Hello, My understanding is that the new standard states your date/time zero starts upon physician/LIP documentation or when the last parameter puts them into severe sepsis and/or shock- all elements have to be within 6 hours from one another. If they arrive in the ED with severe sepsis / shock – your time zero is triage time.
[cid:[email protected]] [cid:[email protected]] Brenda ☺ Brenda Downs MSN, APRN, ACNS-BC Cell: 480-720-6102 From: Sepsisgroups [mailto:[email protected]] On Behalf Of Brenda Prabhakar Sent: Wednesday, July 08, 2015 12:25 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
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