that is non-public, proprietary, privileged, confidential, and exempt from disclosure under applicable law or may constitute as attorney work product. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, notify us immediately by telephone and (i) destroy this message if a facsimile or (ii) delete this message immediately if this is an electronic communication. Thank you.
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