We have been doing  4 hour reflex lactate levels for about a year now. We 
haven't had any pushback. Our only issue is we have to check on the logic 
module after EMR upgrades to make sure it is still working. We have Allscripts 
EMR. 

Gerri Buss, MS, RN
Consultant
Performance Excellence Department
Blessing Hospital
Quincy,Il 62305
217-223-8400 ext 6894
[email protected]

"There's nothing so useless as doing efficiently that which should not be done 
at all"
Peter Drucker




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Sent: Tuesday, April 05, 2016 1:56 PM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 199, Issue 4

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Today's Topics:

   1. Reflex lactates (Mary Draper)


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Message: 1
Date: Tue, 5 Apr 2016 10:20:32 -0700
From: Mary Draper <[email protected]>
To: "[email protected]"
        <[email protected]>, "'Townsend, Sean, M.D.'"
        <[email protected]>
Subject: [Sepsis Groups] Reflex lactates
Message-ID:
        <[email protected]>
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We have been piloting a lab generated reflex lactate done four hours after the 
initial draw time on patients that have a lactate of > 2.  The only pushback we 
have had is related to our trauma patients who routinely have one done on 
admission.
Are any of your facilities trauma centers and are you doing reflex lactates and 
has there been any pushback?
Thanks for your feedback.

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]>
[cid:[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


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