Question: When abstracting for severe sepsis/septic shock, would a patient who presents to the ED in cardiopulmonary arrest be considered part of the "excluded population" for CMS? Or if the patient codes in the unit/on the floor just prior to the presentation of septic shock be considered part of the "excluded population" as well? Thank you!
Amy Cobb RN, BSN Sepsis Coordinator/ICU Tracker Research Outcomes Morton Plant Hospital MS #73 300 Pinellas St. Clearwater, FL 33756 727-298-6953 (Desk) 727-462-3638 (Fax) [email protected]<mailto:[email protected]> From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Friday, October 09, 2015 1:44 PM To: [email protected] Subject: [Sepsis Groups] Severe Sepsis Presentation 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 ---------------------------------------------------------------------- Confidential: This electronic message and all contents contain information from BayCare Health System which may be privileged, confidential or otherwise protected from disclosure. The information is intended to be for the addressee only. If you are not the addressee, any disclosure, copy, distribution or use of the contents of this message is prohibited. If you have received this electronic message in error, please notify the sender and destroy the original message and all copies.
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
