Jeanie, We have been sending questions through the IQR and receiving responses. I have attached a response we received regarding your questions below. According to this answer we can take fluids prior, even from EMS. The challenge for us; the amount received is not consistently documented by EMS or ED RN. Difficult to “count” in for the amount to be given if no amount documented. Hope this helps.
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 Jeanie Bollinger Sent: Tuesday, June 02, 2015 11:22 AM To: '[email protected]' Subject: [Sepsis Groups] CMS fluid metric 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. ________________________________ 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.
Fluid Administration.docx
Description: Fluid Administration.docx
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