Thank you The concern is how best to define sepsis ( not severe sepsis), That is, how many and which of the multiple clinical indicators for sepsis is required for a bed side diagnosis of sepsis..At present it is only 2 indicators that are related ( or probably related) to an underlying infection William E. Haik, M.D., F.C.C.P., C.D.I.P. AHIMA Approved ICD-10-CM/PCS Trainer Office: _(850) 863-2110_ (tel:(850)%20863-2110) Cell: _(850) 803-5854_ (tel:(850)%20803-5854) Fax: _(850) 864-4438
In a message dated 1/22/2015 11:05:44 A.M. Central Standard Time, [email protected] writes: We use a Code Sepsis checklist that is pulled in the ED when the code is initiated and used as a hand-off tool to the ICU, follows the patient up, gets pulled by medical records and sent back to me for PI. It is not a permanent part of the medical record. The nurses are expected to document interventions in the EHR where they normally would AND on the checklist to serve as a guide for completing the bundle. I have attached a copy for you if you’ d like to see it. Thanks! Jessica Harkey, MSN, RN, ACCNS-AG, CCRN Manager of Clinical Practice and Sepsis Program Coordinator San Joaquin Community Hospital Bakersfield, CA 661-869-6874 _ (tel:(850)%20864-4438) [email protected]_ (mailto:[email protected]) (tel:(850)%20864-4438) From: Sepsisgroups [mailto:[email protected]] On Behalf Of Angela Craig Sent: Monday, January 19, 2015 6:44 AM To: 'Mitchell Levy'; [email protected]; [email protected]; [email protected] Subject: [Sepsis Groups] Documentation in the ED I would love some feedback regarding documentation of sepsis in the Emergency Dept. We have gone to electronic screening in ED as well as housewide at our hospital. When a patient arrives in ICU/CVICU the critical care nurse has to fill out a paper Septic Shock Pathway. When the pts develop severe sepsis or septic shock on the floors we have a form – they fill out (Initial management of severe sepsis/septic shock form) that gives them the important next steps to take and allows them a place to document what they have done. Currently our ED does not have to fill out the sepsis pathway and I am conflicted about this. I then have to look through all ED documentation to find out fluid bolus times etc. and I really want ownership in the ED. That being said – this is a very busy ED and I don’t want to decrease work flow. Can you guys tell me what you are doing with the ED setting – they using forms like the floors?? Angela Craig APN,MS,CCNS Clinical Nurse Specialist Intensive Care Unit Cookeville Regional Medical Center 931-783-5035 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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