Lactic acid has a 6 hour look back allowance - anything beyond that needs a 
redraw
So this equals a 9 hour window - 6 hours prior to T-0 and 3 hours after T-0

Thanks,

MARY ANN BARNES-DALY RN BSN CCRN DC  | Clinical Performance Improvement 
Consultant
Sutter Health - Office of Patient Experience | 2200 River Plaza Drive, 
Sacramento, CA 95833
Mobile 916.200.5604| Office 916.286.6717  | [email protected]

"You never change things by fighting the existing reality. To change something, 
build a new model that makes the existing model obsolete."         ~R. 
Buckminster Fuller

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of John Robertson
Sent: Wednesday, October 21, 2015 12:26 PM
To: [email protected]
Subject: [Sepsis Groups] Lactic Acid

Sepsis Group

We have implemented a protocol to start lactic acid testing for all patients 
who present and meet the Sepsis definition - in the hope that they don't/won't 
progress to severe sepsis or septic shock.

Question - if we have already got a lactic acid on a patient who presented 
today with Sepsis, and they progress to severe sepsis - did we 'beat the clock' 
with the lactic acid we already took, or does the clock then start when the 
Severe Sepsis diagnosis is made?

John Robertson, CQO
Hillsdale Hospital


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