What if patient's final code at discharge is severe sepsis and they came through the ED but did not meet all three criteria until the next day or much later that day but the bundle was completed? Do we continue to abstract the chart until the patient meets all 3 criteria and use that as Severe Sepsis Presentation Date and Time?
Example: Day 1 pt meets SIRS @ 0850, Lactate level of 3 @ 0850 but the physician documentation stating infection or severe sepsis isn't until 1800. Based on the next physician documentation and the other 2 criteria, the pt meets severe sepsis the following day. I haven't found any direction within the guidelines regarding this type of scenario. Thanks, Gena Henriques, MSN, RN Sepsis Coordinator Tulane Medical Center 1415 Tulane Ave. New Orleans, LA 70112 Phone: 504-988-3195 Think Sepsis: Save A Life
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