HI Juanita, Our hospital has had a critical value reporting process for lactates ≥ 4 for a little over two years. Recently we put some thought into lowering that threshold to anything greater than the upper limit of normal for lactates, so I am also curious to see what other hospitals do with this. Thank you for posing the question! Stephanie Shawver BSN, RN SLMV Sepsis Coordinator St. Luke's Magic Valley 801 Pole Line Road West | Twin Falls, ID 83301 Office: (208) 814.4030 | Email: [email protected]<mailto:[email protected]>
From: Sepsisgroups [mailto:[email protected]] On Behalf Of Juanita Fernandes Sent: Tuesday, October 07, 2014 9:27 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
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