Hello-
After reading through the specifications manual and many of the posts here, I
still wonder what to do when reviewing charts of patients who do NOT initially
present with any signs of SIRS and show no SIRS criteria during their first 3
hrs in the ED. If a patient becomes hypotensive, tachycardic, and febrile 3
hours after triage, how can you meet the 3 hr bundle? I would think these
patients should NOT be included the measure as they are not "presenting" with
symptoms of severe sepsis. Or should we expect to have a small percentage of
fall-outs?
Any input would be greatly appreciated.
Brenda Prabhakar RN BSNDoylestown HospitalSepsis Steering Committee Co-Chair
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