It would start with the secondary assessment.
Severe sepsis can appear anytime during the admission. If there is 
documentation in triage that the patient presents with severe sepsis, triage 
time would be severe sepsis time. 
Otherwise you pick the earliest time you meet all 3 criteria.

Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center 
484-476-8092
Pager: 5240


-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of McDonagh, Annmarie
Sent: Wednesday, February 03, 2016 9:17 PM
To: [email protected]
Subject: [Sepsis Groups] Sepsis start time


It is my understanding that the sepsis clock in triage for implementing the 
bundle starts when patient is seen in triage. If the screen is negative and 2 
hours later based on reassessment of the patient becomes positive due to change 
in clinical condition. Does the clock start on the primary assessment or the 
second? 
Sent from my iPhone
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