That's a loophole I hadn't thought of and an interesting problem...

I'll have to do some consulting.



On Sep 29, 2015, at 2:34 PM, Jennifer L Halligan [SJGH] 
<[email protected]<mailto:[email protected]>> wrote:

Hi,
This question is for those abstractors out there (or maybe Dr. Townsend knows 
the answer),
Am I correct to say that I cannot determine using "clinical criteria" if Septic 
Shock was PRESENT (septic shock present data element) if the crystalloids given 
did not total 30ml/kg needed? In my scenario the pt weight is 68.8 kg. 
(requires 2064 ml to meet 30ml/kg). Pt received 2 liters NS and in the hour 
after receiving this 2 L the BP did not respond (remained less than 90/map<65). 
In this scenario I can only use MD documentation of septic shock present, 
correct???
Thank you!!

Jennifer Halligan, RN
Quality Review Nurse
San Joaquin General Hospital
Tel: 209-468-7471
Fax: 209-468-7011

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