Accurately finding severe sepsis presentation time several days into the hospital stay has been very tricky to establish. My scenario is....
Pt admitted with no signs of infection through the ED, No +SIRS. Day 2 of admission urine culture came back + for E-Coli at 10:53 first sign of infection. Pt does still does not have 2+SIRS. Pt goes to surgery for a cholecystectomy and 2 days after surgery the patients LA comes back at 0800 is 2.1, with 2+SIRS. Does the infection that was diagnosed earlier in the admission stay with the patient 4 days after + cultures? With the LA 2.1 this would put the patient in the category of end organ dysfunction=severe sepsis, so the 3 hour clock would start when the LA results come back, and I would look 3 hours prior to 0800 and 3 hours after 0800 to make sure the 3 hour bundle was completed? a repeat LA within 6 hours? Any help with this would be greatly appreciated. Thank you, Jody Jody Edwards MSN, RN RN Quality Improvement Coordinator Sepsis PI Coordinator Springfield Regional Medical Center 100 Medical Dr. 45504 Phone: 937-523-5268 Email:[email protected] "Confidential - Quality Improvement Information" "CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Privileged and Confidential Quality/Peer Review Document Pursuant to Ohio Revised Code 2305.24, 2305.25., 2305.251, 2305.252, and 2305.253." CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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