The current CMS specifications say or MD documentation of septic shock same thing for severe sepsis. If that is documented and is earlier then clinical criteria we have to use that regardless.
Sent from my iPhone > On Jan 26, 2016, at 10:41 PM, Townsend, Sean, M.D. > <[email protected]> wrote: > > 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]> > > This email and any files transmitted with it may contain privileged or > confidential information and may be read or used only by the intended > recipient. If you are not the intended recipient of the email or any of its > attachments, please be advised that you have received this email in error and > that any use, dissemination, distribution, forwarding, printing, or copying > of this email or any attached files is strictly prohibited. If you have > received this email in error, please immediately purge it and all attachments > and notify the sender by reply email or contact the sender at the number > listed. > > > > _______________________________________________ > Sepsisgroups mailing list > [email protected]<mailto:[email protected]> > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
