Brenda, CMS has redefined “triage” time to be “time of presentation is defined as the time of earliest chart annotation consistent with all the elements severe sepsis or septic shock ascertained through chart review.” I hope this helps? Amy
Amy L. Sprague MSN, RN, ACNS-BC, CCRN Clinical Nurse Speciliast ~ Critical Care Sepsis Committee Chairperson Franciscan ST. Francis Health 8111 South Emerson Ave. Indianapolis, IN. 46237 “There is no greatness where there is not simplicity, goodness, and truth.” Leo Tolstoy From: Sepsisgroups [mailto:[email protected]] On Behalf Of Brenda Prabhakar Sent: Wednesday, July 08, 2015 3:25 PM To: [email protected] Subject: [Sepsis Groups] Triage Time Zero and delayed presentation of symptoms 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 BSN Doylestown Hospital Sepsis Steering Committee Co-Chair ________________________________ The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you.
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