Great question. I have had this same scenario and haven't been clear on how to 
address it.

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


From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Kelli Barrieau
Sent: Wednesday, November 18, 2015 12:55 PM
To: [email protected]
Subject: [Sepsis Groups] Administrative contraindications to care

We had a patient in septic shock who refused to have a central line placed. 
Without the central line, we were not able to give them vasopressors. The 
provider documented the conversation with the patient and family about refusing 
the central line and what it would mean but none of those are exclusions as an 
administrative contraindication to care. Does anyone if refusing any of the 
care would be a contraindication or is it just IV, antibiotics or blood draws?

Thank you,

Kelli A Barrieau RN BSN
Unit Based Quality Nurse
Cooley Dickinson Hospital
PO Box 5001, 30 Locust Street
Northampton, MA 01060-5001
413-582-2859

[email protected]<mailto:[email protected]>
Cooley-dickinson.org

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