We developed a policy and educated the critical care and ED nurses on how to do 
PLR.  Nurses preform PLR and notify the physician with the result.  

Hyunsoon Park, RN
Critical Care CNS
Long Beach Memorial Medical Center
Long Beach, CA
562.933.7176   

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Sent: Tuesday, January 12, 2016 12:11 PM
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Subject: Sepsisgroups Digest, Vol 187, Issue 2

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Today's Topics:

   1. Re: Sepsisgroups Digest, Vol 186, Issue 13 (Sandra L. Tobar)


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Message: 1
Date: Fri, 8 Jan 2016 20:11:21 +0000
From: "Sandra L. Tobar" <[email protected]>
To: "[email protected]"
        <[email protected]>
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 186, Issue 13
Message-ID:
        
<bde7a1900ee9a240b519e901e07066bc46cca...@nodcmstmbx08.no.trinity-health.org>
        
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The SEP-1 guidelines indicate physician documentation.


Regards,
Sandy Tobar RN, BSN, MSBA
Director of Clinical Transformation
734-343-1496- direct

Trinity Health
20555 Victor Parkway
Livonia, Mi 48152
[email protected]




-----Original Message-----
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Sent: Friday, January 08, 2016 3:09 PM
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Today's Topics:

   1. Passive leg raise (Shelly Guyer)


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Message: 1
Date: Wed, 6 Jan 2016 20:37:16 +0000
From: Shelly Guyer <[email protected]>
To: "'[email protected]'"
        <[email protected]>
Subject: [Sepsis Groups] Passive leg raise
Message-ID: <[email protected]>
Content-Type: text/plain; charset="us-ascii"

I have a question regarding the passive leg raise.  The question reads :  "Was 
a passive leg raise examination performed by a physician/APN/PA in the time 
window beginning at the crystalloid fluid administration date and time and 
ending six hours after the presentation of septic shock?" Can a non-invasive 
bio-reactance type of monitor be used by a nurse to assess fluid 
responsiveness, or does it specifically have to be a physician/NP/ or PA that 
performs the test?  I have heard that other facilities are using  a protocol 
for nurses to follow when performing the passive leg raise and am wondering if 
anyone had heard if it is OK to do this?

Shelly A. Guyer, RN, BSN
Data Analyst
Performance Improvement
North Kansas City Hospital
816-691-5497





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