Hello, If infection/suspect infection is already established however the patient does not meet criteria until 8 hours after documentation of infection (SIRS + Organ Dysfunction) do we have to tie in the infection documentation again within 6 hours or is it already assumed since infection has been documented/confirmed before the vital signs/abnormal lab values.
For Example: Patient presents to ED with Fever 09:00 and Chest X-Ray shows Pneumonia subsequently documented by ED at 9:30 no other abnormal labs or vitals. 16:00 Fever Persists, HR elevated, Lab work shows 16:20 lactate = 2.1 and progress note 21:00 with documented interventions for PN. Do we have to tie the infection documentation timing back into the evaluation or because Patient already noted to have PN by ED at 9:30 that counts as 1 of the three criterion and 16:20 = Time Zero. Or do we account for all three criterion and 21:00 is new time zero as all three criterion within 6 hours of each other. Cindy Cynthia Wells Steward Health Care Director of Clinical Performance Analytics (508) 404-8647 _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
