Juanita,
I think you have asked the million dollar question. The SSC is doing a
collaborative right now with Med/Surg floors and with PCU's. I think through
this work we will be able to show that patients will benefit from the same
fluid bolus when they have a lactate <4. As we move forward with this work we
will be giving the patients fluid on the Med/Surg floor as well. We are working
on a Geriatrics floor and we will beginning with 1.5ml/kg for lactates <4.
We are set to go live with this October 20th.
I hope this helps?
Amy
Amy L. Sprague MSN, RN, ACNS-BC, CCRN
Clinical Nurse Specialist~Critical Care
Franciscan St. Francis Health
8111 S. Emerson Avenue
Indianapolis, IN 46237
Office (317)528-6800
[email protected]
"Work for a cause, not for applause.
Live life to express, not to impress.
Don't strive to make your presence noticed,
just make your absence felt."
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
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