The only accepted fluids by CMS for the core measure are 0.9% NS and full strength LR. Plasmalyte is not an option according to the specifications manual.
Thank you, Kim Kim Izard, BS, RN Supervisor Clinical Outcomes/Core Measures SSM Health - St. Louis Network 1015 Corporate Square Drive Suite 240 Creve Coeur, MO 63132 Office - 314-989-2137 Cell - 618-670-3616 [email protected] "Change is a challenge and an opportunity; not a threat" -Prince Phillip of England This e-mail message is confidential, intended only for the named recipient(s) above and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s) please notify the sender at the e-mail address or telephone number above and delete this e-mail from your computer. Thank you! -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Kramer, George C. Sent: Friday, May 15, 2015 6:12 AM To: Mascioli, Charles MD Cc: Savino, Terri; [email protected] Subject: Re: [Sepsis Groups] Fluid resuscitation LR is a balanced solution. Most evidence of the superiority of plasmalyte has been compared to NS. NS can cause renal failure and hypochloremic acidosis and many believe it should be avoided in high doses. Using either PLT or LR as solution should be equivalent. imho George Kramer, PhD Professor Director Resuscitation Research Lab Dept. of Anesthesiology UTMB, Galveston 409-939-3040 > On May 13, 2015, at 8:24 PM, Mascioli, Charles MD <[email protected]> > wrote: > > Hello, The sepsis "consultant" stated that we need to use NS or RL......for > fluid resuscitation, that "balanced solutions" such as plasmalyte wer not > approved??? Does anybody know what the actual CMS rule is? > Thanks C Mascioli MD, MMC ,Oak Ridge Tn > ________________________________ > From: Sepsisgroups [[email protected]] on > behalf of Savino, Terri [[email protected]] > Sent: Friday, May 08, 2015 8:16 PM > To: [email protected] > Subject: [Sepsis Groups] Fluid resuscitation > > I was wondering if anyone could clarify what time CMS is looking for fluid > administration? It looks like to me they want the time it was hung > (appropriate order for fluid resuscitation), but isn't it important to know > the time the 30ml/kg are infused, not when they are hung? What time does the > surviving sepsis campaign use? > > Thank you in advance for your response. > > Terri > > Terri Savino MSN, RN, CPHQ > Core Measure Specialist > Quality Improvement Coordinator > Trauma Coordinator > > Middlesex Hospital > 28 Crescent St > Middletown, CT 06457 > office: 860-358-3026 > fax: 860-358-4088 > www.middlesexhospital.org<http://www.middlesexhospital.org> > > [http://middlesexhospital.org/wsimages/logo-header.png] > > > > > This e-mail message may be protected by the attorney client privilege and the > work product doctrines. 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