If getting an ABG - will do an extended panel which includes LA
We can get a venous sample and run it on our ABG analyzer in the ED or can send 
a venous sample to Lab but it takes longer to get results. 
EMS providers will get a tube on patients in the field.  Techs or RN's can get 
the sample.

We did evaluate running LA with venous sample and running on the ABG analyzer.  
We checked tourniquet time impact and matched values to assure accuracy.  

Repeat values can be done either of the three ways.  What's chosen depends on 
how sick the patient is and how quickly it's needed.  

Sue Beswick - just down the road in Greenville SC
[email protected]

-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
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Sent: Wednesday, June 24, 2015 3:13 PM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 162, Issue 3

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Today's Topics:

   1. POC lactates (Jeanie Bollinger)
   2. Mortality rate measure with ICD-10 migration
      (Clement, Joseph (DPH))
   3. Standard deviations and Heart rate (shelley storozuk)


----------------------------------------------------------------------

Message: 1
Date: Tue, 23 Jun 2015 17:06:38 +0000
From: Jeanie Bollinger <[email protected]>
To: "'[email protected]'"
        <[email protected]>
Subject: [Sepsis Groups] POC lactates
Message-ID:
        <[email protected]>
Content-Type: text/plain; charset="us-ascii"

Who is doing POC lactates in the emergency department?  How are you doing 
repeat lactates?  Do you have any accuracy data or cost data to do POC 
lactates?  Jeanie Bollinger

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



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Message: 2
Date: Tue, 23 Jun 2015 16:59:00 +0000
From: "Clement, Joseph (DPH)" <[email protected]>
To: "[email protected]"
        <[email protected]>
Subject: [Sepsis Groups] Mortality rate measure with ICD-10 migration
Message-ID:
        
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Hello,


I'm curious what other systems are contemplating regarding sepsis mortality 
measurement after the transition to ICD-10?


We have been using the Dombrovskiy criteria as our main outcome metric for many 
years now. After ICD-10, which code(s) will people use?


Looking forward to hearing people's thoughts....


Joe


Joseph Clement, MS, RN, CCNS
Clinical Nurse Specialist
San Francisco General Hospital
ph: 415206-6174
pg: 415 327-0220
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Message: 3
Date: Tue, 23 Jun 2015 20:28:51 -0600
From: shelley storozuk <[email protected]>
To: [email protected]
Subject: [Sepsis Groups] Standard deviations and Heart rate
Message-ID: <[email protected]>
Content-Type: text/plain; charset="us-ascii"

There is much written about standard deviation and how it relates to the heart 
rate when in sepsis, but where can this information be found? As an emergency 
nurse I do not know what the numerical range for 2 standard deviations outside 
of a normal heart rate for an adult is? Or for children? Can someone explain 
this or provide some reference material that discussing what these values are? 
I received once response (60-100bpm) +/- 24bpm. 

Can you please advise me,

Kind regards,

Shelley Storozuk
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