Has something changed in the Spec Manual since the v5.0b came out?  This is 
copied and pasted from the manual:

*If criteria for Septic Shock are not met, but there is physician/APN/PA 
documentation of Septic Shock, choose Value “1.” 

Allowable Values: 
1 (Yes) There is documentation of Septic Shock 
2 (No) There is no documentation of Septic Shock, or unable to determine

Dr. Townsend, can you clarify this if physician documentation is not enough and 
let us know if this was changed/updated?

Thank you


Amy Cobb RN, BSN
Sepsis Coordinator
Research Outcomes
Morton Plant Hospital
MS #73
300 Pinellas St. 
Clearwater, FL 33756
727-298-6953 (Desk)
727-462-3638 (Fax)
[email protected]

-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Townsend, Sean, M.D.
Sent: Monday, January 25, 2016 4:12 PM
To: Belfi, Karen
Cc: [email protected]
Subject: Re: [Sepsis Groups] Septic Shock Presentation Time

I don't see criteria met at 10:47.  MD say so is not enough.



On Jan 25, 2016, at 1:02 PM, Belfi, Karen 
<[email protected]<mailto:[email protected]>> wrote:



10:47 would be septic shock time. It’s the earliest time criteria is met.



Karen Belfi, RN, MSN

Quality Outcomes Coordinator

Lankenau Medical Center

484-476-8092

Pager: 5240

<image001.png>



From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of [email protected]<mailto:[email protected]>

Sent: Wednesday, January 20, 2016 9:15 PM

To: 
[email protected]<mailto:[email protected]>

Subject: [Sepsis Groups] Septic Shock Presentation Time



Clinical criteria for severe sepsis is met at 1002. Crystalloid bolus completed 
at 1247. SBP=79 @ 1300. SBP=87 @1330.

Initial lactic acid =4.0 resulted at 1126.

ED physician note started at 1047 containing documentation of possible septic 
shock.

Would septic shock presentation time be 1047, 1126 or 1300?



Karen King, RN MSN

Quality Management Core Measures Specialist, Lead

Lakeview Regional Medical Center

95 Judge Tanner Boulevard

Covington, LA  70433

Office: (985) 867-4467

Cell:  (985) 788-0585

Fax: (985) 867-4263

Email: [email protected]<mailto:[email protected]>



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