Did you look at nursing documentation?

On Nov 4, 2015, at 7:58 AM, Mary Draper <[email protected]> wrote:

I have a case where the patient met the criteria for severe sepsis and septic 
shock on admission to the ED, lactate >4, BP < 90, required intubation from 
aspiration.  There wasn't any documentation of an infection or severe sepsis 
and septic shock until the next day at 0229.
Do I have to use the physician documented time or can I use the criteria that 
ruled the patient in on admission?
Appreciate any thoughts or feedback.
Thanks


Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
[email protected]

“O, let us always have a mountain within our soul, 
 with a peak so high that we never quite reach the top…
 For then we will always strive for greater things 
 And will not be content  with merely climbing hills.”     Ardath Rodale


-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Townsend, Sean, M.D.
Sent: Monday, November 02, 2015 10:28 AM
To: Myran, Robin
Cc: [email protected]
Subject: Re: [Sepsis Groups] Vasopressor Administration

The decision to measure the application of vasopressors is unfortunate in my 
view.

However, since it is measured, it is important to recall that the any time a 
vasopressor is applied, the goal is to wean it, not maintain it.  Thus while 
the measure checks to see that vasopressors were applied (ostensibly to prevent 
imminent cardiovascular collapse) they can be immediately weaned to off as long 
as MAP > 65, perhaps with additional fluids.

On Nov 2, 2015, at 9:52 AM, Myran, Robin 
<[email protected]<mailto:[email protected]>> wrote:

All –

I submitted this question through QualityNet, but was interested in your 
thoughts…

The sepsis protocol at our hospital includes the administration of 30 cc/kg 
crystalloid for hypotension or lactate >=4. If the patient remains hypotensive 
after the initial bolus, we have the option of administering an additional 30 
cc/kg. Often this second bolus works to achieve a sustained MAP >=65.

According to the specifications manual for SEP-1, we *must* start a vasopressor 
by the 6th hour if the patient remains hypotensive in the hour after the 
initial bolus is complete, correct? The Surviving Sepsis Campaign's 
recommendations include "a minimum of 30 mL/kg of crystalloids" and that 
"greater amounts of fluid may be needed in some patients." They go on to say 
that "fluid administration is continued as long as there is hemodynamic 
improvement". My physicians will always go to more fluids first (if the patient 
remains fluid responsive) before starting vasopressors. Can you provide 
additional information/clarification so I can educate my clinicians?


Robin Myran, MSN, RN, PCCN
Sepsis Coordinator
Hoag Memorial Hospital Presbyterian
One Hoag Drive
Newport Beach, CA 92658
Office: (949) 764-4588
Fax: (949) 764-5387
Cell: (949) 300-9137
[email protected]<mailto:[email protected]>


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