The definition about skin exam says to include color, so the physician needs to 
say "skin normal in color" or "pale", "no cyanosis", etc.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
Quality Management JMH
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
[email protected]<mailto:[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 Barnes-Daly, Mary Ann
Sent: Tuesday, December 29, 2015 1:14 PM
To: 'Carlson, Brenda L'; '[email protected]'
Subject: Re: [Sepsis Groups] capillary refill and skin assessment

I would say yes, but still need peripheral pulse documentation

Thanks,

MARY ANN BARNES-DALY RN BSN CCRN DC  | Clinical Performance Improvement 
Consultant
Sutter Health - Office of Patient Experience | 2200 River Plaza Drive, 
Sacramento, CA 95833
Mobile 916.200.5604| Office 916.286.6717  | 
[email protected]<mailto:[email protected]>

"You never change things by fighting the existing reality. To change something, 
build a new model that makes the existing model obsolete."         ~R. 
Buckminster Fuller

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Carlson, Brenda L
Sent: Tuesday, December 29, 2015 6:48 AM
To: '[email protected]'
Subject: [Sepsis Groups] capillary refill and skin assessment

If a provider documents,  "Extremities warm and well perfused" is that 
sufficient documentation for capillary refill and skin color?

Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
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