Hello,

I am writing to query if there is any evidence-based reason why CMS is 
requiring a bedside physician assessment for septic shock patients, when the 
standard for other critically ill patients is typically based on a bedside 
nursing assessment that is reported to the physician by telephone. I work in an 
underserved minority population where physician access is challenging without 
the bedside assessment requirement, and I am curious if there is a rationale 
for this deviation from the norm.

Thanks for your input,

Gayle Porter, RN BSN
Sepsis Program Coordinator
Brownsville, TX


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