We are looking at instituting a nursing protocol to implement if we have a 
positive screening. (i.e., go ahead and get lactic acid, etc)  Is anyone else 
doing this or something similar?    If you are then did you do a medical staff 
approved policy or a protocol that then requires the protocol to be put on the 
chart for MD signature as soon as possible?

Thanks for any input!

Tina Fickey, RHIT, CPHQ
Physician Regional Medical Center
900 E. Oak Hill Ave
Knoxville, TN
Email: [email protected]
Office: 865-545-8605


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From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Shelly Guyer
Sent: Wednesday, July 22, 2015 12:56 PM
To: '[email protected]'
Subject: [EXTERNAL] [Sepsis Groups] NICOM use for SvO2

Hello,
Does anyone know if it is OK to use a non-invasive form of cardiac output 
monitoring such as the Cheetah NICOM to obtain the SvO2 and SvcO2 readings?

Thank You
Shelly Guyer RN, BSN
Performance Improvement
North Kansas City Hospital
816-691-5497



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