Dr. Townsend, Are you saying that nursing notes may be utilized to determine infection or suspicion of infection for abstraction?
Dale DeLude P.I. Specialist Advocate Condell Medical Center 801 S. Milwaukee Ave. Libertyville, IL 60048 Telephone: 847-990-5863 Fax: 847-573-4251 [email protected] This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof. -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Townsend, Sean, M.D. Sent: Sunday, October 18, 2015 9:32 AM To: Karen Young Cc: [email protected] Subject: Re: [Sepsis Groups] Documentation source for suspicion of clinical infection Yes, you need to look at all notes from nursing as well. Simply relying on md documentation will be too late. On Oct 18, 2015, at 7:08 AM, Karen Young <[email protected]<mailto:[email protected]>> wrote: Please share what data source your organization is using for a date/time stamp for suspicion of clinical source of infection. Are you using an RN progress note time? How specific about suspicion are you requiring in documentation? Have you standardized the question to a yes or no? Our ED physicians say their Note Time does not reflect suspicion time as a Severe Sepsis criteria fulfilled, because progress notes are opened before labs are resulted or exams performed. File Time of the note is several hours after the care is delivered and using that time admittedly would not drive early treatment. >From where are you taking a date/time stamp for physician diagnosis or >suspicion? Karen Young RN CPHQ QI Specialist Valley Medical Center Renton WA 98055 425-228-3440 ext 5963 [email protected]<mailto:[email protected]> DISCLAIMER: This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this information is strictly prohibited. If you received this message in error, please notify the sender then delete this message. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
