Hello all, I wanted to ask a question pertaining to the fluid metric. It appears that CMS is not giving any "credit" to any fluid given prior to hypotension or lactate >4. The issue we are having is that if a patient presents with severe sepsis and organ dysfunction, is tachycardiac and is given a fluid bolus proactively prior to hypotension or getting the lactate results back, that fluid is not counted in the resuscitation bolus compliance metric. What are everyone thoughts on this issue? Also if patient is hypotensive for EMS and receives fluid PTA, these fluids are not counted either. Thoughts?
Jeanie Bollinger RN,MSN,ACCNS-AG, CCRN Sepsis Clinical Nurse Specialist Center For Nursing Excellence Mission Health Asheville, NC. Phone 828-213-7171 Pager 207-2363 ---------------------------------------------------------------------------------------------------- This message and its attachments may contain confidential and/or legally-sensitive information that is intended for the sole use of the addressee(s). Any unauthorized review, use, disclosure, or distribution of the information contained in this message and its attachments is prohibited. If you have received this message or any of its attachments in error, please destroy all originals and copies of the same and notify the sender immediately.
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