Time zero is not necessarily triage time. It is based on MD/PA/NP documentation of severe sepsis or septic shock OR if the patient meets the criteria whichever is first.
For the IP case, we need to see the same documentation, either by physician/NP/PA or look to see if the patient has the three necessary criteria. If we use the criteria, the clock starts with the last criteria met (for example, if the lactate result was last, that is when the clock starts.) If the criteria is met prior to the MD documentation then again we need to take the time of the last criteria. If MD documentation occurs first....then that is when the clock starts. We are developing a "code sepsis" process that we hope will help us identify "time zero" in the IP. We are working with the clinical staff on the units in order to assist them in early identification of sepsis. 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]<mailto:[email protected]> [cid:[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! From: Sepsisgroups [mailto:[email protected]] On Behalf Of Parker, Erin Sent: Monday, June 01, 2015 2:36 PM To: [email protected] Subject: [Sepsis Groups] CMS Guidelines I understand that time zero for ED is triage, but confused with SEP-1 when does the clock start if a person is in the ICU/Floor? Erin K. Parker RN, BSN, ACM | Infection Control | Sepsis Coordinator Genesys Regional Medical Center | One Genesys Parkway | Grand Blanc, MI 48439 Phone: 810.606.5093| Fax: 810-606-5495 | [email protected]<mailto:[email protected]> | www.genesys.org<http://www.genesys.org/> CONFIDENTIALITY NOTICE: This email message and any accompanying data or files is confidential and may contain privileged information intended only for the named recipient(s). If you are not the intended recipient(s), you are hereby notified that the dissemination, distribution, and or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at the email address above, delete this email from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege. ________________________________ Confidentiality Notice: This email 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 email and destroy all copies of the original message.
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
